What is 'Hidden Hearing Loss' and how is it treated?

Audiologist in Lexington

24 April 2017 - 2.88K Views

Hidden Hearing Loss is the term used to desribe a condition where someone exhibits difficulty hearing where the typical hearing test, the audiogram, does not indicate an actual hearing deficit.  More commonly, a person with Hidden Hearing Loss may have difficulty hearing in noise and may perform perfectly well in quiet listening situations.  The proposed origin is in the connection of the nerve cells with hair cells of the of inner ear.   Damage to the ear from repeated noise exposure may be a possible cause. 

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Thijs T
Thijs T 25 April 2017
Maybe this article will help: link
Consumer Member
Consumer Member 05 February 2018
Yes, and in spite of all this knowledge, albeit new, every single ENT or audiologist I've seen says they can't help me, can't "explain" my hearing loss and make me feel like I'm a moron.
Consumer Member
Consumer Member 29 August 2018

I an currently suffering from hidden hearing, i just left an hearing office and the technician said, there is nothing he can do for me. So what can i do? I can't hear anithing when is other people or background noises. And it is a struggle to live like this asking everyone to please repeat what they say 3 or 5 times, because i cant hear them. Please help what to do?

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08 May 2017 - 2.81K Views

A hidden hearing loss is caused by noise that has damaged the nerve cells that connect the cochlea in the inner ear to the brain and the nerve cells’ ability to send information to the brain is reduced. The brain then receives lesser and poorer information from the ear. A hidden hearing loss is a type of hearing loss that cannot be measured by the most common hearing tests and for people with hidden hearing loss, their audiogram looks as it does for someone with normal hearing.

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Consumer Member
Consumer Member 05 February 2018
Correct, and once the ENT/audiologist sees the "normal" result, they then tell you there is nothing they can do for you. Is your office different? Do you have suggestions? I am beyond frustrated after seeing several doctors who blow me off.


Consumer Member
Consumer Member 24 April 2017
Thank you. That corresponds with the info I found in an article, but did not offer any advice on treatment (remedy). Do you know how it should be treated?
Todd G
Todd G 24 April 2017 Replied to Consumer Member
Sure. You could use an assistive listening device with remote microphone to reduce the effects of distance and competing noise on conversation. Hearing aids with directional microphones that are set at low levels might be the better option.
Julie N
Julie N 24 April 2017 Replied to Consumer Member
You may want to consider getting tested for Central Auditory Processing Disorder. Depending on what the results show, you may be benefit from auditory training and/or assistive listening devices.
Consumer Member
Consumer Member 22 November 2017
'Hidden hearing loss' is getting confused with 'Auditory Processing Disorder', which is age related, and simply due to the inability of the brain to separate speech from background noise. Until hearing aid have the computing power to filter out background noise - which typically includes reverberation or echo - the only help comes from assistive hearing devices or, in public spaces, the use of an induction coil (hearing loop). I have no difficulty hearing if the speaker speaks direct into a microphone, connected to a properly installed loop.
Consumer Member
Consumer Member 05 February 2018 Replied to Consumer Member
I've heard of this too, but at 39, I doubt I have "Auditory Processing Disorder". The first ENT mentioned that and blew me off to an allergist...I hope you get some good answers and some help. I have not, so far.
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