Hearing Loss is the Number One Disability in the World

Hearing loss is prevalent in modern societies as amild, moderate, severe, or profound. Deafness is
result of the combined effects of noise, aging,used to describe an individual who has approximately
disease, and heredity. Hearing loss is the number one90 dB or greater hearing loss. The term "hard of
disability in the world; approximately 28 millionhearing" describes a condition that is less severe than
Americans suffer some type of hearing loss. Indeafness.
addition, 15 of every 1000 people under the age ofThere are many potential causes of hearing loss.
18 have a hearing loss, and nearly 90% of peopleThese can be divided into two basic types, called
over age 80 have a hearing impairment. The incidenceconductive and sensorineural hearing loss. Conductive
of hearing loss is greater in men, than women. Thehearing loss is the result of the interference of sound
sad part is, that hearing loss is the most preventabletransmission from the outer ear to the inner ear.
disability in the world.Common causes include, inner ear infections,
Hearing is a complicated process involving both theaccumulation of fluid in the middle ear, excessive
sensitivity of the ear, as well as the ability towax, damage to the eardrum by infection or an
understand, and interpret the speech. When we hearinjury, or otosclerosis. This type of hearing loss is
sounds, we really are interpreting patterns of airtemporary, and results in a less severe form.
molecules in the form of waves. . The ear is able toSensorineural hearing loss is due to damage to the
pick up these waves, and convert them into electricalpathway from the hair cells of the inner ear to the
signals that are sent to the brain. In the brain, theseauditory nerve and the brain. Common causes include,
signals are deciphered into meaningful information,age-related hearing loss, injury to the inner ear hair
such as language or music with qualities like volumecells as a result of trauma or noise, abnormal
and pitch. We can characterize sounds in terms ofpressure in the inner ear, stroke, benign lesions, and
their frequency (or pitch) and intensity (or loudness).brain tumors. This type of hearing loss is more
An individual with hearing in the normal range can heardevastating, and is usually more permanent.
sounds that have frequencies between 20 andThe successful treatment of hearing loss depends on
20,000 Hertz. Speech includes a combination of lowthe cause. A bacterial infection of the middle ear can
and high frequency sounds; vowels have lowerbe treated with antibiotics; blockages of the outer
frequencies and are easier to hear. Consonants, onand middle ears can be cleared; damaged eardrums
the other hand have higher frequencies, and arecan be repaired surgically; and ossicles affected by
harder to hear. Since consonants express most ofotosclerosis can be replaced with artificial bones.
the meaning of what we say, someone who cannotSome causes of sensorineural hearing loss can also be
hear high frequency sounds will have a hard timeimproved. For example, an acoustic neuroma can be
understanding speech.removed surgically.
Intensity, or loudness, is measured in decibels. AIf no cure is successful, a hearing aid for one, or both
normal hearing range usually ranges from 0 to 140 dB.ears usually helps, whether the loss is a result of
A whisper is around 30 dB, and normal conversationsconductive or sensorineural problems. Many different
are usually 45 to 50 dB. Sounds that are louder thantypes of hearing aid are available and an audiologist
90 dB can be uncomfortable to hear. A loud concertwill advise as to which type best suits the needs of
might be as loud as 110 dB. Extreme sounds that arethe individual.
120 dB or louder can be quite painful and can result inWhen a hearing aid does not give adequate
temporary or permanent hearing loss.amplification, as with profound deafness, a cochlear
Hearing loss can happen in either frequency orimplant can help. This device transmits sound directly
intensity or both. The severity of hearing loss isinto the auditory nerve via electrodes surgically
assessed on how well a person can hear theimplanted into the cochlea. Although the sounds heard
frequencies or intensities most often associated withtend to be of a buzzing or electronic nature, it can be
speech. Severity of loss can best be described asvery useful when used in combination with lip reading.