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Causes of hearing loss

Hearing loss symptoms can broadly be defined as resulting from any one (or more) of the following factors:
  • The aging process
  • Ear infections
  • Genetic conditions/syndromes
  • Exposure to noise
  • Medications that are toxic to the auditory system
  • Head or ear trauma
  • Diseases
 
Generally, the causes of hearing loss symptoms are categorised by which part of the auditory system is not working or has been damaged. There are three basic types of hearing loss: Conductive hearing loss, Sensorineural hearing loss and Mixed hearing loss.
Conductive hearing loss occurs when sound is not conducted efficiently through the ear canal to the small bones of the middle ear.
Sensorineural hearing loss occurs when there is damage to the inner ear (cochlea) or to the auditory nerve (pathway from the cochlea to the brain).
 
The term Mixed hearing loss is used to describe a hearing loss that is a combination of conductive and sensorineural loss – in other words affecting both the outer/middle and inner ear.
 
Causes of Conductive and Sensorineural hearing loss include:
 

Conductive Hearing Loss

Sensorineural Hearing Loss

 
 
Middle and outer ear infections
Age-related hearing loss  
Collection of fluid in the middle ear (glue ear in children)
Noise exposure
Perforated eardrum
Viral infections of the inner ear (e.g. mumps or measles)
Impacted earwax
Diseases e.g. multiple sclerosis
Absence or malformation of the outer ear, ear canal, or middle ear
Infections or inflammation of the brain or brain covering – e.g. meningitis
Presence of a foreign body
Acoustic neuroma, a benign (non-cancerous) tumour affecting the auditory nerve
Otosclerosis (fusion of the bones of the middle ear)
Drugs toxic to the auditory system
Benign (non-cancerous) tumours
A brain tumour
 
Genetic syndromes e.g. Teacher Collins Syndrome