IN MY practice as an audiologist, I see at least 12 cases of sudden hearing loss each month. In most of these cases, the hearing loss becomes permanent. Although some cases of sudden hearing loss can be permanent in many cases the patient has a good chance of recovery of hearing if they receive the appropriate intervention in time.
Sudden hearing loss can occur in anyone. It can be caused from a blow to the head, from a temporary disruption of oxygen to the inner ear, from loud noise exposure, from pressure build up such as while traveling in an airplane or diving, from certain medications, hormone imbalance, viral or bacterial infections or from genetic and/or hereditary factors, wax impaction and ear infection.
Sudden hearing loss can develop from over-straining, from blowing your nose too hard if your ears are severely blocked, or from high blood pressure. In other words, a sudden hearing loss can be caused by anything that can interfere with the blood supply and other fluids in the inner ear. Sometimes the hearing loss is accompanied by ringing in the ear (tinnitus) and/or a sense of fullness in the ear.
When a person experiences sudden hearing loss, he should immediately seek the attention of an ear, nose and throat specialist (ENT), an audiologist or a general physician. If the patient is seen by the ENT or general physician a hearing test must be ordered. If the patient is seen by the audiologist a hearing test will be performed and the patient must be referred to an ENT or general physician where the patient can get immediate and proper intervention.
It is crucial to understand that in most cases of sudden hearing loss, in order for the treatment to be most effective the patient must obtain the appropriate medication within 24 to 48 hours. The longer treatment is delayed, the less chance of hearing
recovery.
Often, sudden hearing loss is misdiagnosed as an ear infection and antibiotic treatment is prescribed. By the time the error is realised, it is often too late for the patient to regain his hearing.
If you should experience a sudden loss of hearing after travelling in an airplane, sneezing or straining oneself (such as lifting something heavy, or straining to use the bathroom), exposure to loud noise, diving, blow to the head,awakening or for any reason, please seek appropriate medical help right away.
Remember, the doctor must order a hearing test. That is the only way to know if the hearing loss is temporary or potentially permanent. In this way, the correct medication can be prescribed to assist you in regaining your hearing.
- Georgia Beavers,
audiologist, Caribbean Hearing Centre
