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Sensorineural hearing loss
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==Signs and symptoms== Since the [[inner ear]] is not directly accessible to instruments, identification is by patient report of the symptoms and [[Audiometry|audiometric]] testing. Of those who present to their doctor with sensorineural hearing loss, 90% report having diminished hearing, 57% report having a plugged feeling in ear, and 49% report having ringing in ear ([[tinnitus]]). About half report vestibular (vertigo) problems.{{citation needed|date=February 2023}} For a detailed exposition of symptoms useful for screening, a self-assessment questionnaire was developed by the [[American Academy of Otolaryngology–Head and Neck Surgery|American Academy of Otolaryngology]], called the Hearing Handicap Inventory for Adults (HHIA). It is a 25-question survey of subjective symptoms.<ref>{{Cite journal |vauthors=Newman CW, Weinstein BE, Jacobson GP, Hug GA |date=October 1991 |title=Test-retest reliability of the hearing handicap inventory for adults |journal=Ear and Hearing |volume=12 |issue=5 |pages=355–7 |doi=10.1097/00003446-199110000-00009 |pmid=1783240}}</ref>
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