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Everything you need to know about mixed hearing loss

Mixed hearing loss is one of the three main types of hearing loss, combining both conductive and sensorineural issues, with problems in the outer or middle ear occurring alongside inner ear damage. Find out what causes it, the symptoms, and more information on proper prevention and treatment.
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A combination of two types of hearing loss

What is mixed hearing loss?

Mixed hearing loss refers to a combination of conductive hearing loss and sensorineural hearing loss in one or both ears. This means there is damage to both the outer or middle ear (conductive) and the inner ear or auditory nerve (sensorineural). It can result in difficulty hearing both loud sounds, such as fireworks and police sirens, as well as soft sounds, such as whispering and leaves rustling.

Mixed hearing loss often requires a combination of medical and hearing aid treatment.


What’s the difference between conductive, sensorineural and mixed hearing loss?

The illustration below indicates which parts of the ear may be affected when dealing with conductive and sensorineural hearing loss. A combination of the two would indicate a mixed hearing loss.
Mixed hearing loss audiogram
Mixed Hearing Loss Audiogram

More About Mixed Hearing Loss

What’s causing the problem

What's causing mixed hearing loss?

Pinpointing the cause of mixed hearing loss can be tricky. After all, you’re dealing with both conductive and sensorineural hearing loss at the same time, each bringing its own set of challenges.

Since mixed hearing involves elements of both, a person may face a combination of these factors. These overlapping effects makes diagnosis and treatment more complex, which is why a hearing test is so important.


Conductive Component Causes

Causes of reduced hearing in the outer or middle ear, known as conductive hearing loss often include:
  • Ear infections or chronic middle-ear disease
  • Fluid behind the eardrum
  • Damage to the eardrum or middle-ear bones
  • Benign growths, cysts, or foreign objects in the ear

Sensorineural Component Causes

On the other hand, sensorineural hearing loss is linked to problems in the inner ear or auditory nerve. Common causes include:
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How mixed hearing loss is diagnosed?

Diagnosing mixed hearing loss usually starts with a comprehensive hearing test that will look at each part of the auditory system.

Your Hearing Care Professional will check your ears with a physical exam, use speech recognition tests, or may recommend further evaluation with a specialist like an ear, nose and throat specialist (ENT). These steps help identify whether the issue comes from the outer or middle ear, the inner ear, or both, so you can continue with the right treatment plan for your ear health.

Mixed Hearing Loss: FAQ

Next steps to better hearing

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How to treat your hearing loss

Hearing health is one of the building blocks of a happy life. If you can understand how your hearing works and what you can do to protect it, you won't just be doing your ears a favor, you'll be boosting your overall health and well-being, too.
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How to help a loved one with hearing loss

If you notice your loved one spending more time alone or avoiding new, shared experiences with others, then it’s time to consult your audiologist. The good news? Help is available.
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