Diplacusis: When your hearing is in stereo

A black background with a woman who is hearing things in stereo and suffering from diplacusis.

The world was rather different millions of years ago. This steamy, volcano-laden landscape is where the long-necked Diplacusis roamed. Diplacusis was so big, thanks to its long tail and neck, that no other predators were a threat.

Actually, Diplodocus is the long-necked dinosaur from the Jurassic Period. When you’re hearing two sounds at the same time, that’s a hearing condition known as diplacusis.

Diplacusis is an affliction which can be challenging and confusing causing difficulty with communication.

Perhaps you’ve been hearing some unusual things

Typically, we think of hearing loss as our hearing getting muted or quiet over time. According to this idea, over time, we simply hear less and less. But sometimes, hearing loss can manifest in some peculiar ways. One of the most fascinating (or, perhaps, frustrating) such manifestations is a condition called diplacusis.

What is diplacusis?

So, what’s diplacusis? The meaning of the medical term diplacusis is basically “double hearing”. Typically, your brain takes information from the right ear and information from the left ear and joins them harmoniously into a single sound. That’s what you hear. The same thing occurs with your eyes. If you put a hand over your right eye and then a hand over your left eye, you see slightly different images, right? Your ears are the same, it’s just that usually, you don’t notice it.

When your brain can’t successfully integrate the two sounds from your ears because they are too different, you have this condition of diplacusis. You can develop diplacusis because of the hearing loss in one ear (called monaural diplacusis) or both ears (binaural diplacusis).

Two forms of diplacusis

Different people are impacted differently by diplacuses. However, there are typically two basic forms of diplacusis:

  • Diplacusis echoica: With this, what you hear will seem off because your brain gets the sound from each ear out of sync with the other rather than hearing two different pitches. This could cause echoes (or, rather, artifacts that sound similar to echoes). This can also cause challenges with regard to understanding speech.
  • Diplacusis dysharmonica: This form of diplacusis happens when the pitch of the right ear and the pitch of the left ear seem off. So the sound will be distorted when somebody speaks with you. One side might sound high-pitched and the other low-pitched. This can make those sounds difficult to understand.

Symptoms of diplacusis

Here are a few symptoms of diplacusis:

  • Phantom echoes
  • Hearing that seems off (in timing).
  • Off pitch hearing

Having said that, it’s useful to view diplacusis as similar to double vision: Yes, it can produce some symptoms on its own, but it’s normally itself a symptom of something else. (In other words, it’s the effect, not the cause.) Diplacusis, in these cases, is most likely a symptom of hearing loss. Consequently, if you experience diplacusis, you should probably schedule an appointment with a hearing specialist.

What are the causes diplacusis?

In a very general sense (and probably not surprisingly), the causes of diplacusis align quite nicely with the causes of hearing loss. But there are a few particular reasons why you could develop diplacusis:

  • Earwax: Your ability to hear can be affected by an earwax obstruction. Whether that earwax forms a partial or full obstruction, it can lead to diplacusis.
  • An infection: Ear infections, sinus infections, or even normal allergies can cause your ear canal to become inflamed. This swelling is a common immune response, but it can impact how sound waves travel into your inner ear (and subsequently your brain).
  • Noise-related damage to your ears: If you’ve experienced enough loud sounds to damage your hearing, it’s possible that the same damage has resulted in hearing loss, and as a result, diplacusis.
  • A tumor: Diplacusis can, in rare cases, be the result of a tumor in your ear canal. Don’t panic! They’re normally benign. But you still should speak with us about it.

Obviously, diplacusis and hearing loss have many of the same common causes. This means that if you’re experiencing diplacusis, it’s likely that something is impeding your ability to hear. Which means you have a good reason to see a hearing specialist.

Treatments for diplacusis

The treatments for diplacusis differ based on the underlying cause. If you have a blockage, treating your diplacusis will focus on clearing it out. But irreversible sensorineural hearing loss is more often the cause. In these cases, the best treatment options include:

  • Hearing aids: The correct pair of hearing aids can neutralize how your ears hear again. Your diplacusis symptoms will slowly fade when you take advantage of hearing aids. It’s important to get the correct settings on your hearing aids and you’ll want to have us assist you with that.
  • Cochlear implant: In circumstances where the hearing loss at the root of diplacusis is profound, a cochlear implant might be the only way to get relief from the symptoms.

All of this begins with a hearing assessment. Here’s how you can think about it: whatever type of hearing loss is the source of your diplacusis, a hearing exam will be able to establish that (perhaps you simply think things sound weird at this point and you don’t even recognize it as diplacusis). Modern hearing tests are quite sensitive, and good at finding discrepancies between how your ears hear the world.

Life is more fun when you can hear clearly

Getting the appropriate treatment for your diplacusis, whether that’s a hearing aid or something else, means you’ll be more capable of participating in your daily life. Conversations will be easier. It will be easier to stay in tune with your family.

Which means, you’ll be able to hear your grandchildren tell you all about what a Diplodocus is, and you (hopefully) won’t have any diplacusis to get in the way.

If you think you have diplacusis and want to get it checked, call today for an appointment.

The site information is for educational and informational purposes only and does not constitute medical advice. To receive personalized advice or treatment, schedule an appointment.

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