Hearing Loss and Chronic Ear Infections

ENT physicians were able to restore patients' hearing loss due to chronic infections, middle ear diseases or some inner ear problems for the last 3 decades. When a conductive hearing loss is identified, the patient is generally referred to his/her medical doctor and/or ear specialist to determine candidacy for medical or surgical treatment. The surgical techniques and prosthesis have been improved significantly to adopt human ear. I have personally performed more than 500 of these procedures in my career as ear nose and throat physician. The pleasure of regaining hearing is indescribable both to patient and surgeon. Most of ear surgeries are done under sedation and as same day surgeries. People with hearing loss do not hear sounds clearly. Such losses may range from hearing speech sounds faintly, or in a distorted way, to profound deafness.


Hearing loss may be conductive (obstructive), sensorineural (inner ear or auditory nerve) or mixed in nature.

Conductive hearing loss is due to abnormalities in the external and/or middle ear. This type of loss is often resolved by medical or surgical intervention.

Sensorineural hearing loss is caused by damage to the inner ear or auditory nerve. This type of hearing loss is often permanent and not resolved by treatment.

Mixed hearing loss is one caused by damage to both the external and/or middle ear and the inner ear.


A complete hearing evaluation includes an assessment of hearing by air and bone conduction and the ability to understand speech. All testing is conducted in a sound proof booth.

Tympanometry is a very useful and valuable method employed to evaluate middle ear function. This is performed to assess the integrity of the eardrum and middle ear structures by introducing pressure changes in the ear canal.


These are not routinely performed by may be required to aid the physician/audiologist in the differential diagnosis of dizziness, tinnitus and/or asymmetrical hearing loss.

Videonystagmography (VNG) is performed at the request of the physician to assess the integrity of the balance system and its connections as a part of the evaluation of the dizzy patient.

Otoacoustic emissions (OAEs) are objective tests to determine if the cochlea is functioning normally. This test is often used with the difficult-to-test patient such as newborns and very young children as well as uncooperative listeners. They are also beneficial when assessing hearing aid candidacy.