Hearing Loss in Adult-Management


Hearing-loss in adult should be evaluated & managed properly taking care of emotional & social impact of condition on patient & his family. Bilateral hearing loss may affect professional life of a person.

Aim is to know treatable cause and effective management to prevent further hearing loss.

Evaluation of Patient

  • Thorough medical history and E.N.T. Examination of ear, nose and throat
  • Hearing tests-Audiometry & tympanometry to know degree & type of hearing loss.
  • Ct/MRI occasionally

Most common cause of treatable hearing-impairment in adult is wax and tympanic membrane perforation is next most common cause.

Types of Hearing Loss and Management

Management of hearing loss depends on type of hearing loss; loss is of two types conductive and sensorineural, sometimes it may be mixed. Conductive Loss When something hampering conduction of sound in your ear to reach inner ear. It is caused by an outer or middle ear defect and usually can be corrected with medicine and/or surgery. Such as:

Condition  Treatment 
Outer ear canal Wax, foreign body, fungus Removal/cleaning
Middle ear Eustachian tube blockade or fluid in the middle ear  Medicines or small procedure for ventilation of middle ear (grommet)
Infection (Otitis-media)  Medicines
Ear drum perforation  Cauterization or paper patch or surgery (Tymanoplasty)
Otosclerosis  Stapedectomy & Piston placement
Any cause in nose/throat  Managed by medicine or surgery.


Sensorineural Loss

  • When problem is in inner ear or auditory nerves, (cochlear or retro cochlear)
Causes
Age (Presbiacusis) – hearing loss after age of 65 years, mostly idiopathic (cause not known).When problem is in inner ear or auditory nerves, (cochlear or retro cochlear)

  • Age (Presbiacusis) – hearing loss after age of 65 years, mostly idiopathic (cause not known).
  • Noise-trauma
  • Menieres disease
  • Post-viral infections (like mumps, measles, influenza and herpes
  • Ototoxic drugs (like aminoglycoside antibiotics (streptomycin, neomycin, amikacin, gentamicin, netilmycin)
  • salycylates, loop diuretics, antimalarials (quinines, chloroquine), erythromycin and cisplatinum)
  • Hereditary
  • Immune mediated
  • Endocrine & metabolic disorder
  • Vascular or neurogenic disorder
  • Tumor
Management of Sensorineural Hearing Loss
Hearing Aids
Summary of Facts Related to Hearing Loss Management
Book an appointment at 9322229159 at Audicco speech hearing Clinic, vashi, Navi Mumbai

SMS :ENT check / Ear checkup / Hearing test for hearing aid trial