A disease of old age

The commonest cause of bilateral progressive sensory neural deafness

High-frequency hearing loss

Genetic predisposition

Associated with  tinnitus sometimes

Clinical features

The speech of others seems mumbled or slurred.

High-pitched sounds such as “s” and “th” are difficult to hear and tell apart.

Conversations are difficult to understand, especially when there is background noise.

A man’s voice is easier to hear than the higher pitches of a woman’s voice.

Certain sounds seem annoying or overly loud



Refer to ENT for hearing aid







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