Cookie-Bite Hearing Loss: What You Need to Know



Cookie-bite hearing loss is when your audiogram results are shaped like a bell or the letter ā€œUā€ and indicates mid-range frequency hearing loss. It is a type of sensorineural hearing loss caused by damage to the inner ear or nerve that transmits auditory information to the brain. This type of hearing loss is less common compared to other types of hearing loss, such as age-related or noise-induced hearing loss.

How Cookie-Bite Hearing Loss Affects Your Hearing

Humans can hear a wide range of frequencies, ranging from low to high. However, if you have cookie-bite hearing loss, you cannot hear the sounds of mid-range frequencies between 500 Hz and 2,000 Hz. Many speech sounds and music occur in this frequency range.

However, your ability to hear low-frequency sounds, like thunder and high-frequency sounds, like birds chirping, is not affected. With normal hearing in the low and high frequencies, you can often hear people talking but may have a harder time figuring out what is being said.

Causes or Risk Factors of Cookie-Bite Hearing Loss

Cookie-bite hearing loss is often a genetic condition. It can be either congenital or may develop gradually over time. It is rare for this type of hearing loss to develop beyond genetic reasons. A rare tumor, known as acoustic neuroma or vestibular schwannoma, can lead to cookie-bite hearing loss.

Symptoms of Cookie-Bite Hearing Loss

Common symptoms are:

  • Reduced perception of speech, music, and environmental sounds
  • Raising the TV or radio volume due to reduced hearing of certain speech sounds
  • Difficulties hearing in social and crowded environments

Treatment Options

Depending on the severity of your hearing impairment, your audiologist may recommend one of the following treatment options if you have cookie-bite hearing loss:

Hearing Aids

Hearing aids are considered to be the best solution for this type of hearing loss. Anyone suffering from cookie-bite hearing loss can benefit from wearing hearing aids. They can help restore loudness of mid-frequency sounds, enabling you to communicate with more competence and confidence. A wide range of hearing aids is available for you to choose from. Visit your audiologist to discuss the available options and choose the one that suits your lifestyle and budget.

Making Adaptions

Adapt according to the situation. By making a few simple changes, you can improve your ability to understand conversations. For example, in a restaurant, classroom, or at a social gathering, sit closer to the person who is speaking and make sure you can see their faces. Move away from noise sources that can compete with the voice you are trying to hear.

Cookie-bite hearing loss can worsen over time; therefore, do not delay your treatment. If you suspect that you have cookie-bite hearing loss, schedule an appointment today with Dr. Chris Hoffmann to receive the best hearing care treatment.


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Chris Lin Hoffmann

Dr. Chris Hoffmann is an audiologist who has been involved in hearing sciences for over 20 years. Her passion for helping people with their hearing led her to establish Hoffmann Audiology hearing clinic. Dr. Hoffmann has more than 14 years of clinical knowledge in hearing testing, hearing aid fittings, and aural rehabilitation.