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Understanding Diplacusis

Contributed by , staff writer for Healthy Hearing

Our auditory system is an amazing, complex mechanism that gathers and processes noise, then translates it into recognizable sound. At any given time, our ears are collecting a multitude of noises – dogs barking, the rumble of a neighbor’s lawn mower, birds tweeting, giggling children, the swoosh of a passing car on a nearby highway – and based on all that incoming information, our brain is making a lot of decisions.

There are many symptoms of 
diplacusis, as there are many 
types of the hearing loss
syndrome. Depending on the 
type of diplacusis an individual
suffers from, treatment may or
may not fix the issue.

For the most part, our ears hear noise at different pitches so subtly the brain distinguishes it as one sound. Yet one form of hearing loss causes some auditory systems to hear sounds so differently it creates a two-sound experience known as diplacusis.

What is diplacusis?

Hearing healthcare professionals believe diplacusis occurs when one ear develops more hearing loss than the other. There are several types:

  • Diplacusis dysharmonica is the most common type of diplacusis. It occurs when sound is perceived normally in one ear, but is heard at a different pitch in the other.
  • Diplacusis binauralis occurs when you hear the same sound differently in each ear. For example, one ear may hear a sound at a different pitch or different timing than the other.
  • Diplacusis echoica occurs when the timing of tones is slight different in each ear. As a result, you hear the same sound repeated as an echo.
  • Diplacusis monauralis occurs when one ear hears the same sound as two different sounds.

What causes diplacusis?

Those who develop diplacusis usually notice it suddenly after exposure to a loud noise, a bout with an ear infection or trauma to the head. As you can imagine, musicians notice this condition more readily than the average individual as their ears are more sensitive to pitch and tone. In addition to double hearing, individuals with diplacusis may also develop tinnitus, a ringing or buzzing noise, in the affected ear.

Diplacusis can be caused by damage to the inner ear as the result of:

Diplacusis can also be caused by an obstruction in the ear as a result of:

  • Ear infection
  • Clogged sinuses
  • Excess ear wax
  • Tumor


If your diplacusis is caused by an obstruction, your hearing may return to normal once the obstruction is removed or the infection subsides. Diplacusis caused by sensorineural hearing loss is permanent; however, may be treated with hearing aids or cochlear implants.

If you suspect you have hearing loss, make an appointment to see your hearing healthcare professional. They can examine your ears to correctly diagnose your problem and determine the best course of treatment. To find a trusted hearing healthcare professional in your community, visit our directory.

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