Conductive Hearing Loss: How an ENT Can Help You Hear Clearly Again
Hearing loss gets treated as a single problem, but it comes in different types, and the distinction changes everything about the treatment approach.
Conductive hearing loss happens when something physically blocks sound from reaching your inner ear. Unlike the nerve-related hearing loss that typically comes with age, many causes of conductive loss are fully correctable.
Practicing out of his Brooklyn, New York, office, Steven D. Kushnick, MD, diagnoses and treats conductive hearing loss along with other conditions affecting the ears.
Sound blocked on its way to the inner ear
Sound normally travels through your outer ear canal, vibrates your eardrum, moves through three small bones in the middle ear, and reaches the inner ear, where nerve signals carry it to your brain. Conductive hearing loss develops when a problem in the outer or middle ear interrupts that chain.
The inner ear and hearing nerve work fine in these cases. Sound simply can’t get through at full volume, which is why people with conductive loss often describe everything as muffled, rather than distorted.
Common causes of conductive hearing loss
Several conditions can obstruct sound transmission, and most of them are treatable:
- Earwax buildup packed against the eardrum
- Fluid in the middle ear from infection or eustachian tube dysfunction
- A perforated eardrum
- Otosclerosis, a condition where extra bone growth locks up the tiny middle ear bones
- Damage to the small bones from injury or chronic infection
- Cholesteatoma, a noncancerous skin cyst that develops behind the eardrum
- A foreign object lodged in the ear canal
Some of these resolve quickly once identified, while others call for medication or a procedure.
Signs pointing to a conductive hearing problem
A few symptoms tend to show up with conductive hearing loss, including:
- Sounds that seem muffled or too quiet
- Feeling plugged up or pressurized on one side
- Better hearing in one ear than the other
- Your own voice sounding unusually loud inside your head
- Ear pain or drainage, depending on the cause
- Hearing that improves noticeably when volume increases
Sudden onset hearing loss often points to wax, fluid, or infection. A gradual hearing decline over months or years suggests something like otosclerosis.
Pinpointing the cause of your hearing loss
Evaluation begins with a discussion of when your hearing changed, whether one or both ears are affected, and what other symptoms come along with it. Dr. Kushnick examines your ear canal and eardrum directly, which often reveals wax, fluid, or perforation immediately.
Hearing tests measure how well you detect sounds through air conduction versus bone conduction. A gap between those two measurements is the hallmark of conductive loss, showing that your inner ear works while something upstream is blocking sound.
Tympanometry assesses how your eardrum moves and can confirm fluid or pressure problems behind it. Imaging tests may follow when the cause involves bone or structural changes.
Treatment options that restore hearing
Dr. Kushnick’s recommendations depend on what’s blocking the sound. Your treatment options may include:
- Professional wax removal, which can restore hearing in a single visit
- Antibiotics or other medication for infection
- Ear tubes to drain persistent middle ear fluid
- Surgical repair of a perforated eardrum
- Stapedectomy or similar surgery for otosclerosis
- Removal of abnormal growths or foreign objects
- Bone-anchored hearing devices when correction isn’t possible
Dr. Kushnick matches his approach to what he finds during your evaluation. Many patients see substantial improvement, and some regain normal hearing entirely.
Hearing loss evaluation in Brooklyn, New York
Muffled hearing, ear fullness, or a sudden change in one ear deserves a proper diagnosis rather than waiting to see if it passes. Reach our Brooklyn, New York, office at 718-250-8520 today, or book your evaluation with Dr. Kushnick through our website at your convenience.
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