Sensorineural hearing loss
| Sensorineural hearing loss | |
|---|---|
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| Cross section of the cochlea. | |
| Classification and external resources | |
| Specialty | Otorhinolaryngology |
| ICD-10 | H90.3-H90.5 |
| ICD-9-CM | 389.1 |
| DiseasesDB | 2874 |
| MedlinePlus | 003291 |
| MeSH | D006319 |
Sensorineural hearing loss (SNHL) is a type of hearing loss, or deafness, in which the root cause lies in the inner ear or sensory organ (cochlea and associated structures) or the vestibulocochlear nerve (cranial nerve VIII) or neural part. SNHL accounts for about 90% of hearing loss reported. SNHL is generally permanent and can be mild, moderate, severe, profound, or total. Various other descriptors can be used such as high frequency, low frequency, U-shaped, notched, peaked or flat depending on the shape of the audiogram, the measure of hearing.
Sensory hearing loss occurs as a consequence of damaged or deficient cochlear hair cell function. The hair cells may be abnormal at birth, or damaged during the lifetime of an individual. There are both external causes of damage, like noise trauma and infection, and intrinsic abnormalities, like deafness genes. A common cause or exacerbating factor in sensory hearing loss is prolonged exposure to environmental noise, for example, being in a loud workplace without wearing protection, or having headphones set to high volumes for a long period. Exposure to a very loud noise such as a bomb blast can cause noise-induced hearing loss.
Neural, or 'retrocochlear', hearing loss occurs because of damage to the cochlear nerve (CVIII). This damage may affect the initiation of the nerve impulse in the cochlear nerve or the transmission of the nerve impulse along the nerve into the brainstem.
Most cases of SNHL present with a gradual deterioration of hearing thresholds occurring over years to decades. In some the loss may eventually affect large portions of the frequency range. It may be accompanied by other symptoms such as ringing in the ears (tinnitus), dizziness or lightheadedness (vertigo). SNHL can be genetically inherited or acquired as a result from external causes like noise or disease. It may be congenital (present at birth) or develop later in life. The most common kind of sensorineural hearing loss is age-related (presbycusis), followed by noise-induced hearing loss (NIHL).
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