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Therefore, if a person has a Class 2 or 3 reverse-slope loss, it is imperative that their hearing be tested to at least 16,000 Hz.(and preferably to the highest frequency they can hear), and to the softest sound they can hear, in order to properly diagnose their reverse-slope loss.

(Back to Table of Contents) There are a number of causes of reverse-slope losses, but the two most common causes seem to be certain genetic (hereditary) abnormalities and Meniere’s Disease.

(Back to Table of Contents) When people think of causes of reverse-slope losses, typically they think about Meniere’s disease.

(Back to Table of Contents) Reverse-slope hearing losses are not common.

Most people with reverse-slope losses tend towards the milder form, but I have run across a few people with severe to extreme forms like mine.

(Back to Table of Contents) Probably the most common cause of reverse-slope hearing losses, particularly in Classes 2 and 3, is of genetic origin.

Hereditary losses seem to run in our families more often than not.

They commonly go by strange names such as ski-slope loss, cookie-bite loss, flat loss, reverse cookie-bite loss and reverse-slope (or reverse curve) hearing loss.

(My article Kinds of Hearing Losses explains these different hearing losses and illustrates the various shapes they form on audiograms.) By far the most common kind of hearing loss is the typical ski-slope loss where the line on the audiogram slopes downto the right.

In the previous examples, both Ella’s and Diane’s hearing losses only range 30 d B between their worst and best frequencies.

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