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Conductive or mixed hearing loss: Sensorineural hearing loss Occurs during descent or ascent: Onset during ascent or after surfacing Cochlear symptoms (ie hearing loss) predominate: Vestibular symptoms (vertigo) predominant; right sided History of difficult ear clearing or forced Valsalva manoeuvre: No history of eustachian tube dysfunction
Cochlear hydrops preferentially affects the apex of the cochlea where low-frequency sounds are interpreted. Due to the fluid imbalance in this area, parts of the cochlea are stretched or under more tension than usual, which can lead to distortions of sound, changes in pitch perception, or hearing loss, all usually in the low frequencies.
Whilst hearing loss is a common symptom in many diseases of the ear, for example in otosclerosis (abnormal bone growth in the ear), [3] the white, chalky patches on the tympanic membrane are fairly characteristic of tympanosclerosis. Cholesteatoma is similar in appearance but the whiteness is behind the tympanic membrane, rather than inside.
Otosclerosis is a condition of the middle ear where portions of the dense enchondral layer of the bony labyrinth remodel into one or more lesions of irregularly-laid spongy bone. As the lesions reach the stapes the bone is resorbed , then hardened ( sclerotized ), which limits its movement and results in hearing loss , tinnitus , vertigo or a ...
Low-frequency conductive hearing loss is present in many patients with SCDS and is explained by the dehiscence acting as a "third window." Vibrations entering the ear canal and middle ear are then abnormally diverted through the superior semicircular canal and up into the intracranial space where they become absorbed instead of being registered ...
In general, one ear will be somewhat worse than the other due to the prevailing wind direction of the area surfed [3] or the side that most often strikes the wave first. Common symptoms include recurrent otitis externa , obstructed sensation, conductive hearing loss , pain in the ear, and tinnitus .
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The cause is often not clear. It may be due to a virus, but it can also arise from bacterial infection, head injury, extreme stress, an allergy, or as a reaction to medication. 30% of affected people had a common cold prior to developing the disease. [1] Either bacterial or viral labyrinthitis can cause a permanent hearing loss in rare cases. [7]