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Understanding conductive hearing loss: Symptoms to treatment

Conductive hearing loss is one of three types of hearing loss. It happens when sound reaches the inner ear through the outer and middle ear, but not as effectively as it should. Find out what causes conductive hearing loss, the symptoms, and more information on proper prevention and treatment.
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What is conductive hearing loss?

Conductive hearing loss happens when sound cannot travel at full volume through the outer or middle ear, preventing sound from reaching the inner ear.

The inner ear is responsible for transmitting sound signals to the brain and, if this process is hindered, it can result in difficulty hearing.

Conductive vs sensorineural hearing loss: What’s the difference?

Unlike sensorineural hearing loss, which indicates an issue with the inner ear, conductive hearing loss can result from something as simple as earwax to more pressing issues, such as damage to the eardrum or bone abnormalities in the middle ear. See the diagram below for differences between conductive vs sensorineural hearing loss.

However, there is still good news. Depending on the cause, most cases of conductive hearing loss can be treated and, in some cases, completely resolved.

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Types of hearing loss HearUSA
Types of hearing loss: sensorineural, conductive, and mixed.
Getting to the root of the problem

Causes of conductive hearing loss

Conductive hearing loss is caused by issues within the middle or outer ear. If you are wondering which condition causes conductive hearing loss, these can vary from a simple ear wax blockage to issues that require surgical treatment. This type of conductive hearing impairment may be temporary or, in some cases may require medical or surgical treatment.

Common causes of conductive hearing loss include:
  • A blockage caused by impacted earwax

  • Infection or fluid build-up in the middle or outer ear

  • The use of foreign objects in the ear, such as cotton swabs

  • Damage or a hole in the eardrum

  • Abnormal bone growth in the middle ear (otosclerosis)

  • Benign tumors

  • Eustachian tube issues

  • Structural problems with the outer or middle ear

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Signs and Symptoms

Signs and symptoms of conductive hearing loss

If you’re experiencing conductive hearing loss, the specific symptoms you encounter are highly dependent on the cause of your hearing loss. When it comes to conductive hearing loss, common signs and symptoms include:

  • A feeling of fullness or pressure in the ear
  • Muffled hearing or sounds like people are mumbling
  • A gradual or sudden loss of hearing
  • Fluctuating sound levels
  • Drainage from the ear
  • Ear pain or discomfort
  • Problems hearing quiet and low pitched sounds, such as rustling leaves, distant traffic, the hum of electronic devices or the subtle sounds of nature.

If you experience a sudden loss of hearing, contact your doctor or Hearing Care Professional immediately, as successful treatment of sudden hearing loss can often be time sensitive.

Conductive hearing loss audiogram

Understanding your conductive hearing loss audiogram

A conductive hearing loss audiogram will generally show greater hearing loss in low-frequency ranges. This can include how you hear deeper sounds such as subwoofers in a sound system, thunder, large animal noises and diesel engines, as conductive hearing loss tends to affect lower frequencies rather than higher ones.

To diagnose conductive hearing loss, hearing care professionals can conduct two types of hearing tests:

  • Air conduction tests use a signal sent through the air to the outer and middle ear.
  • Bone conduction tests are conducted through mechanical vibration sent directly to the inner ear.

If the audiogram shows a significant difference (>10dB) in the results of the two tests then this would indicate a conductive hearing loss. This means the bone conduction thresholds will be normal, but air conduction thresholds will be elevated. The red line with the O shows the right ear and the blue one with the X shows the left ear.

More on Audiograms
How to protect your hearing health

Prevention measures to protect your hearing

While some causes of conductive hearing loss such as bone growth or structural issues may not be preventable, there are ways to take care of your hearing and prevent damage.

  • Avoid sticking any foreign objects in your ears, such as cotton swabs.
  • Treat ear infections early and see a doctor if you have ear pain, discharge, or a feeling of fullness in the ear.
  • Manage allergies or colds as these can cause fluid buildup or block the eustachian tube, affecting middle ear function.
  • Follow up after ear surgery or injury to ensure proper healing and prevent long-term damage.
  • Protect against loud noises and use ear plugs or earmuffs to also protect your eardrums from physical damage caused by sudden loud noises.
  • Keep your ears clean and dry after showering and swimming to prevent ear infections.

If you believe earwax build-up may be causing hearing issues, contact a doctor or Hearing Care Professional.

Schedule regular screenings to detect early signs of conductive and sensorineural hearing loss and take action for healthy hearing.

Treatment for conductive hearing loss

Treatment for better hearing

If you’re experiencing hearing loss, contact a Hearing Care Professional. A hearing screening and evaluation will be done to determine your type of hearing loss, extent of hearing loss and what may be causing it.

If conductive hearing loss is determined, there are various types of treatment. Earwax build-up or a foreign object in the ear can be removed and hearing will generally be restored (if that is the only issue). Other causes of conductive hearing loss may require surgery or, if hearing can’t be restored, hearing aids designed for conductive hearing loss can be a great way to get back your hearing health. Choosing hearing aids for your lifestyle is easy with HearUSA.

Conductive hearing loss: FAQ

Next steps to better hearing

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How to help a loved one with hearing loss

If you notice your loved one spending more time alone or avoiding new, shared experiences with others, then it’s time to consult your audiologist. The good news? Help is available.
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