Tel: 65 6950 2869

Hearing Loss




What is Hearing Loss?

Hearing loss is the reduction in the ability to hear sound and can occur suddenly or gradually. Sudden hearing loss is immediately noticeable and requires urgent medical treatment. With gradual hearing loss, it can be harder to notice the reduction in hearing as it happens slowly over time. It may start to become apparent when you have difficulty hearing people in noisy environments or family members comment on the TV being too loud. Often people can still hear others talking, but it isn’t so clear anymore…they just can’t quite understand parts of what is being said. It may feel like a blockage or ringing in the ears.


Children with hearing loss may fail to meet speech and language milestones or have problems with articulation. They may start watching a speaker’s face very carefully or ask people to repeat things a lot. Hearing

loss can also manifest as problems at school. They may start slipping

academically, not respond when spoken to, be disruptive in class because they cannot hear what is going on around them or be thought to have a learning disorder or ADHD.


Hearing loss can be:

  • Sensorineural, which is permanent hearing loss caused when the inner ear (cochlea) or the auditory (cochlear) nerve is damaged or malformed.
  • Conductive, meaning sound can’t travel through the outer or middle ear to the cochlea.

If not addressed in children, hearing loss can lead to speech and language delay. It is linked with depression and dementia in adults.

What causes Hearing Loss?

Hearing loss can be present at birth (congenital) or develop later in life (acquired).

Congenital hearing loss

Congenital hearing loss can be hereditary (genetic) or caused by infections during pregnancy, including infection with cytomegalovirus or rubella. Hearing loss is also more common in babies who are premature or very small when they are born.

Acquired hearing loss

Acquired hearing loss can occur at any age, from very early childhood to old age. There are many reasons for it including:

  • Glue ear
  • Middle ear disease (see cholesteatoma and ear drum perforation/retraction)
  • Ageing
  • Noise exposure
  • Some medicines
  • Infections such as meningitis
  • Ear tumours

Depending on the cause, hearing loss can be temporary or as a result of damage to the structure of the ear that can lead to permanent hearing loss.


Wax build-up or fluid in the ears following a cold can cause a temporary loss in hearing that usually resolves by itself. However, structural problems or infections in the middle or inner ear can cause more long-term hearing loss and need to be treated as soon as possible.

How is Hearing Loss treated?

This depends on the cause of the hearing loss.

Once a diagnosis has been made, your treatment could involve any of the following:

  • Microsuction
  • In-the-ear steroid injection
  • Hearing tests



  • Hearing aids
  • Bone conduction device
  • Cochlear implant
  • Middle ear implant
  • Grommets
  • Eustachian Tube Balloon Dilation



Cochlear Implants

MedEl Synchrony implant


Cochlear Nuclear 7 processor


MedEl Synchrony impant and processor

Coclear Kansa 2 processor

Bone Conduction Implants

Baha Softband

Baha SoundArc

Baha Softband on patient


Baha SoundArc on patient


Location & Hours

Nuffield ENT

Nuffield Medical Centre

501 Orchard Road

#05-15 Wheelock Place

Singapore 238880

Monday - Friday | 9 am - 6 pm

Saturday | 9 am - 1 pm

Closed on Sundays and Public Holidays


Tel: +65 6950 2869 / 8805 0324

© Rebecca Heywood | All Rights Reserved