Conductive hearing loss is caused by any condition or disease that impedes the conveyance of sound in its mechanical form through the middle ear cavity to the inner ear. A conductive hearing loss can be the result of a blockage in the external ear canal or can be caused by any disorder that unfavorably effects the middle ear's ability to transmit the mechanical energy to the stapes footplate. This results in reduction of one of the physical attributes of sound called intensity (loudness), so the energy reaching the inner ear is lower or less intense than that in the original stimulus. Therefore, more energy is needed for the individual with a conductive hearing loss to hear sound, but once it's loud enough and the mechanical impediment is overcome, that ear works in a normal way. Generally, the cause of conductive hearing loss can be identified and treated resulting in a complete or partial improvement in hearing. Following the completion of medical treatment for cause of the conductive hearing loss, hearing aids are effective in correcting the remaining hearing loss.


The second type of hearing loss is called sensorineural hearing loss. This word can be divided into its two components - sensory and neural - to allow us more clarity in specifying the type of hearing loss. The comprehensive audiometric assessment and supplemental tests can yield the information needed to differentiate between a sensory and a neural hearing loss, although they can co-exist in the same ear. Neural hearing loss is another name for retrocochlear hearing loss.Sensorineural hearing loss results from inner ear or auditory nerve dysfunction. The sensory component may be from damage to the organ of Corti or an inability of the hair cells to stimulate the nerves of hearing or a metabolic problem in the fluids of the inner ear. The neural or retrocochlear component can be the result of severe damage to the organ of Corti that causes the nerves of hearing to degenerate or it can be an inability of the hearing nerves themselves to convey neurochemical information through the central auditory pathways.


A mixed hearing loss can be thought of as a sensorineural hearing loss with a conductive component overlaying all or part of the audiometric range tested. So, in addition to some irreversible hearing loss caused by an inner ear or auditory nerve disorder, there is also a dysfunction of the middle ear mechanism that makes the hearing worse than the sensorineural loss alone.The conductive component may be amenable to medical treatment and reversal of the associated hearing loss, but the sensorineural component will most likely be permanent. Hearing aids can be beneficial for persons with a mixed hearing loss, but caution must be exercised by the hearing care professional and patient if the conductive component is due to an active ear infection.

  • Do you have problem hearing over the telephone?
  • Do you have trouble following the conversation when two or more people are talking at a same time?
  • Do people complain that you turn the tv volume upto high!
  • Do you have to strain to understand ther conversation?
  • Do you have trouble hearing in a noisy background?
  • Do you find yourself asking people to repeat themselves?
  • Do you misunderstand what others are saying and respond inappropriately?
  • Do you have trouble understanding the speech of a women and children?
  • Do you get annoyed because you misunderstand what they say?
  • Do many people you talk to seem to mumble (or not speak clearly)?
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Check whether the hearing aid is in mute position.. Check that the battery is working and inserted the right way and the battery door is closed completely.

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Check that the battery is inserted correctly; clean the battery contacts carefully; clean the battery surface with a dry cloth.

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Re-insert your hearing aid, or if you wear a BTE, re-insert the earmold Re-attach the sound tube or exchange it with a new tube.

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Common problems and their solutions are listed in the Information for Use booklet provided with your hearing aid.


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