To understand hearing loss requires a basic understanding
of how we hear
Your outer ear acts like a dish that collects sound waves. These sound waves
travel along the ear canal and vibrate against the ear drum.
Middle
ear
In the middle ear, three tiny bones (the smallest in the body) transfer vibrations to
the fluid-filled cochlea in the inner ear. This creates ripples in the fluid, which bend the hair cells
in the cochlea.
This movement, in turn, is converted into electrical impulses
that are carried through the auditory nerve to the brain, where they are translated into meaningful
information.
As you can see, hearing is a complex
process. As with any such process, things can go wrong.
The
most common types of hearing loss are:
Sensorineural loss is the most
common type of hearing loss, occurs when the nerve endings in the inner ear are not transmitting sound
properly, often as a result of damage to the hair cells in the cochlea. This damage can by caused by
a number of things, including noise, or a natural withering of the cells (presbyacusis) that comes with
age. Sensorineural loss cannot be cured medically, but it can usually be improved through the use of
hearing instruments.
Conductive loss
occurs when sound is not being sent properly to the inner ear due to some “mechanical” problem.
Conductive loss is often the result of damage or blockage in the middle ear. In most cases, conductive
hearing problems can be corrected medically.