The sense of hearing is a complex one. The ears are divided into three parts: the outer ear, the middle ear and the inner ear. While the outer ear sends the sound to the middle of the ear, the middle ear sends the same to the inner ear through the conductor. The inner ear in turn sends the auditory signal to the brain where the signal is processed and gives rise to a sense of hearing. 

Problems in hearings can arise if there is a problem in any of these parts. However, more often than not it is the middle or inner ear that is affected. However, there may also be situations when there are problems in both the middle and the inner ear. In that case, it is known as a mixed hearing loss. 

What is Mixed Hearing? 

Loss If there is damage to the middle ear, it may precipitate a conductive hearing loss. Now, in addition to that, if there is a sensorineural problem, then it gives rise to mixed hearing. So, in the case of a mixed hearing loss, all the parts of the ear and even the brain may be involved. There may be damage to the outer ear, middle ear, inner ear, as well as the auditory nerve. 

Causes of Hearing Loss 

Since mixed hearing loss may result from damage to any part of the ear, it is necessary that the causes be grouped into different categories. 

  Sensorineural Hearing Loss 

Sensorineural loss may result from drugs, different illnesses, head trauma, malformation of the inner ear etc. Genetic predisposition may also precipitate such problems. 

  Conductive Hearing Loss 

Such type of hearing loss may result from excessive deposition of earwax, ear infections, perforation in eardrums, malformation of the middle or outer ear, as well as problems with the fluid in the middle ear. 

Symptoms of Hearing Loss 

Reduced hearing in either or both ears is considered to be delineating symptoms of mixed hearing loss. 

Treatment 

Since mixed hearing loss can result from sensorineural failure as well as damage to outer or middle ear, treatment needs to be divided into different groups too.   To treat Conductive Hearing Loss, doctors can use surgical or medical options. 

  For sensorineural hearing loss, doctors usually prescribe hearing aids. This indicates that treatment for mixed hearing loss may include treatment for conductive hearing loss as well as that for sensorineural hearing loss. So, it is usually a combination of both medical and surgical options. Physicians may prescribe both medicines and hearing aids or resort to surgical interventions and also prescribe hearing aids. Sometimes, physicians use special hearing aids or implants to treat mixed hearing loss. 

Conclusion 

In case a person is sensing reduced hearing in one or both ears, he/she needs to seek medical advice. It may be a symptom of mixed hearing loss. Getting in touch with an experienced physician is the first step towards that.

Mixed Hearing Loss - How To Treat It?

A deaf child is the one who suffers from hearing loss. Children with deafness may also fail to develop speech. Such children might have no defect in their speech but they cannot speak anything. The main reason is deafness. They do not hear a speech, therefore, cannot develop it. Deafness may not be hereditary, but it occurs due to several other causes. 

The period of 5 years is crucial in a child s life. During this period, they develop their speech and language. Therefore, parents need to take the utmost care for the early identification of hearing loss and treat the child accordingly. 

Causes of Deafness in Children

There are several causes of deafness in children.

Otitis Media: In young children, if the eustachian tube is not fully formed, it forms fluid behind the eardrum. This fluid can get infected and affect the hearing. The fluid may not cause any pain or infection but still, it can harm and cause hearing loss even if it stays for a short time. 

Problems by Birth: Some children have hearing problems by birth. Sometimes, the problem lies in the genes. But, other times during pregnancy or prenatal care, the problem arises. If a mother, while pregnancy, has diabetes or preeclampsia, she is likely to deliver a deaf child. A prematurely born baby also has a high risk of deafness.

Illness or Injury: Some young children suffer hearing loss due to some injury in the ear or some other illness. Illness includes meningitis, measles, chickenpox, and flu. Head injury or listening to loud music for a long time can also be a reason.

Symptoms of a Deaf Child

A deaf child shows no reaction to the loud noises.

He/she doesn t respond to the voices.

The sound of the child is simple that taper off.

The child may pull or rub the ear several times, which is noticeable.

The child is continuously cranky for no particular reason.

He/she does not pay any attention when anyone is talking.

He/she has very little energy to do anything. 

He/she fails to understand the direction.

Often asks to raise the volume of TV or radio.

Have fever and ear pain.

Treatment of the Problem

Hearing loss affects a child s learning ability. So, the problem must be diagnosed and treated immediately. Here are some treatment approaches: 

Treatment for Otitis Media: The very first thing parents and doctors can do is watchful waiting because sometimes the problem cures itself. Some pediatricians might prescribe some antibiotics. If the problems continue, then the doctor will suggest getting an ear tube to the child that will allow the fluid to drain. For this, the child will have to visit an ENT doctor also called Otolaryngologist. 

Treatment for other causes: The child may use a hearing aid. Some can get cochlear implants. 

Conclusion
It is necessary for parents to accept the child with deformity and stay by his/her side. They must get themselves educated and communicate the problem with others to get help. It is essential to stay in touch with the child and take care of him.

Deaf Child - What Should You Know?

Cochlear Implant is an electronic device replaced with the inner ear (cochlea) of the patients who are unable to send sound waves to the brain.

The surgery is performed on the patients who have the problem of hearing loss due to the damaged hair cells in the inner ears. The implant helps the patient to hear which are not responding to other hearing aids.

Conditions for Cochlear Implant:

Cochlear implants help people to hear with clarity. They are not like hearing aids, which make the sound louder, but it helps send sound waves to the brain and replaces the damaged hair cells in the inner ear. Following are cases where it is beneficial:

People who find it difficult to hear clearly with hearing aids.

Those with moderate hearing loss in both ears.

Patients with 50% or fewer score in the sentence recognition test.

Patients with 60% or less score in sentence recognition test with hearing aids on.

It is suggested to opt for cochlear implants in both ears. The reason is to give the patient a better perspective of sound direction and clarity in understanding the words.

How does the Cochlear Implant work?

Cochlear Implant is an electronic device with an embedded sound processor that has to be worn outside ears or on the body. Following steps are involved in cochlear implant:

The sound captured by the processor is converted digitally by the processor and sent to the coil inside the ears of the patient.

The implant converts digitally coded sound waves to electrical impulses.

The electric impulse simulates the hearing nerve of the patient.

Then sends these impulses to the brain.

Benefits of Cochlear Implants:

The cochlear implant is a blessing for people who have been suffering from hearing loss for a very long time. It provides aid to people who have not benefited from hearing devices. The benefits of the cochlear implant are:

Hear better.

Studies have shown that people with cochlear implants have better sentence recognition scores instead of hearing aids.

The patient can concentrate better in the crowd and can hear conversations across the table.

Reconnect with the missed sounds.

Enjoy music on the phone.

Cochlear Implant improves the quality of life of people with hearing loss. It gives them an aid to understand and engage themselves in a conversation. However, it takes time to learn the interpretation of the sound signals that are received from cochlear implants. But, the patient can learn and lead a normal life with the implant. The factors which affect the benefits of Cochlear implants are:

The extent of hearing loss

The duration of the hearing loss and the condition before implantation

Damage to inner hair cells

Other health issues

The practice and rehabilitation time have been done in practice after implantation

The cochlear implant is performed in the patients after taking extensive tests determining the condition of the patients. It is activated after 2-6 weeks of surgery to give the surgery site a time to heal. Most people are discharged from the hospital after surgery and are prepared for the use of an implant. There are training sessions and classes for patients who have just gone for cochlear implants.

Cochlear Implant - How Do They Help?

Using a hearing aid presents a number of advantages to a hearing impaired person. First and foremost, you will hear a lot better. Hearing aids do not restore your hearing to normal but they improve it significantly. It becomes easier to hear what other people say. Sounds you have not heard for a long time such as birds singing, door bell ringing, the howling of the wind and water running may become audible to you.

Hearing aid usually improves the user s social, psychological and physical sense of well being.

Study as well as experience shows that hearing aid generally improve the quality of life and will help you:

Get a better relationship with your family
Feel better about yourself
Get better mental health
Improve your physical well being
To concentrate better
Feel more independent and secure
Feel less tired or exhausted
Be more able to participate in social gathering
Be able to increase your social contact
Be able to do better in your job  
Hearing aid will help you to reduce tinnitus
Hearing aid will help you to avoid dementia by helping you to hear and improve cognitive functioning
As you start hearing through hearing aid, you will start socializing yourself and indirectly improve your quality of life.
Why you need to wear two hearing Aids?

Better understanding of speech
Better understanding in group and even in noisy situation
Better ability to tell the direction of the sound (Localization)
Better sound quality
Greater listening comfort
Hearing is less tiring and more pleasant
Keeping both ears active preserves speech understanding in both ears
Effective tinnitus masking
Better understanding of listening to radio and television
Speech will be clear

Advantages Of A Hearing Aid!

Hearing loss is experienced by millions of people these days. Ageing is not the only factor that brings hearing impairment. The causes are many. Certain medications, continuous exposure to loud noise, genetic involvement, injury and some medical conditions may cause hearing loss.

There are quite a few myths that people have come to believe about hearing loss over the years. Since it is such a common phenomenon, here we take a look at the common myths surrounding hearing loss.

Myth no. 1: Hearing loss is exclusive to elderly.

Fact: As said before, hearing loss can be an outcome of various causes. Nearly half of the people suffering from the same are below the age of 55 years. No matter what your age is, you must always get your ears checked, especially if you are feeling that are you missing things.

Myth no. 2: Diagnosing hearing loss is easy.

Fact: Most people do not come to know about the condition until it gets worse. Also, your physician never really checks for hearing loss symptoms in a general check-up unless you ask for it specifically.

So, always get a check-up done, like you do for other probable diseases.

Myth no. 3: There's no effective solution for hearing loss.

Fact: Like there have been advancements in the medical field for everything else, there are aids available these days that improve your hearing and have finer adjustments for noise adaptation. Also, there are certain other procedures and surgeries that have proved to improve the condition in many.

So, seek help as soon as possible.

Myth no. 4: The sounds aren't loud enough; my ears are healthy and fine.

Fact: If there is a problem you're experiencing with hearing, you have got to accept that and get it treated. Avoiding a certain condition will only get things worse for you.

Also, hearing aids are no more a stigma. Ear aid devices have designs similar to earphones these days, which are comfortable enough to wear. Ignoring a medical condition or inability to accept the same would only do more harm instead of making things fine.


Common Myths About Hearing Loss

BAHA Implant
Bone Anchored Hearing Aid (BAHA) is a device surgically implanted to help people suffering from a loss of hearing. Most conventional hearing aids transmit sound through air conduction. The BAHA device is suitable for conductive or mild-moderate mixed hearing loss.

Problems with hearing in the middle or outer ears can be helped with the BAHA device. The sound waves received by the BAHA device bypass the middle ear and get delivered straight to the functioning cochlea in both ears.

A BAHA device comprises of two parts:
a) The processor 
b) A fixture which is surgically implanted behind the ear in the bone.

The implant is embedded in the bone. The processor, which remains outside, is attached to the implant. There is a microphone on the processor that picks up sounds. The sounds are passed on to the implant. The implant vibrates which triggers the Cochlear. You can consider wearing a BAHA implant if other conventional hearing aids do not work for you. BAHA implants are also given to people with collapsed or irritated ear canals.

Cochlear Implant Surgery

A complex, small electronic device that helps hearing in people with severe hearing loss or deafness is used in the Cochlear Implant Surgery. The cochlear implant comprises of an external piece behind the ear and another piece that is surgically implanted under the skin. A cochlear implant comprises of four parts:
1. A microphone which picks up sounds from the surroundings
2. A speech processor which chooses and arranges the sounds the microphone picks up
3. A receiver/stimulator and transmitter that picks up signals from the speech processor and changes them into electric impulses
4. An electrode ray, a bunch of electrodes, receives impulses the stimulator sends and transmits them to different areas of the auditory nerves.
The implant does not cure deafness; it only gives you a useful portrayal of sounds in the environment and considerable aid in understanding speech.

The surgery is done in the following way:
i. The area around the site of the implant is shaved or cleaned
ii. The patient's vital signs are monitored through cables, patches and monitors attached to him or her
iii. General anaesthesia is administered through IV or through a face mask
iv. After the device is implanted, the patient is taken to the recovery room for the anaesthesia effect to lessen.

BAHA Implant and Cochlear Implant Surgery

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