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What is the ear? The ear is the organ of hearing and balance. The parts of the ear include: External or outer ear, consisting of: Pinna or auricle. This is the outside part of the ear. External auditory canal or tube. This is the tube that connects the outer ear to the inside or middle ear. Tympanic membrane (also called the eardrum). The tympanic membrane divides the external ear from the middle ear. Middle ear (tympanic cavity), consisting of: Ossicles. Three small bones that are connected and transmit the sound waves to the inner ear. The bones are called: - Malleus, Incus and Stapes Eustachian tube. A canal that links the middle ear with the back of the nose. The Eustachian tube helps to equalize the pressure in the middle ear. Equalized pressure is needed for the proper transfer of sound waves. The Eustachian tube is lined with mucous, just like the inside of the nose and throat. Inner ear, consisting of: Cochlea. (contains the nerves for hearing) Vestibule (contains receptors for balance) Semicircular canals. (contain receptors for balance) How do we hear? Hearing starts with the outer ear. When a sound is made outside the outer ear, the sound waves, or vibrations, travel down the external auditory canal and strike the eardrum (tympanic membrane). The eardrum vibrates. The vibrations are then passed to three tiny bones in the middle ear called the ossicles. The ossicles amplify the sound and send the sound waves to the inner ear and into the fluid-filled hearing organ (cochlea). Once the sound waves reach the inner ear, they are converted into electrical impulses, which the auditory nerve sends to the brain. The brain then translates these electrical impulses as sound. A person may be born with hearing difficulties, or they may be acquired due to multiple factors. Hearing tests should always be performed by an experienced audiologist (a professional specialized in hearing), who will test hearing in order to determine the type, cause and severity. These tests vary according to the patient’s age and needs. The results are then discussed with the patient and/or their family. The degrees of hearing loss vary from a mild hearing loss (affecting one’s ability to hear soft sounds) to a moderate, severe or even profound hearing loss (where the individual cannot hear most sounds). Hearing loss also has types, according to the affected part of the ear. These include: Conductive Hearing Loss Any problem in the outer or middle ear that prevents sound waves from travelling naturally to the inner ear is known as a conductive hearing loss. Conductive hearing losses are usually mild or moderate in degree. Sensorineural Hearing Loss Which results from missing or damaged sensory cells (hair cells) in the cochlea (our snail shaped hearing organ) or neural hearing loss and is usually permanent. Sensorineural hearing loss can be mild, moderate, severe or profound. Mixed Hearing Loss This is a combination of a sensorineural and conductive hearing loss. It results from complications in both the inner and outer or middle ear. Neural Hearing Loss The least common of hearing loss types, resulting from the absence, damage or malfunction of the auditory nerve. HEARING LOSS AND ITS TYPES A person may be born with hearing difficulties, or they may be acquired due to multiple factors. Hearing tests should always be performed by an experienced audiologist (a professional specialized in hearing), who will test hearing in order to determine the type, cause and severity. These tests vary according to the patient’s age and needs. The results are then discussed with the patient and/or their family. The degrees of hearing loss vary from a mild hearing loss (affecting one’s ability to hear soft sounds) to a moderate, severe or even profound hearing loss (where the individual cannot hear most sounds). Hearing loss also has types, according to the affected part of the ear. These include: Conductive Hearing Loss Any problem in the outer or middle ear that prevents sound waves from travelling naturally to the inner ear is known as a conductive hearing loss. Conductive hearing losses are usually mild or moderate in degree. Sensorineural Hearing Loss Which results from missing or damaged sensory cells (hair cells) in the cochlea (our snail shaped hearing organ) or neural hearing loss and is usually permanent. Sensorineural hearing loss can be mild, moderate, severe or profound. Mixed Hearing Loss This is a combination of a sensorineural and conductive hearing loss. It results from complications in both the inner and outer or middle ear. Neural Hearing Loss The least common of hearing loss types, resulting from the absence, damage or malfunction of the auditory nerve.