by Neil Bauman, Ph.D.
A mother wrote:
I read your article on the Internet concerning sudden sensorineural hearing loss (SSHL). My daughter lost her hearing in her right ear when she was 12 years old. We believe it was due to a virus. The Doctor told us at the time, that she could have an implant but to wait because in about 10 years a new treatment would be available. He said a shot was being developed that would stimulate the nerve endings to “grow” and she would get her hearing back. I have yet to find any information about this treatment on line. Have you ever heard of it? My daughter is just finishing her first year of college now. She has learned to live with the deafness of her right ear, but still remembers the new treatment the Doctor told her about, and if possible, would like to have it done.
Your doctor was being pie-in-the-sky optimistic. What he was talking about back then is basically hair cell regeneration, and now 7 or 8 years later it is still 20 or 25 years away if it ever happens, according to the researchers I have talked with. There are no guarantees that all the research they are doing will ultimately prove successful, or even successful enough to begin human trials. At this time, they are moving ahead in the belief that their research will ultimately prove successful. Maybe when your daughter is 40 or 50 it will be available. But it certainly isn’t here yet.
Because your daughter has normal hearing in one ear, she isn’t eligible for a cochlear implant in her deaf ear. However, there are three special kinds of hearing aids that can help her overcome her single-sided deafness.
First, there are CROS aids. These special hearing aids basically take the sound from the deaf side of the head and route it to the good ear. That is why they are called CROS aids—which stands for “Contralateral Routing Of Sound”. You can learn more about CROS aids in my short article called “What are CROS and Bi-CROS Hearing Aids?“.
Second, there is the BAHA (Bone Anchored Hearing Aid). In this case, a titanium post is screwed into the mastoid bone behind the ear, and when it heals, a “hearing aid” is snapped on to this post. The amplified sounds vibrate this post which passes these sounds to the good ear via bone conduction. You can learn more about the BAHA here.
Third, the newest kid on the block is the TransEar hearing aid. This is a BTE (behind-the-ear) hearing aid with a difference. You wear it on your deaf side. The TransEar has a special ear mold with a miniature oscillator embedded in it. The ear mold fits tightly in the ear canal and vibrates the skull bone, thus passing these sounds to the good ear via bone conduction, much like the BAHA does. You can learn more about the TransEar here.
In addition to these three devices, there are a number of “tricks” a person with single-sided deafness can use to help them hear better. For example, in meetings and classes, the person should sit to the side of the room so that their deaf ear is towards the wall. That way their good ear hears into the whole room. No one can then talk from their deaf side. In like manner, if possible, they should arrange their office so that people have to approach and speak to them from their hearing side.
Graciela Lopez says
Dr. Bauman, is there financial help that I can access to help with a hearing aid, specifically the TransEar?
I would appreciate any info. It’s been about 12 years that I lost all my hearing in the left ear and I still mourn over the loss. Please help!
Neil Bauman, Ph.D. says
Hi Graciela:
I’m not aware of help for people that have normal hearing in one ear. If you can show that by not hearing with that ear affects your ability to find and keep a job, then the department of vocational rehabilitation (or whatever name they use in your state) may help you. I think that’s where I’d start.
Cordially,
Neil
Ralph Braly says
Dr. Bauman; what is the range of cost for a “Trans Ear” aid?
Neil Bauman, Ph.D. says
Hi Ralph:
I really don’t have a clue since I do not dispense hearing aids. But I would think it would be comparable to other hearing aids.
Cordially,
Neil
Matthew J says
Dr Bauman , Frequency therapeutics will launch a human trial in 18 months to test its new medicament. and other companies are saying that hair cells regeneration will be available in 3 to 5 years after many new findings. is this true?
Neil Bauman, Ph.D. says
Hi Matthew:
They have been saying that hair cell regeneration is just around the corner for the past decade or more, and its still not here yet–so take those prognostications with a big grain of salt. Yes, they are getting closer, but even when they do human trials, they still have some years before it is ready for the general public. So I’d say that 5 years is pretty optimistic–but not impossible.
Be aware that many human trials are aborted because serious side effects show up or the desired benefit doesn’t materialize.
And even if the desired benefit does show up, will it be good hearing, or just tinnitus? Furthermore, if you only gain 10 dB of hearing, is it worth it?
Also, you don’t want to be among the first to get any new treatment in case there are other serious side effects that don’t show up right away. Remember, we are talking about gene therapy and who knows what the additional genes might do to other parts of your body. Those side effects may not show up for a couple of decades or more. Thus, you still want to be careful.
Cordially,
Neil