Definition
Acquired mixed hearing loss refers to combined conductive and sensorineural hearing losses which are not present at birth and/or develop after the first month of life (beyond the “neonatal” period).
Etiology
In addressing causes of mixed hearing loss, it is useful to divide discussion into conductive and sensorineural components – not only for diagnosis, but particularly as one considers potential treatment modalities.
Clearly, there can be many causes for mixed hearing loss (nearly any combination of conductive and/or sensorineural causes when combined can cause a mixed hearing loss). Table 1 lists many of these causes, categorized by type of hearing loss as well as anatomic location. Not emphasized here are congenital disorders causing mixed hearing loss (see Congenital Mixed Hearing Loss). Incidences of these pathologies vary greatly from...
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Ahmad A, Branstetter B (2008) CT versus MR: still a touch decision. Otolaryngol Clin N Am 41:1–22
Bauer CA, Jenkins HA (2010) Otologic symptoms and syndromes. Chapter 156. In: Flint: cummings otolaryngology: head and neck surgery, 5th edn. Mosby, St. Louis, p 2196
Baumgartner WD (2010) The vibrant soundbridge for conductive and mixed hearing losses: European multicenter study results. Adv Otorhinolaryngol 69:38–50
Brodie HA (2010) Ch 145: Management of temporal bone trauma. In: Flint: cummings otolaryngology: head and neck surgery, 5th edn. Mosby, St. Louis, pp 2037–2046
Bruschini L (2010) Fully implantable otologics MET Carina(â¢) device for the treatment of sensorineural and mixed hearing loss: audio-otological results. Acta Otolaryngol 130(10):1147–1153
Cheung SW, Munck K, Jackler RK (2005) Ch 67: Diffuse Osseous lesions of the temporal bone. In: Neurotology, 2nd edn. Elsevier, Mosby, Philadelphia, pp 1125–1135
Crane BT, Schessel DA, Nedzelski J, Minor LB (2010) Ch 165: Peripheral vestibular disorders. In: Flint: cummings otolaryngology: head and neck surgery, 5th edn. Mosby, ST. Louis, pp 2329–2335
Cureoglu S, Baylan M, Paparella M (2010) Cochlear otosclerosis. Curr Opin Otolaryngol Head Neck Surg 18:357–362
Davis LE (2010) Ch 152: Infections of the Labyrinth. In: Flint: cummings otolaryngology: head and neck surgery, 5th edn. Mosby, St. Louis, pp 1748–1949
Dumon T (2009) Vibrant sound bridge (Vibrant Soundbridge middle ear implant in mixed hearing loss. Indications, techniques, results). Rev Laryngol Otol Rhinol (Bord) 130(2):75–81
Flynn MC (2009) Baha solutions for patients with severe mixed hearing loss. Cochlear Implants Int 10 Suppl 1:43–47
House JW, Cunningham CD III (2010) Chapter 144: Otosclerosis. In: Flint: cummings otolaryngology: head and neck surgery, 5th edn. Mosby, St. Louis, p 2034
Isaacson B (2010) Hearing loss. Med Clin N Am 94:973–988
Katbamna B, Flamme G (2008) Acquired hearing loss in adolescents. Pediatr Clin N Am 55:1391–1402
Katbamna B, Crumpton T, Patel D (2008) Hearing impairment in children. Pediatr Clin N Am 55:1175–1188
Kozak A, Grundfast K (2009) Hearing loss. Otolaryngol Clin N Am 42:79–85
Linthicum FH Jr (2009) Post-stapedectomy cochlear otosclerosis. Ear Nose Throat J 88(4):872
Lustig LR, Della Santina CC, Lustig LR, Della Santina CC (2010) Ch: 157 Implantable hearing aids. In: Flint: cummings otolaryngology: head and neck surgery, 5th edn. Mosby, ST. Louis, pp 2203–2218
Marini JC (2011) Ch 692: Osteogenesis imperfecta. In: Kliegman: Nelson textbook of pediatrics, 19th edn. WB Saunders, Philadelphia, Accessed online Jun 2011
Mark AS (2005) Ch 20: Imaging fo the labyrinth. In: Neurotology, 2nd edn. Elsevier, Mosby, Philadelphia, pp 331–339
Martin C (2009) Prospective radiological study concerning a series of patients suffering from conductive or mixed hearing loss due to superior semicircular canal dehiscence. Eur Arch Otorhinolaryngol 266(8):1175–1181
Merchant S, Rosowski J (2008) Conductive hearing loss caused by third-window lesions of the inner ear. Otol Neurotol 29:282–289
Otitis media with Effusion Clinical Practice Guideline (2004) Pediatrics 113: 1412
Pellitteri PK, Ing S, Jameson B (2010) Ch 123: Disorders of the thyroid gland. In: Flint: cummings otolaryngology: head and neck surgery, 5th edn. Mosby, St. Louis, pp 1748–1949
Rodriquez K, Shah R, Kenna M (2007) Anomalies of the middle and inner ear. Otolaryngol Clin N Am 40:81–96
Slatterly WH (2005) Ch 32: Implantable hearing devices. In: Otologic surgery, 3rd edn., pp 383–496
St. Martin M, Hirsch B (2008) Imaging of hearing loss. Otolaryngol Clin N Am 41:157–178
Tjellstrom, AMR (2010) Ch 33: The Bone-Anchored Cochlea Stimulator (baha). Otologic Surgery 3rd edn. pp 397–410
Verhaegen V, Mulder J, Mylanus E, Cremers C, Snik A (2009) Profound mixed hearing loss: bone-anchored hearing aid system or cochlear implant? Ann Otol Rhinol Laryngol 118(10):693–697
Wackym PA, Runge-Samuelson CL (2010) Ch 158: Cochlear implantation: patient evaluation and device selection. In: Flint: cummings otolaryngology: head and neck surgery, 5th edn. St. Louis, Mosby, pp 2219–2233
Wilkinson EP (2008) Correction of progressive hearing loss in superior canal dehiscence syndrome. Laryngoscope 118(1):10–13
Yazdi K (2009) Improvement of bone conduction after stapes surgery in otosclerosis patients with mixed hearing loss depending from surgical technique. Eur Arch Otorhinolaryngol 266(8):1225–1228
Yetişer S, Kertmen M (2007) Cochlear conductive hearing loss in patients with Meniere's disease. Kulak Burun Bogaz Ihtis Derg 17(1):18–21
Acknowledgments
Special thanks to authors Saumil Merchant, Barton F Branstetter IV, and Barry E Hirsch for generous use of their images and illustrations and to Elizabeth Cornish AuD for audiometric illustration.
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Bevans, S.E., Chen, B.S., Crawford, J.V. (2013). Acquired Mixed Hearing Loss. In: Kountakis, S.E. (eds) Encyclopedia of Otolaryngology, Head and Neck Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-23499-6_553
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