Covering all aspects of the anatomy, physiology, diagnosis, and treatment of hearing loss, this is an accessible and comprehensive text for all clinicians interested in expanding their knowledge of hearing loss.

There have been many exciting developments in the nearly two decades since the fourth edition was published. This revised edition includes new material on cochlear biology, synaptopathy, regenerative therapy for sensorineural hearing loss, systemic causes of hearing loss such as autoimmune inner ear disease, advances in audiometry and aural rehabilitation, and many other topics. In addition, it contains expanded chapters on tinnitus, dizziness, and facial paralysis, as well as updated material on otoacoustic emissions, sudden hearing loss, hearing protection devices, temporal bone tumors, nutraceutical research, and hearing in dogs. The book is extensively augmented with case reports that illustrate important principles.

The book is of value to otolaryngologists, general practitioners, pediatricians, residents, medical students, audiologists, nurses, audiometric technicians, attorneys, and other professionals with an interest in the ear and hearing.



Robert Thayer Sataloff, MD, DMA

Professor and Chair, Department of Otolaryngology Head and Neck Surgery,

Senior Associate Dean for Clinical Academic Specialties, Drexel University College of Medicine

Adjunct Professor, Department of Otolaryngology Head and Neck Surgery,

Sidney Kimmel Medical College, Thomas Jefferson University,

Chair, American Institute for Voice and Ear Research

Philadelphia, Pennsylvania, U.S.A.


Pamela C. Roehm, MD, PhD

Professor and Vice Chair, Department of Otolaryngology Head and Neck Surgery, Drexel University College of Medicine,

St. Christopher's Hospital for Children,

Philadelphia, Pennsylvania, USA


1. Hearing Loss: An Overview

Robert T. Sataloff and Pamela C. Roehm

2.The Physics of Sound

Robert T. Sataloff and Pamela C. Roehm

3.The Nature of Hearing Loss

Robert T. Sataloff and Pamela C. Roehm

4.The Otologic History and Physical Examination

Robert T. Sataloff and Pamela C. Roehm

5.Classification and Measurement of Hearing Loss

Robert T. Sataloff and Kerrin E. Richard

6.The Audiogram

Robert T. Sataloff, Danielle Walter and Pamela C. Roehm

7.Special Hearing Tests

Robert T. Sataloff, Kerrin E. Richard and Pamela C. Roehm

8.Auditory-Evoked Phenomena: Theory and Clinical Applications

Mark T. Agrama, Robert T. Sataloff and Thomas O. Willcox

9.Conductive Hearing Loss

Robert T. Sataloff and Pamela C. Roehm

10.Sensorineural Hearing Loss: Diagnostic Criteria

Robert T. Sataloff, Skylar Drexel and Pamela C. Roehm

11.Noise Damage and Hidden Hearing Loss: Cochlear Synaptopathy in Animals and Humans

M. Charles Liberman

12.Regenerative Therapy for Sensorineural Hearing Loss: Current Research Implications for Future Treatment

Cynthia L. Chow and Samuel Gubbels

13.Sudden Sensorineural Hearing Loss

Robert T. Sataloff, Kevin Li and Pamela C. Roehm

14.Mixed, Central, and Functional Hearing Loss

Robert T. Sataloff and Pamela C. Roehm

15.Systemic Causes of Hearing Loss

Alexander J. Barna, Robert T. Sataloff and Pamela C. Roehm

16.Hearing Loss in Children

Robert T. Sataloff, Mary Hawkshaw and Pamela C. Roehm

17.Diagnosing Occupational Hearing Loss

Robert T. Sataloff and Katherine Mullen

18.Hearing Loss: Handicap and Rehabilitation

Robert T. Sataloff

19.Hearing Protection Devices

Daniel Eichorn, Brian McGovern and Robert T. Sataloff

20.Tinnitus

Robert T. Sataloff and Camryn Marshall

21.Dizziness

Robert T. Sataloff, Hye Rhee Chi and Pamela C. Roehm

22.Facial Paralysis

Robert T. Sataloff, Arianne Abreu and Mary Hawkshaw

23.Squamous Cell Carcinoma of Temporal Bone

Leona J. Tu and Robert T. Sataloff

24.Sarcomas of the Temporal Bone

Brian A. Neff and Robert T. Sataloff

25.Hearing in Dogs

D. Caroline Coile

26.Implications of Nutraceutical Modulation of Glutathione with Cystine and Cysteine in General Health and Otology

Katherine Mullen, Thomas Kwyer and Robert T. Sataloff

27. Tables Summarizing Differential Diagnosis

Robert T. Sataloff

Appendix I. Anatomy of the Ear

Appendix II. Otopathology

Appendix III. Otosclerosis, Paget's Disease, and Osteogenesis Imperfecta Involving the Ear

Appendix IV. Neurofibromatosis