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  • Format: ePub

What is Deafness?
Deafness is the inability to hear.
What are the causes of Deafness?
The causes of Deafness are:
A. Conductive hearing loss
Here sound waves cannot be transmitted from the external environment to the cochlea.
The problem may lie in
1. the external ear canal
a. obstruction caused by wax
b. obstruction caused by foreign body
c. obstruction caused by infection (otitis externa)
d. obstruction caused by ear polyps
2. eardrum
a. perforation caused by trauma
b. perforation caused by infection
c. scarred eardrum from injury or
…mehr

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Produktbeschreibung
What is Deafness?

Deafness is the inability to hear.

What are the causes of Deafness?

The causes of Deafness are:

A. Conductive hearing loss

Here sound waves cannot be transmitted from the external environment to the cochlea.
The problem may lie in

1. the external ear canal

a. obstruction caused by wax

b. obstruction caused by foreign body

c. obstruction caused by infection (otitis externa)

d. obstruction caused by ear polyps

2. eardrum

a. perforation caused by trauma

b. perforation caused by infection

c. scarred eardrum from injury or infection

3. middle ear bones

a. dislocation of the bones from injury or infection

b. damage to the bones from injury or infection

c. fixed bones or osteosclerosis (hardening of the bones from aging)

4. middle ear infection

infection of the middle ear occurs with fluid in the middle ear cavity preventing sound from passing through

B. Sensorineural Hearing Loss

a. damage to hearing organ or cochlea which send nerve impulse to the hearing nerve and on to the brain

b. damage to the hearing nerve (auditory nerve)from loud sounds, infection or injury

Common causes of hearing loss are:
1. aging (presbycusis)

2, acute or chronic exposure to loud noise can cause damage to sensory cells of cochlea

3. infection of the inner ear by viruses and bacteria such as mumps, measles or influenza

4. Meniere's disease - a disease with tinnitus, deafness and dizziness

5. Acoustic neuroma - tumor of the vestibular nerve which lies near to the auditory nerve and affects its function

6. Ototoxic drugs which can damage the nerves involved in hearing or sensory cells in the cochlea such as:

a. antibiotics especially gentamycin and vancomycin

b. diuretics such as frusemide

c. chemotherapy drugs

What are the symptoms of Deafness?

1. Deafness is a lack of hearing.

The hearing loss is gradual or sudden and can affect one or both ears.

There is difficulty in holding a normal conversation in a noisy environment.

People may complain the affected person does not respond when called or speak louder than usual

2. tinnitus (ringing in the ear) may be present

3. vertigo (spinning sensation) may be associated with it

4. pain and discharge from ear is associated with ear infections

How is Deafness diagnosed?

Diagnosis:

1. complete history, ENT examination

2. examination of ear canal and eardrum

3. endoscopy examination of nose and nasopharynx

4. neurological examination

5. hearing test (audiogram) can confirm the presence and severity and type of hearing loss

6. Tympanogram may be performed to detect problems of eardrum and middle ear.

7. X-rays, CT scan or MRI may used to exclude acoustic neuroma or brain tumors.

What is the treatment of Deafness?

Treatment

Medical treatment depends on the underlying problem.

1. Removal of wax and foreign body in the ear

Ear polyps can be dissolved away with medicines.

2. Antibiotics oral and topical may be necessary in severe external ear infections.

3. In the case of eardrum perforation, once the underlying infection is cleared and the perforation still do not close after 3 months, then surgical repair of the perforation may be needed.

4. If the cause of deafness is due to medication, then the medication should be stopped or changed.

5. If the cause is prebycusis (due to aging) no medical treatment is needed.

The deaf person is assessed to see whether hearing aids will help.

TABLE OF CONTENT

Chapter 1 Deafness

Chapter 2 Chronic Suppur...


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Autorenporträt
Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...