PREVENTION AND TREATMENT

PREVENTION AND TREATMENT

Risk factors

Factors that may damage or lead to loss of the hairs and nerve cells in your inner ear include:
  • Aging. Degeneration of inner ear structures occurs over time.
  • Loud noise. Exposure to loud sounds can damage the cells of your inner ear. Damage can occur with long-term exposure to loud noises, or from a short blast of noise, such as from a gunshot.
  • Heredity. Your genetic makeup may make you more susceptible to ear damage from sound or deterioration from aging.
  • Occupational noises. Jobs where loud noise is a regular part of the working environment, such as farming, construction or factory work, can lead to damage inside your ear.
  • Recreational noises. Exposure to explosive noises, such as from firearms and jet engines, can cause immediate, permanent hearing loss. Other recreational activities with dangerously high noise levels include snowmobiling, motorcycling, carpentry or listening to loud music.
  • Some medications. Drugs such as the antibiotic gentamicin, sildenafil (Viagra) and certain chemotherapy drugs, can damage the inner ear. Temporary effects on your hearing — ringing in the ear (tinnitus) or hearing loss — can occur if you take very high doses of aspirin, other pain relievers, antimalarial drugs or loop diuretics.
  • Some illnesses. Diseases or illnesses that result in high fever, such as meningitis, may damage the cochlea.
Complications

Hearing loss can have a significant effect on your quality of life. Older adults with hearing loss may report feelings of depression. Because hearing loss can make conversation difficult, some people experience feelings of isolation. Hearing loss is also associated with cognitive impairment and decline.


The mechanism of interaction between hearing loss, cognitive impairment, depression and isolation is being actively studied. Initial research suggests that treating hearing loss can have a positive effect on cognitive performance, especially memory.

Prevention
The following steps can help you prevent noise-induced hearing loss and avoid worsening of age-related hearing loss:
  • Protect your ears. Limiting the duration and intensity of your exposure to noise is the best protection. In the workplace, plastic earplugs or glycerin-filled earmuffs can help protect your ears from damaging noise.
  • Have your hearing tested. Consider regular hearing tests if you work in a noisy environment. If you've lost some hearing, you can take steps to prevent further loss.
  • Avoid recreational risks. Activities such as hunting, using power tools or listening to rock concerts can damage your hearing over time. Wearing hearing protectors or taking breaks from the noise can protect your ears. Turning down the music volume is helpful too.
What healthcare providers diagnose and treat hearing loss?
If you suspect hearing loss, you may see an:
  • Audiologist: These specialists conduct hearing exams and hearing needs assessments to discuss your unique listening and communication needs. They help with determining the appropriate hearing devices, which often include hearing aids, in addition to other types of hearing device technology (cochlear implants and osseointegrated implants).
  • Otolaryngologist: These medical doctors are also known as ear, nose and throat (ENT) specialists. They prescribe medications and perform surgeries to treat ear problems and hearing loss.
How is hearing loss managed or treated?
Hearing loss treatments often depend on the type and degree of hearing loss. Treatments include:
  • Hearing assist devices: These devices help restore hearing. Hearing aids are devices worn on or inside the ear to amplify sound. Healthcare providers surgically implant cochlear implants into the inner ear to treat inner ear hearing loss.
  • Hearing rehabilitation: Also called audiologic rehabilitation, this therapy helps you adjust to hearing loss and hearing aids. A therapist also can help you learn to use visual cues and lip reading to improve communication.
  • Listening devices: Devices can make it easier to hear the telephone, television or videos on your computer.
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