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Hearing is complex, requiring a series of actions and reactions to work. The process involves many parts of the ear working together to convert sound waves into information the brain understands and interprets.
Sound waves enter the ear canal and travel toward our eardrums.
The sound waves cause the eardrum and bones in the middle ear to vibrate.
Tiny hair cells inside the cochlea, the sensory organ of the ear, convert these vibrations into electric impulses that are picked up by the auditory nerve.
At birth, each typical ear has about 12,000 sensory cells, called hair cells, which sit on a membrane that vibrates in response to incoming sound. Each frequency of a complex sound maximally vibrates the membrane at one location. Because of this mechanism, we hear different pitches within the sound. A louder sound increases the amplitude of the vibration, so we hear loudness.
Signals sent to the brain from auditory nerve are then interpreted as sounds.
Once the hair cells in the inner ear are damaged, permanent sensorineural hearing loss occurs.
Currently, sensorineural hearing loss cannot be restored in humans, but HHF’s researchers are working to better understand the mechanisms of hearing loss to find better treatments and cures.
More Resources
Cochlear implantation (CI) has become an increasingly common audiological solution for children with the most significant degree of unilateral hearing loss—that is, single-sided deafness (SSD)—however, highly variable outcomes are being observed with alarming rates of device nonuse.
In theory, advanced hearing aid features are laudatory for sure, but what about affordability? Aren’t advances in technology supposed to lower prices, not increase them?
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Researchers are developing an organoid-on-a-chip system to model inner ear development and explore how damaged sensory hair cells might be regenerated.
I encourage families to pay attention not only to whether a loved one can “hear,” but whether they are fully participating in life.
When the doctor confirmed I had a hearing loss, I felt like a failure. Years later, my older sister pointed out our mother felt the same way. “How did I miss that?” my mother had wailed.
Music is my passion, and honestly, losing the ability to listen to it would feel like losing my whole heart. Protecting my hearing is such a small habit for something that pays off for the rest of your life.
What I found is that veteran tinnitus is clinically distinct from civilian tinnitus due to the severity of noise exposure and the augmenting effects of post-traumatic stress disorder and blast-induced traumatic brain injury.
It took 20 years but Les Paul, who was born 111 years ago on June 9, 1915, forever changed music with his invention.
My advice for anyone starting this journey is to make sure that you know your limits so you don’t get into a situation that you can’t handle. Plus, make sure the people you’re interacting with know what you’re going through so they can help.

One of the biggest sources of encouragement during those intense months after getting Shepherd’s diagnosis was hearing the stories of other families who had walked a similar path.