Hörverlust: Behandlung, Ursachen, Symptome

What does hearing loss mean? How can I recognize and understand hearing loss?

Did you know that there are different forms of hearing loss? You may also be wondering how hearing loss can occur in the first place. This article provides information about the causes and types of all hearing loss varieties. If you have additional questions, we will be happy to help you. Just give us a call or send us an email.


Mostly a gradual development


Studies have proven that most people in Germany wait an average of seven years before they actually do something about a hearing problem. Did you know that in most cases hearing loss develops very gradually and therefore goes unnoticed for a long time? The sooner you act, the better!

With modern options and hearing aids, you can improve your quality of life tremendously. If you become active at an early stage, you can also positively influence and even minimize the effects of hearing loss. As a rule, everything depends on the severity of the hearing loss when it comes to the optimal treatment.

The three forms of hearing loss


Medically speaking, there are three types of hearing loss forms:

  • Sensorineural hearing loss
  • .
  • Sound conduction hearing loss
  • .
  • combined hearing loss

There is also an auditory processing disorder, or perceptual disorder. The abbreviation for this is AVWS. All of these hearing loss types have one thing in common, they can reduce your hearing ability. Your quality of life decreases immediately. Conversations are very tiring for you and you have to turn up the TV or your music very loud. When your children or grandchildren whisper something to you, you can no longer understand it well.

Another word for a conductive hearing loss is conductive hearing loss.

The intact inner ear is not reached by sound vibrations due to a disturbance in the outer or middle ear. This is because the mechanical transport of sound in the ear is impaired. As a result, your hearing is reduced. This is especially noticeable in speech. You hear more difficult on all frequencies.

There are two distinctions here as well:

  • Temporary
  • .
  • permanently

If it's a temporary conductive hearing loss, it only occurs if, for example, an auditory bone in your middle ear is inflamed or blocked. But this can be fixed with surgery or medication.

In the permanent variant, the transmission of sound to the inner ear is permanently disrupted. Then only a hearing aid that increases the sound pressure helps. We will be happy to help you choose the right hearing aid. You can rely on our team of experts!

How does a conductive hearing loss develop?

This type of hearing loss can have different causes and reasons. The first thing to determine is whether it is a temporary problem or a permanent one. It is also determined whether the outer ear or the inner ear, or perhaps even both are affected.


Typical temporary causes include, for example, the earwax plug, but there may also be a foreign body in the ear canal. Even an ear canal infection can contribute to the fact that it comes to a temporary conductive hearing loss.

Examples of permanent interference:

  • Misalignment of the auricle
  • .
  • Misformed ear canal
  • Chronic otitis media
  • A hole in the eardrum
  • Diseased auditory bone in the inner ear
  • .

In a very few cases, it actually happens that a bone forms in the cochlea and grows irregularly. This causes everything to stiffen, so that the sound can no longer be properly transmitted.


What does sensorineural hearing loss mean?

All of the nerve components, as well as the hair cells that convert sound, function in a limited way. Most often, the inner ear is damaged accordingly. Certain frequencies can then no longer reach the brain. The entire sound is then no longer perceived at all or only altered. In most cases, speech is misunderstood or distorted and understood differently. Certain sounds can drop out. Words or self-sounds that sound very similar lead to a hearing defect.


Loudness, however, is perceived unchanged. With a good hearing aid, the promotion loss of hearing can be compensated relatively well.


What is the reason?

When the inner ear has been damaged by noise, this type of hearing loss occurs. However, a virus can also be to blame for an infection. Examples of possible causes are:

  • Ageing degeneration
  • .
  • Rubella
  • Masles
  • Mumps
  • Genetic hearing loss
  • .
  • Hearing loss
  • .
  • Skull trauma
  • Tumor

What does combined hearing loss mean?

Combined hearing loss is composed of the two forms of hearing loss mentioned above. This means that the outer ear, as well as the inner ear and also the middle ear are damaged. How hearing loss affects the hearing in this combined variant is individual. Everything depends on which hearing loss is more severe.


Depending on the degree of hearing loss, the appropriate treatment method is also used. If it is a mild or temporary hearing loss, medication can help. On the other hand, if it is a moderately severe hearing loss, suitable hearing aids are usually used. In a very severe case of combined hearing loss, it may be necessary to insert an implant.

It is usually your ear, nose and throat doctor who will make the decision as to what is the right treatment option for your hearing loss. Your hearing aid acoustician can also be of good help.

How does a combined hearing loss occur?

There are very many independent causes that can contribute to combined hearing loss. The inner ear may also be involved. The reasons mentioned above can also be the cause.


What is auditory processing disorder and perceptual disorder?

For you, an auditory processing disorder processing disorder and perception disorder means that the information you hear can not be processed properly. Mainly the disturbed auditory nerves are affected, which should normally transmit all information to your brain. Sometimes the central nervous system is also affected. In many cases, however, only one ear is affected.