TOPIC SENTENCE

- Hearing impairment is the generic term

indicates a hearing disability that can
range from mild to profound. It includes
the subsets of deaf and hard-of-hearing.
Children who are deaf are unable to use
hearing to process language. Another
approach to the classification and
definitions of hearing impairments is by
the type of hearing loss.
THESIS STATEMENT

- The are are three types of hearing

impairment such as conductive hearing
loss, sensorincural hearing loss and
mixed hearing loss.
˜- Conductive hearing loss

a) Causes

- Infection: The most common cause of conductive hearing loss

is fluid in the middle ear. This may be a result of repeated or
chronic infection (otitis media).
- Injury of the outer ear: Holes in the eardrum(tympanic
membrane perforation ) and skin cysts (cholesteatoma)
- Blockage of the ear canal: It may develop as a result of
eustachian tube obstruction.

b) Effect

- Cause significant problems.

- It causes delay in the development of receptive and expressive
communication skills (speech and language).
- Communication difficulties often lead to social isolation and
poor self-concept.
c) Remedies

- Rinse your ears out with warm water and hydrogen peroxide

- If ear wax is really packed, see your doctor for ear irrigation. You can buy kits
over the counter that can be effective; just make sure you use the ear wax drops
for a few days before trying to irrigate.

- Surgical treatment is also generally available for conductive hearing loss as it is

always due to a mechanical problem.
¢- Sensorincural hearing loss

a) Cause

- Damage to structures that transmit sound from the ear to the brain
- Often involves auditory nerve damage.
- Kawasacki's disease is a rare cause of hearing loss in children.
Radiation to the ear is often associated with a chronic, progressive
hearing deterioration

b) Effects

- the inner ear is not able to identify some of the different pitches of
sounds that come into the ear.
- Deaf and hard of hearing children need early identification and
intervention to learn language during the critical early years.
- The loss is permanent and cannot be surgically repaired.
c) Remedies

- treated with hearing aid, which amplify sounds at preset frequencies

to overcome a sensorineural hearing loss in that range; or cochlear
implants, which stimulate the cochlear nerves directly.
- combination of high doses of vitamins A, C, and E, and Magnesium,
taken one hour before noise exposure
- Some research suggests idebenone alone or combined with vitamin
E may delay the onset of hearing loss or perhaps reverse it[
_. Mixed hearing loss

a) Causes

- when a person first just has a permanent sensorineural hearing loss

and then also develops a conductive hearing loss.
- mixed hearing loss are the result of the outer and inner ear being
malformed, which causes both types of hearing loss.
- when a person suffers from a combination of both Sensorineural
hearing loss as well as conductive hearing loss.

b) Effects