In this article
- One/both ears and sudden/gradual onset matter
- Otoscopy and audiometry are central tests
- Childhood loss can affect speech development
Assessment and treatment
- Treat reversible causes
- Hearing-aid or selected implant assessment
- Communication strategies and rehabilitation
At a glance
Definition: Causes range from wax to inner-ear damage and may produce conductive, sensorineural or mixed hearing loss.
Key takeaways
- One/both ears and sudden/gradual onset matter
- Otoscopy and audiometry are central tests
- Childhood loss can affect speech development
Clinical steps
- Treat reversible causes
- Hearing-aid or selected implant assessment
- Communication strategies and rehabilitation
Red flags: Sudden loss in one ear, facial weakness or neurological symptoms needs same-day urgent ENT assessment.
Quick FAQ: When should I see an ENT specialist?
Sudden loss in one ear, facial weakness or neurological symptoms needs same-day urgent ENT assessment.
How I assess this in clinic
I first clarify duration, severity, whether symptoms are one-sided or bilateral, and their effect on daily life. I then perform a focused ENT examination and compare the findings with one/both ears and sudden/gradual onset matter.
Endoscopy or audiometry is not required for everyone. I advise endoscopy when the nose, sinus, throat or voice box needs direct assessment, and audiometry/tympanometry when hearing or middle-ear function is in question.
A common misconception is that every ENT problem needs an antibiotic or an operation. Treatment should instead follow the diagnosis, functional impact, examination findings and evidence-based indications.
Do not wait when: Sudden loss in one ear, facial weakness or neurological symptoms needs same-day urgent ENT assessment.
For patient education; not a substitute for individual diagnosis or treatment.