Presbycusis is the loss of hearing that gradually occurs in most individuals as they grow older. Hearing loss is a common disorder associated with aging. The loss associated with presbycusis is usually greater for high-pitched sounds. For example, it may be difficult for someone to hear the nearby chirping of a bird or the ringing of a telephone. However, the same person may be able to hear clearly the low-pitched sound of a truck rumbling down the street.

Avoiding constant or continuous exposure to loud noises can help protect your hearing and prevent gradual hearing loss. It is not a reversible condition so prevention is important.
  • Symptoms
  • Feeling unsteady

    or Spinning dizziness

    • Recurrent

    • Precipitated by head movement

    or Difficulty hearing

    • Chronic

    • Both ears

    • Progressive



    Ringing in ears

    • Both ears

    • One ear

  • Risk factors
  • Exposure to loud noise

    Recurrent otologic infections


    Use of aminoglycoside

    or Chemotherapy

  • Treatment
  • Most patients with significant age-related hearing loss will benefit from use of a hearing aid. Cochlear implantation is utilized for hearing loss refractory to hearing aids. Assistive listening devices and auditory rehabilitation may also be helpful in the management of presbycusis. Interventions to improve hearing are particularly important in older patients with dementia because hearing impairment further exacerbates cognitive impairment and functional decline in these individuals.
  • Recommended specialist
  • If you have Presbycusis, then a visit to an ENT specialist is recommended.

    Contact an

    ENT specialist

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