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Ch. 15 The Special Senses
Chapter 14, Problem 25

Which of the following is not a possible cause of conduction deafness? a. impacted cerumen, b. middle ear infection, c. cochlear nerve degeneration, d. otosclerosis.

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Identify the definition of conduction deafness: It is a type of hearing loss where sound waves are not effectively conducted through the outer ear canal to the eardrum and the tiny bones (ossicles) of the middle ear.
Review each option to determine if it affects the conduction of sound waves through the outer or middle ear.
Option a: Impacted cerumen (earwax) can block the ear canal, preventing sound waves from reaching the eardrum, thus causing conduction deafness.
Option b: A middle ear infection can lead to fluid accumulation or damage to the ossicles, hindering sound conduction and causing conduction deafness.
Option c: Cochlear nerve degeneration affects the nerve responsible for transmitting sound signals to the brain, which is related to sensorineural hearing loss, not conduction deafness.

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Key Concepts

Here are the essential concepts you must grasp in order to answer the question correctly.

Conduction Deafness

Conduction deafness occurs when sound waves cannot effectively travel through the outer ear, middle ear, or both. This type of hearing loss is often caused by physical blockages or damage in these areas, preventing sound from reaching the inner ear. Common causes include earwax buildup, fluid in the middle ear, or damage to the ear structures.
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Cochlear Nerve Degeneration

Cochlear nerve degeneration refers to the deterioration of the auditory nerve, which transmits sound signals from the inner ear to the brain. This condition typically leads to sensorineural hearing loss rather than conduction deafness, as it affects the nerve pathways rather than the mechanical transmission of sound. Understanding this distinction is crucial for identifying the correct causes of hearing loss.
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Common Causes of Conduction Deafness

Common causes of conduction deafness include impacted cerumen (earwax), middle ear infections (otitis media), and otosclerosis (abnormal bone growth in the middle ear). These conditions interfere with the normal conduction of sound waves, leading to hearing difficulties. Recognizing these causes helps differentiate them from sensorineural issues, such as cochlear nerve degeneration.
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