Those who are born without any hearing communicate by using sign language, but this is not appropriate in acquired tinnitus treatment.
There are two types of tinnitus/deafness which are as following
sensorineural, which is caused by interference with the inner ear’s ability to process sound; and
conductive, caused by anything that prevents sound waves from reaching the inner ear (such as earwax).
Sound waves are vibrations created in the air; the waves pass through the outer and middle portions of the ear into the inner ear.
There, tiny, hair-like cells that line the cochlea (the skeletal, snail-shaped structure where the hearing is received) transform the vibrations into nerve impulses. These pass along the auditory nerve to the brain for interpretation.
Rarely, there may be damage to the auditory nerve from a brain tumor or other severe neurological disorder.
Decreasing ability to hear the radio or television at volumes that are comfortable to others.
Difficulty in a hearing in noisy situations, such as groups, family meals, etc.
Social isolation, depression, and even confusional states in the elderly.
Why we require tinnitus treatment?
Most sensorineural deafness is due to damage to the delicate hairs or nerve fibers in the cochlea.
Gradual hearing loss due to cumulative damage occurs as a natural process beginning in childhood.
However, a 30% loss of hair cells can be sustained without measurable hearing impairment.
The other most common causes of sensorineural hearing loss are
Natural aging process
1:6 people aged over 70 years needs a hearing aid.
An infection in the inner ear.
This can be chronic exposure to loud music or other sounds, or short-term exposure to loud noise.
That damage the delicate inner ear structures: Aspirin (temporary), antibiotics, quinine and some diuretics (drugs that help remove excess water from the body) are the most common examples.
This causes dizziness and tinnitus (ringing in the ears) in addition to tinnitus.
These kinds of tinnitus are characterized by mild to moderate loss of discrimination of speech.
The ability to discriminate sounds increases markedly with intensity; even small increases in strength can improve hearing. Conductive tinnitus may be the result of:
- Impacted earwax.
- Middle and outer ear infections: These are characterized by discharge and sometimes pain and always requires specialist tinnitus treatment.
- Otosclerosis: Here bones in the middle ear becomes fixed. This is a progressive disorder, beginning in young adults, and can be corrected by surgery.
- Perforated eardrum.
Examination and testing are necessary to differentiate sensorineural from conductive deafness.
Tests may be done to measure the ability to hear sounds of different frequencies at varying intensities. You will usually sit in a soundproof room, wearing a unique set of earphones, and give a signal each time you hear a sound.
Simple tests with tuning forks can differentiate between conductive and sensorineural deafness.
These tests help to identify the cause of deafness since reduced air, and bone conduction indicates sensorineural deafness and reduced air conduction alone means conductive hearing loss.
Once the type of deafness is established, treatment will depend on the underlying cause. If damage to the ear’s structure has resulted in a permanent hearing loss, a wearing a hearing, aid will make the most of the remaining sense of sound.
The modem approach to hearing aids is to use two-year hearing aid fittings much more frequently and to pay considerable attention to the type of mold used to fit the hearing aid.
If you have a high-frequency deafness due to aging, it is possible you may need what is called an ‘open’ mold.
Discuss this with your audiology department. In all cases, great help can be received from hearing therapists who will assist in the proper use of hearing aids.
They will advise on supplementary communication skills, such as lip reading, as well as environmental aids, such as flashing doorbells, television amplifiers, Teletext, and vibrating alarm clocks.
Sometimes the hearing loss is temporary, as in the case of most ear infections or excess wax. In most cases, the
progression is very slow and affects the hearing of high frequencies principally. Appropriate hearing aid fittings can allow the vast majority of people to continue to hear well (except perhaps in a very noisy environment) for the whole of their life.
In Meniere’s disease, the level of hearing may fluctuate. Although it usually gets gradually worse, Meniere’s typically affects only one ear and so does not cause total deafness.
What can I do to avoid tinnitus treatment?
Avoid excessive noise. If your hobby or job requires noise exposure, use appropriate hearing protection.
Discourage children from listening to loud music, especially through earphones or a personal stereo.
If you develop an earache or any symptoms of ear infection, see your doctor.
When should I see my doctor?
Any signs of hearing loss should prompt you to consult your doctor.
Protect your ears from excessive noise. Deafness due to noise is irreversible, but the further loss can be prevented by protecting your ears.
Avoid loud music. If your job exposes you to loud noise, wear ear defenders at work. If you have difficulty hearing what others say, try to position yourself so that you can read lips and see other clues that improve your understanding.
Is tinnitus dangerous?
Deafness is not in itself a threat to health. However, it can reduce the quality of life, but with special help, many of the difficulties can be overcome.