Audiologist Questions Partial deafness

Is partial deafness possible after an ear infection?

I was treated for an ear infection quite recently, and now I feel like I'm a little deaf in my left ear (the ear infection was in both of my ears). Is this a normal thing that happens? What can be done for it?

5 Answers

AudiologistPartialdeafness
I can confirm that it is indeed possible to experience partial deafness following an ear infection. This can be a common occurrence and often raises concerns. Let's delve into why this happens and what can be done about it.
Causes of Hearing Loss After an Ear Infection

Middle Ear Effusion: After an ear infection, fluid can remain trapped in the middle ear (otitis media with effusion). This fluid can dampen sound transmission, leading to temporary hearing loss.
Conductive Hearing Loss: Inflammation and swelling in the middle ear can impede the movement of the ossicles (tiny bones) or the eardrum, causing conductive hearing loss.
Eardrum Perforation: Severe infections can sometimes cause the eardrum to rupture. While this often heals on its own, it can lead to temporary hearing loss.
Inner Ear Damage: Although less common, some ear infections can affect the inner ear, leading to sensorineural hearing loss. This type of hearing loss can be more permanent if not addressed promptly.

Normal Recovery vs. Persistent Issues
Normal Recovery:

Temporary: In many cases, the hearing loss is temporary and will improve as the infection resolves and any remaining fluid drains away.
Duration: This process can take a few weeks, but hearing should gradually return to normal.

Persistent Issues:

Prolonged Fluid: If fluid remains in the middle ear for an extended period, it can cause prolonged hearing loss and may require medical intervention.
Chronic Infections: Recurrent or chronic ear infections can lead to more permanent changes in hearing.
Structural Damage: Any lasting damage to the eardrum or middle ear structures may result in ongoing hearing difficulties.

What Can Be Done

Follow-Up with Your Doctor:
Reevaluation: It’s important to have your ears reexamined by a healthcare professional to check for any remaining infection or fluid.
Medication: If fluid persists, your doctor might prescribe medications to help clear it up.

Audiometric Testing:
Hearing Test: An audiologist can perform a hearing test to determine the type and extent of hearing loss.
Tympanometry: This test can assess the presence of fluid in the middle ear.

Possible Treatments:
Medications: Decongestants, antihistamines, or nasal steroids may be recommended to help clear the Eustachian tubes and fluid.
Tympanostomy Tubes: For recurrent fluid buildup, tiny tubes can be surgically placed in the eardrum to allow fluid to drain and prevent future infections.
Surgery: In cases of eardrum perforation or chronic middle ear issues, surgical repair might be necessary.

Monitoring and Management:
Regular Check-Ups: Keep up with regular medical follow-ups to monitor your condition and ensure proper healing.
Hearing Aids: If there is any permanent hearing loss, hearing aids might be recommended to improve hearing function.

Conclusion

Partial deafness following an ear infection is relatively common, but it should not be ignored. Temporary hearing loss can resolve on its own, but if you experience persistent issues, seek professional evaluation and treatment. Proper management can ensure the best possible outcome for your hearing health.
It is possible to develop a conductive hearing loss during an ear infection. This may occur even if the fluid behind the eardrum is no longer infected. The hearing loss sensation is similar to hearing as if "under water." We recommend you schedule an appointment with an Audiologist to have a full hearing examination. The results of the hearing evaluation should be forwarded to the ear, nose, and throat (ENT) physician who is treating you for the ear infection. Once your ENT has this information, they will be better able to develop a treatment plan to assist with recovery.
Return to your provider to verify that the infection is going and the middle ear space does not still have fluid that may be damping your hearing down. 
Middle ear infections can affect your hearing – muffling sounds and your overall ability to hear. This can be unsettling, but it's almost always temporary and doesn't result in any permanent hearing loss. Still, any hearing loss should be evaluated by an Audiologist or Otolaryngologist (ENT).
Ear infections most commonly occur when fluid accumulates in the middle ear (the area behind the eardrum). When the infection has resolved, either naturally or after a course of antibiotics, the fluid in the middle ear can persist, leaving you with decreased hearing. In the majority of people, the fluid will clear on its own after a few months. If the sensation persists, you could see an ear, nose and throat physician to evaluate your ear anatomy and make further recommendations.