Nerve hearing loss

Nerve hearing loss is associated with an injury to the cochlea, to the hearing nerve, or to the brain.

It is associated with a family history of hearing loss, excessive noise exposure, medication exposure, or numerous other things that can injure the delicate inner ear structures.

Conductive hearing loss

Conductive hearing loss is associated with the ear canal, the tympanic membrane, the bones of hearing, and the middle ear space.

Otosclerosis is a disorder of the bones of hearing.

A tympanic membrane perforation can cause drainage from the ear as well as hearing loss.

Ear wax, also known as cerumen, can collect in the ear canal.

Fluid can collect in the middle ear because of infection or poor eustachian tube function.

Cholesteatoma is a collection of skin, usually in the middle ear space, that can require an operation to fix.


Tinnitus, or ringing of the ears, is a common problem. It is often associated with hearing loss, but it can be secondary to a tumor or infection.

Some people describe the sound as a ringing, crickets, or buzzing like a power line.

The website for the American Tinnitus Association provides valuable information regarding all aspects of tinnitus.

Treatment for hearing loss

The treatment of hearing loss can include:

Conservative therapy

Doing nothing about hearing loss is appropriate for some patients, especially if they are against any type of help for their hearing loss or if they don’t acknowledge that they have any hearing loss.

Behavioral therapy

This includes discussing your hearing loss with your family and friends. By telling people where and when you have difficulty understanding them, they will often modify how and when they talk to you. Unfortunately, you may be left out of some conversations.

Medical treatment
Some types of sudden hearing loss are treated with aggressive medical therapy.

Surgical treatment
Conductive hearing loss, or hearing loss associated with the ear drum and the bones of hearing, is often amenable to surgical therapy. For patients with profound nerve hearing loss, cochlear implantation is also an option.

Hearing amplification
This is a viable option for both conductive hearing loss and nerve hearing loss.

Hearing Testing

Our practice provides hearing testing for patients with various forms of hearing loss.

Routine audiograms provide information regarding a patient’s nerve and conductive hearing.

Tympanometry is used to check the function of a tympanic membrane.

Otoacoustic emmisions are used to check the function of the nerve endings in the cochlea.