Die Schallempfindungsschwerhörigkeit oder Innenohrschwerhörigkeit

Sensorineural hearing loss or inner ear hearing loss

Another word for sensorineural hearing loss is inner ear hearing loss. This is a functional disorder that affects the inner ear. This dysfunction leads to decreased hearing. The reduction can vary in severity. It ranges from mild difficulty in understanding to complete deafness and deafness.

The earlier you get a hearing aid, the better you can minimize your hearing impairment. You can demonstrably improve your hearing with a good hearing aid.


Depending on the degree of your own hearing loss, you will choose the right hearing aid. Your individual needs are taken into account. We'll help you find the right hearing aid for you. We will accompany you professionally throughout your entire process of adaptation.

The reason for inner ear hearing loss


There are many reasons that can be responsible for sensorineural hearing loss or inner ear hearing loss. With regard to old age hearing loss, it is known that this usually starts between the ages of 50 and 70. In old age hearing loss, the first thing that is lost is the high tones.


In addition to this main reason, noise is the second most common cause of inner ear hearing loss. If the hearing loss is caused by noise, this is the occupational disease in Germany that is most commonly recognized. Anyone who is exposed to noise of over 85 dB for between six and 8 hours or more during the day must expect such impairment of hearing.

Other typical reasons for inner ear hearing loss include:

  • Circulatory disorders, such as in diabetes
  • arteriosclerosis
  • Sudden hearing loss
  • Metabolic disorders, such as thyroid dysfunction

How a hearing aid can help you with inner ear hearing loss:

With the help of the latest technology, you can hear comfortably. This technology automatically detects the environment. Disturbing background noises are transmitted separately from the other party's voice.


  • You can hear forgotten sounds, such as the rustling of leaves or the chirping of birds
  • You can integrate yourself better into your environment because you can hear better with the hearing aid
  • You can effectively compensate for your hearing loss with the hearing aid
  • The sooner you decide to have a hearing aid therapy for your inner ear hearing loss, the easier it is to prevent serious hearing loss

The typical symptoms of inner ear hearing loss

As a person affected, you typically notice the symptom of impaired speech understanding. Initially, only the ambient noise is restricted. Depending on how severe the hearing loss is, you may also hear tinnitus or other noises in the ear.


If your inner ear hearing loss persists for too long, you run the risk of becoming socially isolated and changing psychologically. Therefore, early therapy is particularly recommended.

The diagnosis of inner ear hearing loss

Your ear, nose and throat doctor will make a diagnosis of sensorineural hearing loss or inner ear hearing loss after a series of tests.


One of the first examinations is the so-called mirror examination of both ears. This eliminates both the origin in the external auditory canal and the causes. If you have only inner ear hearing loss, the mirror examination is normal. A hearing test is then carried out. Another word for it is audiometry.


The ability of your eardrum to vibrate is determined by the Impedance audiometry examined. The ossicles are also tested. The same is true of the pressure in your middle ear, which is also measured. A disturbed middle ear function or a sound conduction disturbance can thus be excluded.


Perception is measured and examined in tone audiometry. You can hear the tones in different frequencies with increasing volume through headphones. As soon as you can hear the sound you give a sign. This creates an auditory curve. If this hearing curve deviates from the norm, the type of hearing loss and also the degree of hearing loss is determined.


If you have inner ear hearing loss, there are differences. These are particularly reflected in relation to bone conduction and air conduction. With this measurement, both of these curves are in the higher decibel ranges than in a healthy person with normal hearing.


The doctor's goal is to distinguish between inner ear dysfunction and middle ear dysfunction. Further test options are the Weber test and the Rinne test. The air conduction and bone conduction are also examined here. In the case of inner ear hearing loss, the sound shifts into the healthy ear during a Weber test and is heard louder. In this case, the gutter test is also positive.


Another possibility for the measurement is the otoacoustic emissions. Signals are sent into your ear. Then the reactions of the outer hair cells in your inner ear are measured. If these hair cells in your ear are damaged, the test will not be able to measure otoacoustic emissions.

Therapy options

If you are diagnosed with sensorineural hearing loss, there is unfortunately no surgical or drug therapy for it. However, you can compensate for your hearing loss with a suitable hearing aid.


The digital technology that such a hearing aid works with today works with small computers and processors. The sound signals are processed directly in your hearing aid. Modern devices automatically adapt to your environment. The human voice of the person you are talking to is separated and distinguished from unpleasant disturbing noises. This means that you can still actively participate in your environment, even if you have sensorineural hearing loss. You regain immense quality of life.

What is the prognosis for inner ear hearing loss?

Your sensorineural hearing loss or your inner ear hearing loss can be constant for several years or gradually worsen. As a patient, you often do not even notice a deterioration. The risk of social isolation is then all the greater. We therefore urgently advise you, as professionals and experts, to treat your hearing loss as early as possible. Get a suitable hearing aid as soon as you can. We are happy to offer you our support.

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