We hear sound because of vibrations (sound waves) that reach our ears. We recognize those vibrations as speech, music, or other sounds Outer Ear . Hearing loss is a decrease in your ability to hear or understand speech and sounds around you. Hearing loss can happen when any part of the ear or the nerves that carry information on sounds to your brain do not work in the usual way. In some cases, hearing loss can be temporary.
However, it can become permanent when vital parts of the ear have been damaged beyond repair. Damage to any part of the ear can lead to hearing loss.
Loud noise is particularly harmful to the inner ear (cochlea). A one-time exposure to extreme loud sound or listening to loud sounds for a long time can cause hearing loss. Loud noise can damage cells and membranes in the cochlea. Listening to loud noise for a long time can overwork hair cells in the ear, which can cause these cells to die. The hearing loss progresses as long as the exposure continues. Harmful effects might continue even after noise exposure has stopped. Damage to the inner ear or auditory neural system is generally permanent.The average person is born with about 16,000 hair cells within their cochlea. These cells allow your brain to detect sounds. Up to 30% to 50% of hair cells can be damaged or destroyed before changes in your hearing can be measured by a hearing test. By the time you notice hearing loss, many hair cells have been destroyed and cannot be repaired.After leaving a very loud event, such as a concert or football game, you may notice that you don’t hear as well as before. You might not hear whispers, sound might seem muffled, or you may hear ringing in your ears. Normal hearing usually returns within a few hours to a few days. This is because the hair cells, similar to blades of grass, will bend more if the sound is louder. But they will become straight again after a recovery period. However, if loud noise damaged too many of the hair cells, some of them will die. Repeated exposures to loud noises will over time destroy many hair cells. This can gradually reduce your ability to understand speech in noisy places. Eventually, if hearing loss continues, it can become hard to understand speech even in quieter places.
In addition to damaging hair cells, noise can also damage the auditory nerve that carries information about sounds to your brain. Early damage may not show up on your hearing test. It can create a ‘hidden hearing loss’ that may make it difficult for you to understand speech in noisy places. The effect of loud noise over time affects how well you might hear later in life. It also affects how quickly you might develop hearing problems, even after exposure has stopped.
The outer ear—the part of the ear you see—funnels sound waves into the ear canal. The sound waves travel through the ear canal to reach the eardrum.
The eardrum vibrates from the incoming sound waves and sends these vibrations to three tiny bones in the middle ear. These bones amplify, or increase, the sound vibrations and send them to the inner ear.
The inner ear contains a snail-shaped structure filled with fluid called the cochlea. Sound vibrations create waves in the cochlear fluids. As the waves peak, they cause tiny hair cells to bend, which converts the vibrations into electrical signals. These tiny hair cells are called stereocilia (types of receptors that can detect sound).
The auditory nerve carries the electrical signals from the inner ear to the brain. The brain interprets the signals as sound that you recognize and understand.
