What are the causes of deafness in the right ear?

Nov 27, 2025 Source: Cainiu Health
Dr. Lu Cheng
Introduction
Dysfunction of the right eustachian tube leads to fluid accumulation in the middle ear cavity, obstructing sound conduction and resulting in hearing loss accompanied by aural fullness and tinnitus. Treatment should follow medical advice and may include administration of enteric-coated Eucalyptus and Limonene soft capsules, Cefuroxime Axetil tablets, and Mometasone Furoate Nasal Spray, along with eustachian tube inflation therapy to promote fluid drainage. Seek prompt medical attention if ear pain, pus discharge, or sudden hearing loss occurs, to prevent worsening of the condition.

Generally, right ear hearing loss may be caused by factors such as foreign body blockage in the external auditory canal, temporary noise exposure, sudden sensorineural hearing loss, secretory otitis media, suppurative otitis media, or acoustic neuroma. If you have concerns, it is recommended to seek medical consultation promptly. Specific analyses are as follows:

1. Foreign body blockage in the external auditory canal: Dust, earwax (cerumen), or small foreign objects entering and accumulating in the right external auditory canal can block the sound conduction pathway, leading to hearing impairment. A physician should remove the object using specialized instruments. If the cerumen is particularly hard, sodium bicarbonate ear drops can be used first to soften it before removal. Avoid cleaning the ears independently in daily life to prevent ear canal injury.

2. Temporary noise exposure: Prolonged exposure to high-decibel environments or sudden intense noise can temporarily damage auditory cells in the right ear, resulting in hearing loss. Immediately leave the noisy environment and allow the ears adequate rest. Avoid further noise exposure so that auditory cells can gradually recover their function. No specific medication is usually required.

3. Sudden sensorineural hearing loss: Sudden hearing loss in the right ear may result from impaired blood circulation in the inner ear or viral infection, often accompanied by tinnitus and vertigo. Physicians may recommend treatments such as Ginkgo biloba extract injection, mecobalamin tablets, or dexamethasone sodium phosphate injection, along with hyperbaric oxygen therapy to improve inner ear blood supply based on the individual condition.

4. Secretory otitis media: Dysfunction of the Eustachian tube in the right ear leads to fluid accumulation in the middle ear cavity, obstructing sound transmission and causing hearing loss, often associated with a sensation of ear fullness and tinnitus. Treatment should follow medical advice and may include enteric-coated eucalyptus oil and pinene soft capsules, cefuroxime axetil tablets, or mometasone furoate nasal spray. Eustachian tube inflation procedures may also be performed to promote fluid drainage.

5. Suppurative otitis media: Bacterial infection causes purulent inflammation in the middle ear cavity of the right ear, damaging middle ear structures and leading to hearing loss, often accompanied by ear pain and pus discharge. Treatment typically involves prescribed medications such as ofloxacin ear drops, amoxicillin-clavulanate potassium tablets, or cefixime dispersible tablets. If a tympanic membrane perforation fails to heal over time, surgical tympanoplasty may be necessary.

In daily life, avoid prolonged exposure to noisy environments and control both volume and duration when using headphones. Seek prompt medical attention if experiencing ear pain, pus discharge, or sudden hearing loss to prevent worsening of the condition.

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