Medical Specialties

At the Center for Neurosciences, we work together across specialties to provide the best, most comprehensive approach to treatment.

Mixed Hearing Loss

Mixed hearing loss occurs when a conductive hearing loss happens at the same time as a sensorineural hearing loss. Mixed hearing loss means multiple parts of the ear are affected and there may be damage to the outer or middle ear, as well as the inner ear or auditory nerve. Causes of mixed hearing loss depend on the areas of the ear that are affected. For example, if you have an age-related sensorineural hearing loss but also have fluid in your middle ear from an ear infection, this would be considered a mixed hearing loss.

Our highly skilled audiologists will evaluate and diagnose mixed hearing loss through a comprehensive audiologic evaluation. This includes pure tone testing (air and bone conduction), speech audiometry, word recognition testing, acoustic reflexes and tympanometry. Our audiologists will counsel you on your hearing loss and review treatment options. Treatment of mixed hearing loss depends on the cause of the hearing loss; however, options may include medical or surgical intervention, conventional hearing aids, bone anchored hearing aids, and cochlear implants. Our audiologists will counsel you on your hearing loss and review treatment options.

Why Choose Us

  • Dr. Abraham Jacob, Medical Director for Ear & Hearing (E&H) at the Center for Neurosciences (CNS), is fellowship trained in Otology, Neurotology, and Cranial Base Surgery. He is the first and most experienced Neurotologist recruited to Southern Arizona.
  • Dr. Jacob was a founding member of the University of Arizona (UA) Department of Otolaryngology prior to his departure and transition to CNS. At UA, he was Vice Chair of ENT and held the rank of full Professor with Tenure. He was also founding Director of the UA Ear Institute.
  • Dr. Jacob transitioned his practice to the Center for Neurosciences in early 2017 as he felt that the new environment helped to optimize delivery of personalized ear and lateral skull base care.
  • Surgery designed to improve/restore hearing may be an option for some disease states, and an Otologist/Neurotologist like Dr. Jacob performing the procedure optimizes results. His specific training and experience in ear surgery – implantable hearing technologies, ear drum/ear canal reconstructions and manipulation of the ossicular chain (hearing bones) – minimizes complications and maximizes benefit. A full array of aural rehabilitation technologies is also offered, including state-of-the-art hearing aids for those electing to forego surgery.
  • Our highly-skilled Doctors of Audiology, Stephanie Bourn, AuD, CCC-A and Mary Rose Goldstein, AuD, CCC-A, strive to provide you with accurate information regarding your hearing status, promote understanding of your hearing and communication needs, increase your knowledge of evidence-based management and/or treatment options, and introduce you to the hearing health tools that can maximize your quality of life reducing the negative impact of hearing disorders.