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Hearing Loss and Hearing Disorders

Duke’s hearing specialists provide personalized care to improve your hearing. Whether you are struggling to understand conversations, experiencing fullness or ringing in your ears, have difficulty hearing in noisy environments, or are sensitive to certain sounds, our team can provide support. We use sophisticated testing to pinpoint the cause of your hearing problem and offer a wide variety of treatments to help you hear and communicate well.

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We Treat All Types of Hearing Loss

Our team of hearing loss specialists diagnose and treat all degrees and types of hearing loss, including both conductive (which involves the external or middle ear) and sensorineural (which involves the connection between your ear and nervous system). This includes hearing loss that is sudden or related to aging, noise damage, tinnitus (ringing in the ears), and balance concerns.

We also treat conditions and disorders that can cause hearing problems, including:

Our Locations

Duke Health offers locations throughout the Triangle. Find one near you.

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Tests and Evaluation

Our audiologists use a range of tests to evaluate your hearing and identify the cause of your symptoms. A typical evaluation may include:

  • Pure tone audiometry: measures how well you hear sounds.
  • Speech testing: measures how clearly you understand spoken words.
  • Middle ear testing: evaluates eardrum and middle ear function.
  • Otoacoustic emission (OAE) testing: assesses inner ear function.


In some cases, these additional specialized tests may be recommended:

  • Auditory brain stem response (ABR) testing: measures the brain stem’s response to sounds.
  • Imaging scans: Ear, nose, and throat (ENT) doctors may recommend CT or MRI scans of the inner and middle ear structures to identify any abnormalities.

Treatments

Treatment depends on the cause of your hearing loss. Your care team will review your test results with you and help you choose the option that best fits your needs.

Hearing Aids and Assistive Listening Devices

We offer a wide range of advanced hearing aid technology to fit different lifestyles and preferences. Our audiologists help with device selection, fittings, adjustments, and follow-up care. We also offer assistive devices such as telephone amplifiers and alert systems.

Medications

Medications like antibiotics, antihistamines, or steroids can help treat underlying conditions and prevent further hearing loss.

Surgical Options

Our surgeons treat a range of ear conditions that affect hearing, including chronic ear infections, perforated eardrum, cholesteatoma, otosclerosis, and superior canal dehiscence syndrome.

Implantable Hearing Devices 

For people who do not benefit from traditional hearing aids, options such as cochlear implants or bone conduction hearing aids may help restore hearing function.

Why Choose Duke

Team of Specialists

In addition to audiologists, your care team may include otolaryngologists (ear, nose, and throat, or ENT, doctors), otologists/neurotologists (doctors specializing in diagnosis and treatment of complex ear disease and skull base tumors), and vestibular specialists.

Advanced Technology 

From diagnostic methods to surgical techniques, our experts use specialized tools to increase accuracy, boost efficiency, reduce risk, and achieve the best-possible outcomes.

Patient-Centered Approach 

We prioritize education, communication, and collaboration with you in making decisions about your hearing health.

Nationally Ranked Hospital for Ear, Nose and Throat

Where you receive your care matters. Duke University Hospital is proud of our team and the exceptional care they provide. That is why our ear, nose, and throat (ENT) program is nationally ranked among the nation's best, according to U.S. News & World Report for 2025-2026.

This page was medically reviewed on 04/23/2026 by
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