4Types of Hearing Loss The three types of hearing loss are: Conductive Sensori-neuralMixed
5Conductive LossMeans the sounds are blocked and not carried to the inner ear.Can be corrected through surgery.Possible causes:A buildup of wax in the ear.Fluid in the ear canalPuncturing of the ear drum.Problems/injuries to the bones or membrane which carry sounds through the middle ear to the inner ear.
6Sensori-Neural LossAlso known as nerve deafness. This is when there is damage to the inner ear or the auditory nerve.Roughly 90% of people with a hearing loss have this type of loss.
7Sensori-Neural Loss The damage is permanent. Tinnitis (ringing in the ear) is associated with this type of loss.
8Sensori-Neural Loss Possible causes: Natural aging process Exposure to loud noisesInfections or other diseasesGenetic disorder.
9Mixed Hearing LossA mixed hearing loss is a combination of sensori-neural and conductive hearing loss, happening at the same time.Both the inner and the middle ear are involved.
10How do audiologists determine a hearing loss? An audiogram is a graph that measures what you can hear.It measures both decibels and frequency.Decibels measure the volume of sound. 10dB is quiet and 100 dB is loud.Frequency measures the pitch of sound. A small number is a low sound and a big number is a high sound.
11The Speech BananaThe speech banana shows at what decibel levels specific speech sounds are made.
12The Speech BananaSpeech is made of different sounds. Speech sounds can be drawn on the audiogram. They are between the 10dB and 60dB lines.Vowel sounds like oo, ah, ay and ee are low and loud. Sounds like m, n and ng are low but quiet. Other sounds like d, t, s, f and th are high and quiet. Words with no high sounds are hard to understand.
13Levels of Hearing LossThis audiogram shows normal hearing. Sounds below the lines on the audiogram can be heard. X shows the left ear.0 shows the right ear.All the X and 0 are above the 20 dB line.
14Levels of Hearing LossThis audiogram shows a mild hearing loss. Sounds below the lines on the audiogram can be heard.All the X and 0 are between the 21 dB and 40 dB lines.
15Levels of Hearing LossThis is a moderate hearing loss. Sounds below the lines on the audiogram can be heard. Low/loud sounds like oo, ah, ay and ee may be heard. All the X and 0 are between 41 dB and 70 dB. The hearing loss in the left ear is worse than the right ear.
16Levels of Hearing LossThis is a severe hearing loss. Conversational speech cannot be heard. Shouting and loud noise (like traffic) can be heard. All the X and 0 are between 71 dB and 95 dB.
17Levels of Hearing LossThis is a profound hearing loss. Speech cannot be heard. Very loud noises like pneumatic drills and planes taking off can be heard (or felt). The X and 0 are mostly below the 95 dB line. People with very profound hearing losses can feel loud low sounds.
18So what about hearing aids? Hearing aids only increase the volume, it doesn’t mean you can understand what’s being said.
19How does hearing loss affect your language acquisition? Pre-lingually Deaf –These are people who become Deaf before they are able to acquire spoken language – Born Deaf or lose hearing before 18 months old.Post-lingually DeafThese are people who lose their hearing after they have already acquired language.Can happen at any age.
20So how does this affect me? Noise-Induced Hearing LossPermanent damage to fillia in the inner ear.Caused by exposure to dangerous noise levels.Too loud and too longVery loud and sudden
21A rule of thumb is if you can not understand someone talking to you in a normal speaking voice when they are an arm’s length away… it is too loud.
22It is the decibel level that’s important…not whether you listen through speakers or earbuds. Loud music will cause damage no matter the source.
23Examples of everyday decibel levels 60 dB Normal conversations or dishwashers80 dB Alarm clocks90 dB Hair dryers, blenders, lawnmowers100 dB MP3 players at full volume110 dB Concerts (any music genre), car racing and sporting events120dB Jet planes at take off130 dB Ambulances140 dB Gun shots, fireworks, and custom car stereos at full volume
2485 dB is considered to be “safe” but even exposure for 8 hours at a time can cause damage. The greater the decibel level, the less time you can be exposed to it before damage occurs.
25When you increase the decibels by 3 dB, the “safe” time is cut in half. Continued dB Permissible Time exposure 85 dB 8 hours 88 dB 4 hours 91 dB (lawnmower) 2 hours 94 dB 1 hour 97 dB 30 minutes 100 dB (MP3 full volume) 15 minutes 103 dB 7.5 minutes 106 dB 3.75 minutes 109 dB < 2 minutes 112 dB < 1 minute 115 dB (concerts) 30 seconds
26iPod facts…At 70% of maximum volume, you can safely listen for 4.6 hours.At 80% of maximum volume, you can safely listen for 90 minutes.At full volume, you can only safely listen for 5 minutes.
27One final thought on NIHL… Hearing loss developsover time and you may notnotice anything until it’s too late.
28Cochlear Implants for Adults? It is generally agreed that the best adult candidates are those who:Have severe to profound hearing loss in both earsHave had limited benefit from hearing aidsHave no other medical problems that would make the surgery riskyHave a strong desire to be part of the hearing world and communicate through listening, speaking, and speechreadingHave lost their hearing after speech and language development
29Cochlears for Children Children as young as 14 months of age have received cochlear implants, and the potential exists for successful implantation at younger ages.It is generally agreed that the best child candidates are those who:Have profound hearing loss in both earsHave had limited benefit from hearing aidsAre healthy and have no medical conditions that would make the surgery riskyAre involved (when able), along with their parents, in all the steps in the process
30Children (cont.)Understand (when able), along with their parents, their role in the successful use of cochlear implantsHave (when able), along with their parents, realistic expectations**** for cochlear implant useAre willing to be actively involved in their habilitation/rehabilitationHave support from their educational program to emphasize the development of auditory skills****What is a realistic expectation?? What do you think?