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Though the pathophysiology of tinnitus is not known, noise exposure can be a contributing factor, therefore tinnitus can be associated with hearing loss, generated by the cochlea and central nervous system (CNS). High frequency hearing loss causes a high pitched tinnitus and low frequency hearing loss causes a roaring tinnitus. [19]
Hearing is lost gradually as the hair cells in the Corti stiffen and die. [10] Changes in the inner ear, middle ear, and complex changes along the nerve pathways from the ear to the brain can also affect hearing. Long-term exposure to noise and some medical conditions can also play a role.
The prognosis has improved with the recent advancements in digital hearing aid technology, such as directional microphones, open-fit hearing aids, and more advanced algorithms. Hearing aids can mask or cover up the tinnitus, and many with hearing loss and tinnitus find relief by using hearing aids. [136]
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Hearing loss may have many different causes, but among those with tinnitus, the major cause is cochlear injury. [36] In many cases no underlying cause is identified. [2] [38] Ototoxic drugs also may cause subjective tinnitus, as they may cause hearing loss, [15] or increase the damage done by exposure to loud noise. [39]
Cogan's syndrome commonly presents with hearing loss. Multiple sclerosis can affect hearing as well. Multiple sclerosis is an autoimmune disease where the immune system attacks the myelin sheath, a covering that protects the nerves. If the auditory nerve becomes damaged, the affected person will become completely deaf in one or both ears.
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Children with spatial hearing loss commonly present with difficulties understanding speech in the classroom. [1] Spatial hearing loss is found in most people over 70 years of age, and can sometimes be independent of other types of age related hearing loss. [2] As with presbycusis, spatial hearing loss varies with age. Through childhood and into ...
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