Most causes of conductive hearing loss can be identified by examination but if it is important to image the bones of the middle ear or inner ear then a CT scan is required. CT scan is useful in cases of congenital conductive hearing loss, chronic suppurative otitis media or cholesteatoma, ossicular damage or discontinuity, otosclerosis and third window dehiscence. Specific MRI scans can be used to identify cholesteatoma.
Conductive hearing loss is sometimes temporary and can be treated with medication or minor surgery, if necessary. However, more major surgery may be required to fix the ear drum or hearing bones. If conventional hearing aids don't work, there are also some implantable devices for this type of hearing loss, such as a Bone Anchored Hearing Aids (BAHAs).
If your only symptom is an earache, you may want to wait a day or two before seeing a doctor. Sometimes ear infections resolve on their own within a few days. If the pain isn’t getting better and you’re running a fever, you should see your doctor as soon as you can. If fluid is draining from your ear or you’re having trouble hearing, you should also seek medical attention.
Prelingual deafness is profound hearing loss that is sustained before the acquisition of language, which can occur due to a congenital condition or through hearing loss before birth or in early infancy. Prelingual deafness impairs an individual's ability to acquire a spoken language in children, but deaf children can acquire spoken language through support from cochlear implants (sometimes combined with hearing aids).[42][43] Non-signing (hearing) parents of deaf babies (90-95% of cases) usually go with oral approach without the support of sign language, as these families lack previous experience with sign language and cannot competently provide it to their children without learning it themselves. Unfortunately, this may in some cases (late implantation or not sufficient benefit from cochlear implants) bring the risk of language deprivation for the deaf baby[44] because the deaf baby wouldn't have a sign language if the child is unable to acquire spoken language successfully. The 5-10% of cases of deaf babies born into signing families have the potential of age-appropriate development of language due to early exposure to a sign language by sign-competent parents, thus they have the potential to meet language milestones, in sign language in lieu of spoken language.[45]
Most hearing loss, that resulting from age and noise, is progressive and irreversible, and there are currently no approved or recommended treatments. A few specific kinds of hearing loss are amenable to surgical treatment. In other cases, treatment is addressed to underlying pathologies, but any hearing loss incurred may be permanent. Some management options include hearing aids, cochlear implants, assistive technology, and closed captioning.[9] This choice depends on the level of hearing loss, type of hearing loss, and personal preference. Hearing aid applications are one of the options for hearing loss management.[82] For people with bilateral hearing loss, it is not clear if bilateral hearing aids (hearing aids in both ears) are better than a unilateral hearing aid (hearing aid in one ear).[9]
For clients with severe ASD, listening to sounds via headphones during a hearing assessment can be highly threatening and often leads to a significant increase in symptoms, which can persist for days. I consider that frequent audiological testing should not be carried out for these clients. Suprathreshold audiological testing should be limited and loudness discomfort testing, in particular acoustic reflex testing due to the volume levels required, is contraindicated. Some ASD clients have unfortunately had their symptoms permanently exacerbated as a result of a traumatic response to acoustic reflex testing.

As of 2013 hearing loss affects about 1.1 billion people to some degree.[12] It causes disability in about 466 million people (5% of the global population), and moderate to severe disability in 124 million people.[2][13][14] Of those with moderate to severe disability 108 million live in low and middle income countries.[13] Of those with hearing loss, it began during childhood for 65 million.[15] Those who use sign language and are members of Deaf culture see themselves as having a difference rather than an disability.[16] Most members of Deaf culture oppose attempts to cure deafness[17][18][19] and some within this community view cochlear implants with concern as they have the potential to eliminate their culture.[20] The terms hearing impairment or hearing loss are often viewed negatively as emphasizing what people cannot do, although the terms are still regularly used when referring to deafness in medical contexts.[16][21]
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^ Jump up to: a b Loughrey DG, Kelly ME, Kelley GA, Brennan S, Lawlor BA (February 2018). "Association of Age-Related Hearing Loss With Cognitive Function, Cognitive Impairment, and Dementia: A Systematic Review and Meta-analysis". JAMA Otolaryngology-- Head & Neck Surgery. 144 (2): 115–126. doi:10.1001/jamaoto.2017.2513. PMC 5824986. PMID 29222544.
Prevention involves avoiding exposure to loud noise for longer periods or chronically.[2] If there is an underlying cause, treating it may lead to improvements.[3] Otherwise, typically, management involves psychoeducation or counseling as talk therapy.[5] Sound generators or hearing aids may help some.[2] As of 2013, there were no effective medications.[3] It is common, affecting about 10–15% of people.[5] Most, however, tolerate it well, and it is a significant problem in only 1–2% of people.[5] The word tinnitus comes from the Latin tinnire which means "to ring".[3]
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