The sound is carried into the ear but for a variety of reasons is not transmitted to the brain in such a way that it can be understood. This type of hearing loss does not respond well to the use of hearing aids since volume is not the problem. Mixed - A mixed hearing loss is a combination of conductive and sensorineural hearing loss. Many people assume that lipreading is a natural skill that people develop to compensate for hearing loss. In reality lipreading is very difficult and does not happen easily.
Many words look alike on the mouth.
The difference occurs in the placement of the tongue or in the back of the throat, where they cannot be seen. Because of this, a person who lipreads relies heavily on sentence context and residual hearing. Often using a synonymous word will clarify the confusion because the new word is easier to lipread. There is no typical hard of hearing person. People of all ages and races can have a hearing loss.