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Root cause of middle ear hearing loss

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I am a new member to this site and forum. Through my early twenties I literally had super-human hearing (audiology test results were off the charts). In my thirties I began to suffer hearing loss in both ears. I bought hearing aids in my early forties and have been using them for about twenty years.

Since my have shown excellent inner ear hearing and attenuated outer ear hearing, it is apparent that I have a middle ear problem. My audiologist is skeptical of my early diagnosis of otoschlerosis because of my audiogram profile. I have scheduled an appointment with an for a new diagnosis, but thought I would inquire here in the mean time.

My question to this forum is an inquiry for a similar hearing loss profile and the causes, and treatments, that you may have sought. Thank you in advance for any insight you can provide.

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They are going ask that you post your to the forum.
That will help them get a better read of what may be happening.
I was diagnosed with otosclerosis by one .
My present one says I do not have it.
You can look at my audiogram.
I have low frequency hearing loss.

Why does your audiologist think you DON’T have otosclerosis? Assuming good bone lines, that configuration looks pretty classic. Maybe because you still have good eardrum movement? But depending on where the fixation is you can have decently normal tymps. I think is a good idea.

The audiologist said that the didn’t have the characteristics of cases of otoschlerosis that she’s seen. I see an in July.

Definitely see an .

How old are you? You have a pretty decent . I wonder how much simple wear and tear plays into things.

I suffered from Cholesteotoma in childhood and it greatly effected my middle ear. the good news is that my cochlear nerves in both ears are entirely functional. folks with this sort of profile can benefit greatly from a device–bone anchored hearing aid–that bypasses the middle ear and conducts sound through the mastoid bone to the cochlear nerve. I have the Osia implant and it’s really very good. There are other designs as well.

I am 60. My hearing hasn’t degraded much at all in the last five to ten years. I figured if surgical solutions were an option, I should consider them sooner rather than later.

In reply to @Neville

Yes, seen this with Stapes fixation and normal typms.

The ISVR Southampton has also published similar with dead basilar membrane regions and ossification of the inner turns. They can reverse model them for given conditions too, rather than relying on empirical data and pathology.

Would be nice to see the data though; especially masked.

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