Hearing Loss

by Won-Taek Choe, M.D.

Hearing loss can come in either mechanical (conductive) or nerve (sensorineural) forms, or can stem from a combination of both. An audiogram would help to distinguish which type is present. Conductive hearing loss can often be corrected surgically, while sensorineural hearing loss usually responds well to hearing aids. Patients with severe hearing loss may also be candidates for cochlear implantation. Hearing loss is often obvious, but can progress insidiously over long periods of time.  More subtle symptoms also include ear plugging and pressure, tinnitus and, most important, social isolation. Children with hearing loss need to be monitored and treated closely to ensure adequate speech and language development, as well as optimal academic performance. Elderly individuals should be screened and treated for hearing loss to prevent isolation and potentially even dementia. Patients with single-sided hearing loss or tinnitus should seek medical attention, and patients with sudden hearing loss (especially with tinnitus or dizziness) require immediate evaluation and treatment.

Hearing Care Across NY, NJ, PA & TX

If you’re experiencing signs of hearing loss—or if a loved one is struggling to hear clearly—our hearing loss doctors are here to help. With convenient locations across New York, New Jersey, and Texas, you can access top ENT and audiology care close to home.

• Get Answers. Get Relief. Get Better Hearing.
• Same-day and next-day appointments available
• Comprehensive hearing evaluations for adults and children
• On-site audiology, hearing aid consultations, and treatment options
• Coordinated care from ENT physicians and licensed audiologists

Find a location near you and schedule your hearing evaluation today. Better hearing starts with one appointment.

Types of Hearing Loss

There are three primary categories of hearing loss:

• Sensorineural Hearing Loss - The most common form, caused by damage to the inner ear (cochlea) or auditory nerve. This type is typically permanent and may affect clarity as well as volume.
• Conductive Hearing Loss - Occurs when sound is blocked or reduced in the outer or middle ear, due to issues such as wax buildup, fluid, infections, or structural abnormalities. In many cases, this type is treatable.
• Mixed Hearing Loss - A combination of both sensorineural and conductive elements.

Symptoms & Warning Signs

Hearing loss can be hard to detect, especially when it develops gradually. Common signs include:

• Difficulty understanding conversations
• Trouble hearing in noisy or group settings
• Frequently asking others to repeat themselves
• Turning the TV or radio louder than usual
• Feeling as if people are “mumbling”
• Ringing in the ears (tinnitus)
• Fullness or pressure in the ears
• Struggling to hear on the phone

Sudden hearing loss—especially in one ear—is a medical emergency and requires immediate evaluation.

Why Early Hearing Loss Evaluation Matters

Early diagnosis leads to better long-term results. When hearing loss is not addressed, people often experience a faster decline in their ability to understand speech, increased social withdrawal, and greater emotional strain. It may also create cognitive challenges, making concentration and memory feel more difficult. Untreated hearing loss can interfere with performance at work or school and reduce awareness of important environmental sounds, affecting personal safety.

Many causes—particularly conductive issues—are highly treatable when identified early, making timely evaluation especially important.

Causes & Risk Factors

Hearing loss can be caused by:

• Age-related changes in the inner ear (presbycusis)
• Long-term noise exposure (workplace, concerts, headphones)
• Ear infections and chronic fluid buildup
• Earwax impaction
• Structural problems of the ear canal or middle ear
• Viral infections or illness
• Head trauma
• Genetics
• Ototoxic medications
• Factors like smoking, diabetes, heart disease, and lack of exercise can also contribute to accelerated hearing decline.

Treatment & Management Options

Hearing loss treatment depends on the type and cause of hearing loss.

Treatment for Conductive Hearing Loss

• Wax removal
• Medications such as antibiotics or steroids
• Ear tube placement
• Surgical repair of the eardrum or middle-ear bones

Treatment for Sensorineural Hearing Loss

While usually permanent, most patients benefit from:

• Hearing aids
• Assistive listening devices
• Bluetooth streaming accessories
• Tinnitus management strategies
• Cochlear implants for severe cases

Treatment for Mixed Hearing Loss

A combination of medical, surgical, and hearing technology solutions may be recommended.

Take the First Step for Hearing Loss

If you or someone you love is experiencing signs of hearing loss, scheduling a comprehensive evaluation with ENT Allergy & Associates is the best first step. Early treatment can dramatically improve communication, confidence, and quality of life.

Find a location near you and schedule an appointment today.