Types and Causes of Hearing Loss Explained | Cochlear (2024)

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Understanding the types and causes of hearing loss will help you feel more comfortable and confident that you are making the right choice for you or your loved one.

Types and Causes of Hearing Loss Explained | Cochlear (3)

What you'll find on this page

  • Learn about the types and causes of hearing loss
  • Understand your degree of hearing loss.
  • Discover potential solutions for each type of hearing loss.

Every hearing loss story is different, and the causes vary widely from person to person. For example, your hearing loss may affect one ear or two, and it may stem from a problem in the inner, middle or outer ear, or from a combination of these.

However, there is one thing that remains constant for anyone impacted by hearing loss—knowing what it is and what's causing it is the key to finding the right solution.

Types of hearing loss

Sensorineural hearing loss occurs when the inner ear (cochlea) or hearing nerve is damaged or does not work properly. With sensorineural hearing loss, sounds are not only softer, but also difficult to understand — especially when it is noisy.

Common causes include:

Treatment options include:

  • hearing aids

  • cochlear implants

High-frequency hearing loss is a type of sensorineural hearing loss where it may be possible to hear some sounds with a lower pitch, but not high-frequency sounds like birds chirping.

Common causes include:

  • congenital hearing loss

  • ageing

  • exposure to loud noise

  • head injury

  • genetics

  • illness

  • adverse reaction to medications.

Treatment options include:

  • hearing aids

  • hybrid implants

Sensorineural hearing loss can occur in one or both ears. If the loss is in one ear, it is often referred to as unilateral hearing loss or single-sided deafness. This is when there is little or no hearing in one ear, but normal hearing in the other ear.

Common causes include:

Treatment options include:

  • CROS hearing aids

  • Active OSI system

  • bone conduction solutions

  • cochlear implants

Conductive hearing loss occurs when damage to the outer ear or middle ear blocks sound vibrations from reaching your inner ear, or cochlea. With this type of hearing loss, ears may feel plugged and speech may sound muffled, especially if there is a lot of background noise.

Common causes include:

  • malformations at birth such asMicrotiaandAtresia
  • syndromes such as Down, Goldenhar and Treacher Collins

  • chronic mastoiditis or middle ear infections

  • skin growth or cyst (cholesteatoma)

  • draining ears

  • chronic ear infections

  • previous ear surgeries

  • benign tumors

Treatment options include:

  • medication

  • surgery

  • hearing aids

  • Active OSI system

  • bone conduction solutions

Mixed hearing loss refers to a combination of conductive and sensorineural hearing loss. This means there may be damage in both the outer or middle ear and the inner ear.

Common causes include:

  • Any of the causes of conductive hearing loss plus any of the causes of sensorineural hearing loss

Treatment options include:

  • medication

  • surgery

  • hearing aids

  • Active OSI system

  • bone conduction solutions

Degrees of hearing loss

Understanding your degree of hearing loss is integral to identifying the right treatment. For example, hearing aids may be a good solution for someone with mild to moderate hearing loss, while hearing implants may be a good solution for someone with moderate to profound hearing loss.

Take a look at the illustrative audiogram below. You will see where sounds fall in loudness and frequency scales to help you understand what you may or may not be able to hear.

Make an appointment with a hearing health professionalthat is trained in advanced hearing treatment options, including hearing implants, to discuss possible solutions.

Types and Causes of Hearing Loss Explained | Cochlear (4)

Mild hearing loss

You may hear speech, but soft sounds are hard to hear, such as whispers or the consonants on the end of words like 'shoes' or 'fish'.

Moderate hearing loss

You may hear another person speaking at a normal level, but have difficulty understanding what he or she is saying. You might hear the vowels within a sentence, but not hear the consonants. This makes comprehending a sentence almost impossible.

Severe hearing loss

You may hear little to no speech of a person talking at a normal level and only some loud sounds. Very loud sounds, such as a car horn, wouldn't startle you the same way as it would to a person with normal hearing.

Profound hearing loss

You don't hear any speech — only very loud sounds — and you feel the vibrations of only the loudest of sounds.

Understanding the audiogram

Your audiologist will map your type and degree of hearing loss on a chart called an audiogram. Learn what it is and how to read it.


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Disclaimer

Please seek advice from your health professional about treatments for hearing loss. Outcomes may vary, and your health professionalwill advise you about the factors which could affect your outcome. Always read the instructions for use. Not all products are available in all countries. Please contact your local Cochlear representative for product information.

Views expressed are those of the individual. Consult your health professional to determine if you are a candidate for Cochlear technology.

For a full list of Cochlear’s trademarks, please visit our Terms of Use page.

Types and Causes of Hearing Loss Explained | Cochlear (2024)

FAQs

Types and Causes of Hearing Loss Explained | Cochlear? ›

Sensorineural Hearing Loss

What are the 4 major causes of hearing loss? ›

How hearing loss can occur
  • Damage to the inner ear. Aging and loud noise can cause wear and tear on the hairs or nerve cells in the cochlea that send sound signals to the brain. ...
  • Buildup of earwax. ...
  • Ear infection or unusual bone growths or tumors. ...
  • Ruptured eardrum, also known as tympanic membrane perforation.
Mar 30, 2023

What are the 5 levels of hearing loss? ›

What does “hearing loss” or “hearing impairment” mean?
  • Mild hearing loss: Hearing loss of 20 to 40 decibels.
  • Moderate hearing loss: Hearing loss of 41 to 60 decibels.
  • Severe hearing loss: Hearing loss of 61 to 80 decibels.
  • Profound hearing loss or deafness: Hearing loss of more than 81 decibels.
May 15, 2008

What are 2 types of deafness and what are their causes? ›

Sensorineural deafness is permanent. Conductive deafness means that sound can't pass efficiently through the outer and middle ear into the inner ear. This is often caused by blockages such as wax in the outer ear, or fluid in the middle ear (glue ear).

What is the major cause of hearing loss in adults and what type of loss is this? ›

Loud noise is one of the most common causes of hearing loss. Noise from lawn mowers, snow blowers, or loud music can damage the inner ear and result in permanent hearing loss.

What are the three 3 types of hearing loss? ›

Hearing loss affects people of all ages and can be caused by many different factors. The three basic categories of hearing loss are sensorineural hearing loss, conductive hearing loss and mixed hearing loss. Here is what patients should know about each type.

How to reverse hearing loss naturally? ›

Ginkgo biloba, Panax ginseng, and Astragalus propinquus showed particular promise to improve hearing in patients with sensorineural hearing loss and to reduce symptoms of tinnitus. A year-long study found that 10 mg of Vinpocetine (VPC) three times a day might improve acquired sensorineural hearing loss.

What is the 60 60 rule for hearing loss? ›

Follow the “60:60 rule.” Listen at 60 percent of the maximum volume for no more than 60 minutes a day. If the device has a “smart volume” feature, use it. This feature helps regulate the volume. Keep the volume low, even in noisy situations.

What is the 1 3 6 rule for hearing loss? ›

Recommended Early Hearing Detection and Intervention (EHDI) benchmarks include screening for hearing loss before 1 month of age, diagnostic evaluation before 3 months of age, and enrollment in early intervention before 6 months of age, known as the 1-3-6 benchmarks.

What sounds go first with hearing loss? ›

High-frequency hearing loss can happen when the hair-like cells in the inner ear are damaged. Cells located in the cochlea that have been damaged or that have died can cause high-frequency hearing loss.

Can hearing loss be reversed? ›

The answer to this question will depend on the type of hearing loss you have. While some cases of hearing loss can be immediately improved, others will require long-term treatment and some will be completely irreversible (in which case, hearing aids or cochlear implants will likely be recommended).

Can you still hear if you have sensorineural hearing loss? ›

People with mild, moderate, or severe sensorineural hearing loss can still hear, but they may have trouble understanding sounds or need them to be louder in order to hear well. Those with profound hearing loss may not be able to hear any sounds except those that are very loud.

Why does my ear feel muffled but no wax? ›

This can happen for brief periods during air travel, but also due to allergies, sinus or ear infections, or other respiratory viruses (including COVID-19). Sudden onset of muffled hearing in one ear may signal an urgent problem requiring prompt treatment to prevent or reduce possible hearing loss.

What level of hearing loss is considered a disability? ›

Disabling hearing loss refers to hearing loss greater than 35 decibels (dB) in the better hearing ear.

Can ears heal after loud noises? ›

While you can't reverse existing damage, you can reduce your risk for future deterioration. Following these guidelines can help you prevent noise-induced hearing loss: Wear hearing protection when participating in loud activities. (You can even buy high-fidelity earplugs for concerts.

What is the hidden cause of hearing loss? ›

There is still plenty of research to be done in this area, but initial research suggests that hidden hearing loss is caused by damage to cells in the hearing organ (cochlea) in the inner ear.

What level of hearing loss requires a hearing aid? ›

Hearing Loss Ranges (in decibels)

There are different levels of hearing loss. Some forms of hearing loss can be treated with a hearing aid. If your hearing falls into the 26-70 dB range (mild to moderate), a hearing aid can be very effective in restoring sounds for your daily life.

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