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Hearing Impairment: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Hearing impairment is also called hearing loss or deafness, and occurs when you lose part or all of your ability to hear.

How is the treatment done?

Hearing Impairment or deafness is usually caused as a result of inner ear or neural damage, which may be caused by a congenital defect or injury or disease or is a side effect of a certain medication, exposure to loud noise or is a age related wear and tear.

The primary symptom in hearing impairment is an inability to hear sound, and for some, hearing may be possible with the help of surgery or a hearing device. Lip-reading skills, written or printed text and sign language often help with communication.

The condition can be treated with a cochlear implant, a device which is surgically implanted inside the ear which enables a deaf person to hear sounds.

The most common mode to treat hearing loss or deafness is to add a hearing aid. A hearing aid device is applied to the outer ear which amplifies more sound and improves hearing.

The treatment mainly depends on the type of hearing loss. Sensor Neural Hearing Loss is the most common hearing impairment or hair loss syndrome caused due to exposure to loud music or noise, head trauma, virus or disease, autoimmune inner ear disease, genetic hearing loss, aging (presbycusis) and malformation in the inner ear.

Addition of a conductive component generally tends to help a person to hear better hearing or may get help out an audiogram by underlying sensor neural component which presented a high-frequency loss.

Who is eligible for the treatment? (When is the treatment done?)

Visiting an ENT specialist (ear, nose, throat) is the first step is recommended would ensure that the treatment is done on a proper basis. The doctor will carry out the required tests and will help to determine the exact cause of hair loss. The treatment will run in a systematic manner and can be administered immediately. This is followed by the next set of tests and which are simple, but will vary in case there is an infection inside in the ear, or has the impairment caused due to some other reason and this is where the treatment steps tends to vary.

If there is any other problem other than the hearing loss or deafness caused due to other reason, or if some amount of swelling inside the ear or any abscess in the area, your doctor will initially assess the damage.

Some of the doctors prefer oral medication and certain exercises to be done before they start working on the cause. As the hearing impairment tends to have several types of symptoms, the doctor will start with the most suitable treatment. In case of injured inner ear structures, the doctor wait for the ruptured parts to heal. In case of Sensor Neural hearing loss, which can occur from a head trauma or abrupt changes in air pressure, which can cause inner ear fluid compartment rupture or leakage and can result to be toxic to the inner ear, doctors may treat it with emergency surgery.

Speech therapists are recommended for specialisation in voice rehabilitation, but at a later stage.

Who is not eligible for the treatment?

Anyone who is experiencing any sort of problem in hearing by a single ear or both the ears, is eligible for the treatment irrespective of the age. There is no stipulated time period you need to wait, or you must wait to see if things worsen. You can visit a nearest E.N.T or Otolaryngologist to know what is the exact cause causing your deafness, and the required treatment can follow.

Are there any side effects?

There is no such restriction of age or condition regarding the treatment of the problem is concerned.

What are the post-treatment guidelines?

As with the most of the case of almost all medications, there will be certain side effects that you should be vary of. Though hearing loss cannot be reversed completely, medicinal treatment or a surgery can have effects on your body. If you are allergic to any substance, it is best to discuss that with your doctor, so in case of medications, the doctor can prescribe medicines so that the medications that does not contain the allergen.

Though in case a hearing aid is used, the side effects almost run to zero, but wireless radiations may cause some disturbance.

How long does it take to recover?

There are no specific post treatment guidelines for a hearing loss, as there is no permanent treatment. But for temporary deafness, it is recommended to stay in a less noisy environment and follow a standard procedure to help the damage to get cured.

In case of permanent hearing loss and if you are using a hearing aid, the most important guideline is to ensure that your ears are not exposed to any very noisy environment. It is also generally advised to maintain and follow certain guidelines to travel in high altitudes which will make sure your ears are safe. Generally ears are very sensitive and any random stimulus can cause you problem if you are not careful.

What is the price of the treatment in India?

Initial hearing loss treatments can last anywhere between 20-40 days if a surgery is done or if the patient has to go through routine oral medications. As you continue to take your medications, you can notice a gradual decrease in the symptoms on a daily basis until it is fully recovered. But for a permanent hearing loss, it will probably never recover, and one has to depend on the hearing aid for the rest of his/her life

Are the results of the treatment permanent?

The prices of hearing aids range from very low to quite high in India, and primarily depends on the size and quality of the device. They can range in price from Rs. 300 to Rs 50,000 and even above. The same goes for any oral medication that you might be taking in order to treat ear pain, but will be relatively cheaper.

What are the alternatives to the treatment?

The results of being permanent depends on the type of deafness. In most of the cases, the hearing loss cannot be reversed. If your hear loss is a result of some other different condition you may have, treating the loss alone will only work for a short period of time. If pain is there, it will take days or weeks, the pain is will return to alert you of whatever condition you may be suffering from, though the generic ear pain treatment results are usually permanent.

Safety: Symptom Effectiveness: Low Timeliness: High Relative Risk: Low Side Effects: Low Time For Recovery: Medium Price Range:

Rs. 1000 - Rs. 10000

Popular Health Tips

Advantages Of A Hearing Aid!

BASLP (Bachelor of Audiology Speech Language Pathology), DHLS Audiology
Audiologist, Pune
Advantages Of A Hearing Aid!

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?

  1. Better understanding of speech
  2. Better understanding in group and even in noisy situation
  3. Better ability to tell the direction of the sound (Localization)
  4. Better sound quality
  5. Greater listening comfort
  6. Hearing is less tiring and more pleasant
  7. Keeping both ears active preserves speech understanding in both ears
  8. Effective tinnitus masking
  9. Better understanding of listening to radio and television
  10. Speech will be clear
2228 people found this helpful

Cochlear Implant - The Many Benefits Of It

MBBS, MS - ENT, Fellowship In Otology
ENT Specialist, Delhi
Cochlear Implant - The Many Benefits Of It

A cochlear implant is an electronic device that is used to restore hearing ability in people who suffer from hearing loss due to inner ear damage. Unlike hearing aids which amplify sounds so people with hearing loss are better able to perceive them, cochlear implants directly transmit electronic sound signals to the auditory nerve. They work by compensating for damaged cochlea, the part of inner ear that converts sound waves into neural impulses which are perceived by the brain. 

  1. A child who cannot hear will also never be able to speak. 
  2. Inability to hear and speak puts a person at disadvantage in society. 
  3. Simple tasks like talking on the phone which we take for granted become impossible. 
  4. Conventional methods of learning like attending a classroom lecture become impossible. 
  5. Brain development and intelligence is closely linked to development of speech and language. 
  6. Inability of parents to communicate with child leads to emotional distancing. 
  7. Integrating a hearing disabled person in to society becomes a frustrating experience for all involved. 
  8. Cost of integration per capita in much higher when compared to cost of Cochlear Implant. 
  9. Children with Cochlear Implants are fully integrated in society with normal hearing & speech. 
  10. Children with Cochlear Implants can attend regular schools & colleges 
  11. Early identification of hearing impairment gives children a better chance of developing speech and language skills, and of making the most of social and emotional interaction from an early age. 

Cochlear implants offer a multitude of benefits to people experiencing hearing loss, especially infants and children with severe hearing loss who are just starting to process language and speech. Some of these benefits are: 

  1. Hearing and communication – Cochlear implants improve hearing significantly, especially to a level where normal communication can be restored. It enhances the person’s ability to hear speech without relying on visual cues such as lip reading or hand signs. It makes telephonic conversation a lot easier. Cochlear implants also help people regulate their own voice and volume so that it is easier for others to understand them. 
  2. Quality of life - It can help people with hearing loss listen to and enjoy music and also watch television with sounds. It helps people listen to sounds in a noisy environment and differentiate soft sounds from loud ones. 
  3. Safety – Cochlear implants enhance the individual’s safety as it allows the person to be able to hear warning sounds like honking cars or ambulance sirens. This will allow people to navigate public spaces in a much safer way. 
  4. Society - For children with hearing loss, cochlear implants can help them adjust a lot better to regular schools instead of requiring special institutions. 
  5. Brain development - It can help infants with cochlear damage develop their speech recognition and speaking skills much faster. 

Cochlear implants 

  1. Only device of its kind that can restore a special sense.
  2. Consists of 2 parts-
    • One part is surgically implanted in the body 
    • Second part is worn behind the ear and communicates with internal part using wireless signals 
  3. Persons of any age can get a cochlear implant, from less than one year old children to 90 year old persons have received implants all around the world. 
  4. Cochlear implants can be done for partial hearing loss also, know as Hybrid implant that preserves the residual natural hearing and augments hearing only in certain sound frequencies in which hearing loss is present. 
  5. Are being used for indications other than hearing loss also like Tinnitus
  6. Surgery is a day care procedure for most patients. 

CochlearConsult a doctor to get a clear assessment of whether you would be an eligible candidate for a cochlear implant and what to expect from the procedure. In case you have a concern or query you can always consult an expert & get answers to your questions!

4299 people found this helpful

Foreign Bodies - How They Affect Body System?

MBBS Bachelor of Medicine and Bachelor of Surgery, Diploma in Otorhinolaryngology (DLO)
ENT Specialist, Roorkee
Foreign Bodies - How They Affect Body System?

Just because a person is not suffering from any ailment does not mean that there is no requirement of medical supervision. For example, a person’s ear, nose and throat are those passages of the body, from where maximum amount of organisms enter and exit. There is every possibility that unwanted elements or what is otherwise called a foreign body, may make its way into the system through any of these three body parts. These elements do not cause any necessary reactions in the short-term, but may have possible consequences in the long run.

Fungus is one such external element, which people are not able to see or feel the effect of. If it is allowed to accumulate over the years, it is likely that there may be some sort of hearing impairment and getting this fungus out is a difficult task for the ENT specialist.

Mucus in the nose is another element, which may tend to cause problems in the long run unless it is addressed immediately.  The mouth is, by far, the most susceptible area as far as foreign body intrusions are concerned because it is that part of the body that is used for ingestion.

An ENT specialist usually applies a number of techniques in order to remove such unwanted elements, which may have consequences;

Forceps are most commonly used in situations where the doctor can actually see what is causing the blockage. Water irrigation is one method by means of which a gush of water is used to flush out all the unwanted elements. This is used in a situation when the medical practitioner is not able to access the problem area directly.

Suction catheters are used when the unwanted elements cannot be seen properly and the only way of getting them out is to force them out. Since the exact problem area cannot be seen or identified, using techniques which may be intrusive and harmful can have detrimental outcomes. That is why using a suction to push it all out is the most effective because there is absolutely no harm that can come from air being pushed down.

However, the important thing to keep in mind is that long-term complications can be avoided by periodic trips to the ENT specialist. It’s not necessary that you should have some discomfort or problem in order to pay a visit to the doctor.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2633 people found this helpful

Cochlear Implants - 6 Benefits You Must Know!

ENT Specialist, Noida
Cochlear Implants - 6 Benefits You Must Know!

You should consider undertaking a cochlear implant in case you are experiencing hearing loss or are turning deaf. This is a small device that gets planted in your ear through a surgical procedure. It sends impulses to your auditory nerves directly, as a result of which sound signals get carried to your brain. Cochlear implants may not make you hear normally again, but help you with different sounds, and in the recognition of the different sounds around you like alarms, telephones, and door bells.

How it works?

  1. A cochlear implant is fit for children and adults who suffer from the sensorineural hearing loss. This condition damages the tiny hair cells in your inner ear, which is called the cochlea. Hearing becomes impaired when these get damaged.
  2. The device consists of two specific parts. The first part or the receiver-stimulator is placed under your skin via a surgical procedure. The other part of the device is the speech processor. It has to be worn around your neck in the form of a hearing aid.
  3. The external device is, however, larger in size than a usual hearing aid. The receiver gets placed under your skin, behind the ear via a small incision. It is connected to electrodes.
  4. This is inserted into the cochlea of your inner ear. The surgery requires a few hours to be undertaken successfully.
  5. The speech processor has to be placed two weeks after the surgery is undertaken. The processor can be connected to the microphone, and this can be worn around the ear.
  6. You can wear it on any other part of your body, based on your lifestyle and age.

Benefits of cochlear implant
The major benefits of a cochlear implant are as follows:

  1. You might be able to hear speech almost normally.
  2. You will be able to understand speech better, and will not have to depend on lip reading.
  3. It will be much easier and simpler for you to listen to the television and talk over the phone.
  4. You will be able to listen to music better.
  5. You may also be able to pick up various sounds around you that include soft, medium, and loud sounds.
  6. You will be able to control your own voice better. This makes other people understand you better.

If you are suffering from severe hearing loss, a cochlear implant may be able to change your life for the better. However, the results are not the same for all, and vary among people. It is possible for some people to benefit more from such an implant than others.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3585 people found this helpful

Speech & Language Delay - Spot The Signs!

D.H.L.S, B.A.S.L.P, M.A, B.Ed .SE . ( H.I )
Speech Therapist, Delhi
Speech & Language Delay - Spot The Signs!

There are instances when a kid doesn’t show the usual signs of development compared to their peers. Most parents take it casually thinking that their child will catch up in due course only to find a larger problem associated with it. It is therefore extremely important to discuss speech and language related delays with a medical practitioner to find out whether a child is immature or has a genuine problem which requires medical help. A child can show different signs as per age:

Different age group:

  • Within the first 12 months, a baby should be able to relate to his environment and make babbling and cooing sound. It is often observed that by month 9, a baby is capable of stringing sounds after seeing things. If a baby is intently watching objects, but is unable to make any sound, this may be an early symptom of speech or language related problem.
  • Between the 12th and the 15th month, a baby should be capable of making a wide array of sounds including few commonly used words. Babies should also be able to take few basic instructions and oblige those.
  • Between the age of 18th and 24th months, a baby becomes smart enough to pronounce anywhere in the range of 20 to 50 words. They also start combining words and make simple sentences. They should be capable of identifying common objects and remember their names.
  • By the age of 3, a toddler should be smart enough to combine 4-5 words and form sentences. Kids of this age also become smart enough to take straightforward instructions and perform them comfortably. Any deviation on this should be immediately reported to the Doctor.

What are the warning signs?

If a child between the age of 1-2 is not able to do the following things:

  1. Fails to use gesture
  2. Use more gesture than vocalising by the age of 18 months
  3. Produce no voice by 18th-month
  4. Fails to perform simple instructions

A child between the age of 2-3 needs evaluation if:

  1. Capable of imitating words but isn’t spontaneous in vocalising
  2. Repeats certain words multiple times
  3. The tone of voice is unusual compared to his peers

Possible causes of speech and language delay:

  1. Problems with palate leading to oral impairments
  2. Short frenulum restricting sufficient tongue movement to produce speech
  3. Oral-motor problems leading to speech limitation
  4. Problems related to hearing
  5. Chronic infection of the ear leading to speech delay

What does the pathologist assess?

  1. What can the child speak?
  2. What can the child understand?
  3. Oral-motor status
  4. Clarity of speech

Post the above evaluation a pathologist directs a plan of action. Sometimes speech therapy sessions are recommended in order to improve kids’ skill. For a motor related problem, a doctor can state a plan of action and limit the expectation of parents. If you wish to discuss about any specific problem, you can consult a Speech Therapist.

3909 people found this helpful

Popular Questions & Answers

I have done audiology testing everything is normal and wax to removed but still I can hear beep or ringing sound continually. Please suggest me.

M.Sc - Audiology, BASLP
Audiologist, Delhi
Dear lybrate-user, You seem to have ideopathic tiinitus. Please have a tympanometry done for confirmation. In this case you can go for tinitus retraining therapy from a qualified audiologist. For detailed consultation you can contact me. Thank you.
2 people found this helpful

My father age 68 years suffering from hearing problem for last 2 to three so can he use hearing machine and which machine is good for him.

BSC - Audiology
Audiologist, Azamgarh
Yes he can use hearing aid use oticon hearing aid. According to audio gram.

My right ear nerve is damaged due to loud sound of DJ in a small place. A ENT Doctor told me that it is not curable. It irritates me as I hear couple of sounds together. It creates zoooom when I smoke and in noisy area. Doctor gave me medicine GUDMENSIA but not effective. Another doctor gave me medicine Tab ANNEAL-3. Again No relaxation. Kindly suggest.

MBBS, Diploma in Otorhinolaryngology (DLO), DNB (ENT)
ENT Specialist, Bangalore
Very sorry to hear this. DJ working in very loud music should wear ear plugs and protect their ears. But if already nerve loss has started then nothing can be done for this. But preserving further loss of hearing becomes more imp. Kindly meet ENT doctor. There is no treatment for the damage already been caused.

Sir mere kan ke parde me chhed (Ear drum rupture) h doctor ne operation ke liye bataya hai operation ke bad hearing problem bhi ho sakti h kya? Apki kya salah h operation karana thik rahega ya ni.

M.Sc - Audiology, BASLP
Audiologist, Delhi
Kan k parde k ched ka operation is pe depend karta hai ki wo kitna bada hai aur apke Kaan se Pani behta hai ki nahi. Operation k Baad hearing loss jyadatar thik ho jaata hai parantu kabhi kabhi wo hi utna hi rehta hai ya usse bhi jyada ho jata hai. Kripya Apne doctor ki Salah se kaam kare.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Hearing Loss
Why early detection of Hearing Loss is important?
Play video
Know More About Hearing Loss
Hearing loss - Causes and treatment
Play video
Hearing Loss
While most noise is just in the background for us, loud noises, either in small spurts or prolonged exposure, can cause hearing loss. This has been happening more frequently as the levels of noise in an industrialized society go further up.
Play video
Hearing Problems In Children
You may find out that your child is suffering from hearing loss when he is born or he may be diagnosed with the condition later in life. Hearing loss in children is commonly caused by otitis media, birth problems and on the account of certain injuries or illnesses.
Play video
Cochlear Implants
Here are symptoms, effects and procedure of cochlear implants.

Hi! I am Dr. Manish Prakash senior ENT consultant at Mayom Hospital, Gurgaon. Today we are going to talk about Cochlear Implants. Cochlear Implants are the boom for the deaf. They are primarily indicated for severe to a profound Sensorineural Hearing loss in children and adults.

Hearing loss is of two types Conductive Hearing loss and Sensorineural hearing loss.

Conductive Hearing Loss primarily means that the sound is not able to reach inside the inner ear into the cochlea and that is why it is called as Conductive Hearing Loss whereas Sensorineural hearing loss means that the sound is reaching into the cochlea but because to the damage in the cochlea hair it does not reach to the auditory nerve and it cannot reach to the brain.

Cochlear implants are mainly indicative for the treatment of Sensorineural hearing loss. Cochlear implants consists of two parts. One is internal component and the external component. Internal component is the surgically implantable electrode which is inserted by a surgery inside the cochlea which happens to reside behind the ear. The external part is a processor which is also having a microphone and a transmitting coil which is a house behind the ear and is supposed to capture all the sound and transmit it to the electrical signals. Thereby the signals enter to the cochlea via the electrode and these signals are transmitted through the auditory nerve to the brain. Cochlear implants is majorly for pre lingual children. Pre lingual mean before the development of the language and children who are born deaf and children under 8 years of age are good candidates for such kind of intervention and procedure and also children who are post lingual deaf which means that after the acquisition of language. Afterwards who become deaf post lingual children and adults are also good candidates for the cochlear implantation program.

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