Most people believe that hearing loss primarily affects older adults above the age of sixty. However, an alarming number of adults, one to six out of every 5,000, are struck by sudden hearing loss in their late 40s to early 50s. This form of sensorineural hearing loss comes on rapidly without any explanation. The greatest tragedy is that it often goes undiagnosed, making it nearly impossible to treat as the condition advances. I hope that by raising awareness of this condition, the Scottsdale community will take this and other forms of hearing loss more seriously.

What is sudden hearing loss?

Sudden sensorineural hearing loss (SSHL) results from some form of damage to the sensory organs of the inner ear. SSHL comes on all at once or over the span of a few days, typically affecting just one ear. Common symptoms include a loud pop before hearing in that ear disappears, feelings of pressure or fullness, dizziness, and or ringing in the ears or tinnitus.

Individuals often put off seeing an audiologist or ENT because they equate the condition with allergies, earwax buildup, a sinus infection, or other common conditions. Though the majority of people regain normal hearing within a few weeks, delayed diagnosis and treatment can minimize treatment effectiveness.

What is the cause of sudden hearing loss?

SSHL stems from a variety of disorders, but doctors are only able to identify a definite cause in about 10 percent of diagnosed cases. Causes that have been identified include conditions like:

  • an infection
  • head trauma (TBI)
  • autoimmune diseases
  • ototoxic medications
  • blood circulation issues
  • neurological conditions (MS)
  • Ménière’s disease

Though SSHL typically affects only one ear, doctors usually look to causes like a tumor on the auditory nerve or an autoimmune disease in cases where both ears are impacted.

Diagnosing Sudden Hearing Loss

Scheduling a hearing assessment within 24 to 48 hours is a critical element in diagnosing SSHL. Diagnosis usually begins with ruling out any form of conductive hearing loss like excessive earwax, fluid on the ears, inflammation, growths, or other obstructions along the hearing pathway.

A pure tone audiometry also allows doctors to measure your capacity to hear various sound frequencies at different volumes. SSHL commonly causes a loss of 30 decibels in three connected frequencies with 72 hours after the onset of symptoms. A drop of this magnitude makes normal conversation sound like someone is whispering.

Determining the condition’s underlying cause is a bit more complicated and typically includes blood tests, MRI imaging, and balance tests.

Treating Sudden Hearing Loss

The most common treatment for sudden hearing loss is corticosteroids, which are ordered to reduce inflammation and help the body fight off any illness that causes the problem.

Other treatments are necessary to treat specific underlying causes, such as prescribing antibiotics for an infection or ordering a change in or discontinuance of ototoxic medications. Immune suppressing treatments become necessary when SSHL’s cause is an autoimmune disease.

Scottsdale ENT Has Solutions for Sudden Hearing Loss

For proper diagnosis of sudden hearing loss, timing is critical. Diagnosis and treatment within 24 to 48 hours after the onset of symptoms give Scottsdale ENT the best shot at clearing up this condition. If you suspect that you are suffering from SSHL, contact us to schedule a comprehensive hearing assessment. We offer Telemedicine appointments to those who require remote assistance, and you are always welcome to call us at (480) 684-1080 as well.

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Dr. Debra L. Hamila, Au.D., CCC/A

Debra Hamila received her master’s degree in audiology from Cleveland State University and her Au.D. from Arizona School of Health Sciences and has been a practicing audiologist for more than 33 years. She has worked in a variety of ENT offices, hospital, and clinical settings.
    You don’t realise you’re walking with a rock in your shoe until you’re able to hear again – Regina’s Story

    Regina has suffered from hearing problems since she was an infant, recognized as regular chronic ear infections. And, as with unfortunate events, she has experienced a multitude of audiology catastrophes.

    It was many years before Regina crossed paths with Scottsdale Ear, Nose & Throat; where her lifetime of hearing problems was addressed effectively and treated with the delicate care that she desperately required.

    Regina’s journey began when she was taken to a regular paediatrician by her mother from a young age. Her ears were, what we describe as an audiologists recipe for disaster, ‘flushed out’.

    This dangerous procedure caused a nasty infection, which spread to her mastoid bone and, at the age of 15, she underwent a tympanoplasty mastoidectomy to stop the infection spreading. This only forbade her future struggles with hearing loss. 

    As with poor diagnosis, Regina was faced with another canaloplasty which didn’t work. Soon after, she received a BAHA, which is a cochlear implant in her skull that acts as a sound processor that detects sound and transforms it into vibrations. 

    However, suffering from a history of poor hearing care, she was unaware of the former issues her ear presented.

    By now, this would be described as any audiologists nightmare. But, we’re proud to have helped Regina on her road to optimum hearing and reconnect her to her loved ones.

    When she arrived at Scottsdale Ear, Nose & Throat it was evident that she was losing hearing on her right side. At this point, she was fitted with a ReSound hearing device, which provided the catalyst to a new and improved hearing.

    The first thing Regina noticed was the indefinite sound she had been making whilst emptying the dishwasher, completely unaware of the noise she was making!

    “I mean, the detail that I can hear now it’s like, Whoa, I didn’t realize I was making that much noise. I need to be quieter!”

    Treated with professional care, Regina received a comprehensive hearing assessment with Dr. Debra Hamila.

    “I just love, love, love Dr. Hamila, she is such a professional and loving person. I was so impressed with the office and what she did with the ReSound, I just love her.”

    Like many others, it takes years for people to realize they have a hearing problem. Regina described this moment as life-changing.

    “You don’t realise you’re walking with a rock in your shoe until you’re able to hear again. Especially now I’m a full-time Grammy Nanny, I can hear so much more and it has enriched my life incredibly.”

    What advice would you give to someone who is deliberating on taking the first step towards better hearing?

    “My advice to them would be to have a hearing test. Especially as we age our hearing goes down. It’s really unfortunate that people carry their pride and are not willing to learn to walk with the rock in their shoe. You don’t realise you’re waking with a rock in your shoe until you’re able to hear again.”

    Regina is one of many patients who has been impacted by our audiological services and we are proud to have been able to provide the tool towards better hearing and a lifetime of many more memories.