COVID-19 and Hearing Loss

November 15, 2021
A close up of a woman 's ear with a virus coming out of it.

What preliminary research is revealing


We all have many self-care choices we make daily: wearing a seatbelt, eating a healthy diet, exercising, attending to spiritual well-being, getting an annual physical, meditating, and the list goes on. The reality is that each day, we may face new obstacles in maintaining our personal well-being as well as encounter new ways that allow us to live life to the fullest. We have more resources and more technology available to us than at any other time in human history. So, when we are faced with new challenges, how do we approach our dedication to self-care? How do we adjust when the landscape around us is constantly changing? These certainly are appropriate questions during a year filled with upheaval as the entire world has been rocked by the COVID-19 pandemic. The current health crisis requires us to digest brand new or updated information quickly and make choices to mitigate risk to ourselves and those around us in order to stay safe and well.


Our knowledge about this strain of coronavirus seems to be increasing exponentially each week with information about how a person’s body is affected while the virus is active and after the person has recovered. Dr. Megan Johnson, audiologist and owner of Johnson Audiology, said, “Evidence continues to emerge showing the wide-ranging effects COVID-19 can have on the body’s organs and systems, and it is looking like our ears and sense of hearing may also take a hit from this monster of a virus.” Preliminary research is beginning to suggest that COVID-19 may have lasting negative impacts on neural and auditory pathways, which in turn can lead to hearing loss. 


So what does this have to do with self-care? Johnson Audiology’s Dr. Kari WIckstrom shared, “It is estimated that 48 million Americans have significant hearing loss with 22 million Americans exposed to dangerous levels of sound in the workplace. That’s a little more than 14% of the total population who can’t hear all of the sounds they once heard.” In addition, Americans wait an average of seven years before addressing hearing loss. Dr. Whitney Smith with Johnson Audiology noted, “That’s seven years of a gradually decreasing quality of life, increased risk of harm and hospital stays because of falls since balance is linked to inner ear health, frustration, loneliness. Plus, without the stimulus of sound, your brain ‘forgets’ how to hear, making it even harder to adjust to hearing aids when someone finally addresses hearing loss.” These statistics make it clear that when it comes to self-care, many people minimize hearing and hearing loss. Johnson Audiology’s Dr. Susan Porter observed, “Interestingly, the pandemic has shone a light on many people’s hearing loss, making it impossible to ignore. As we all don face masks to stay safe and compliant, those with hearing loss are forced to confront how much they were lip reading. Now that people’s mouths are covered, the person with hearing loss is really struggling.” So, in the midst of a global pandemic attributed to a virus that is showing no signs of slowing down, it becomes even more important to stay vigilant about addressing your physical self-care, including your hearing.

A group of people wearing face masks are sitting at a table.

Preliminary research is starting to be published. For example, in a recent study conducted at South Valley University in Egypt1, a group of patients who were asymptomatic and tested positive for COVID-19 were monitored for two weeks. They ranged in age from 20-50 and presented no known symptoms of the virus, nor did they have any known hearing loss prior to testing positive. This age group was chosen specifically to avoid those with age-related hearing loss. After the two weeks of testing, it was found that the hair cells inside the ear’s cochlea (the seashell-shaped structure that is part of the inner ear and allows us to hear) showed signs of damage, and response to high frequency sounds was significantly reduced. While this test group had no symptoms of the virus, it is important to note that there is still much to learn about the underlying effects of the virus being present in the body, even among those who are asymptomatic. 


In another case, a patient in Hannover, Germany was admitted to the hospital with symptoms of COVID-192. The patient was in the Intensive Care Unit for 13 days during his battle against the virus. Prior to contracting COVID-19, the patient was in good health and had no known hearing loss. After his treatment in the ICU, the patient presented as completely deaf on his right side and with profound hearing loss on his left side. MRI’s showed the patient had suffered from inflammation in and around the cochlea. This inflammation can lead to the cochlea becoming solidified like bone, no longer flexible and functioning. 


Additionally, in most cases of the treatment of symptoms and the effects of COVID-19, the drugs commonly used in fighting the virus can be toxic to the ear and/or the nerves connected to the ear. Doses of certain drugs are known to cause hearing loss and create complications throughout the ear and the functions that the ear provides. It is these drugs, however, that are necessary to treat the symptoms of many known viruses, like COVID-19, as well as various bacterial infections. 


Many unknowns exist with the presence of a new virus or disease, and it can take years to fully understand its origins and its lasting effects. In a time of so much uncertainty, but also so much emphasis on self-care, why not address your hearing loss now? Audiologist Darnell Scafe, with Johnson Audiology, suggested asking these questions: “Are there certain sounds that you have noticed you can’t quite hear as well as you used to? Do you find yourself frustrated in crowded situations because you are always asking people to repeat what was said? Are you struggling in public settings because people are wearing face masks, and you can no longer read their lips? She encouraged, “As the landscape of self-care and health care are ever-changing, why not change your approach to caring for your ears?”


Many things can affect our ears and contribute to hearing loss. They range from exposure to loud sounds, to side effects of drugs, or the emergence of a new strain of virus into our environment. And while many types of hearing loss are irreversible, technology continues to advance in ways that make hearing loss something that can be treated and hearing health improved. Dr. Johnson cautioned, “Don’t wait. Address your hearing loss at first onset so that you can enjoy years of sounds, conversations and being an active participant in your own life. Contact Johnson Audiology and begin a partnership with our team of audiologists that will put you on the path to healthy hearing.”


Notes:

1: ASHA Staff, COVID-19 May Damage Hearing Cells Even in Patients Without Symptoms, (https://leader.pubs.asha.org/do/10.1044/leader.RIB1.25062020.14/full/ )

2: Chantel Degen, MD, Thomas Lenarz, MD & PhD, Kirsten Willenborg, MD, Acute Profound Sensorineural Hearing Loss After COVID-19 Pneumonia, (Hannover Medical School, Hannover, Germany, https://www.mayoclinicproceedings.org/article/S0025-6196(20)30596-6/pdf)

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October 7, 2026
The restaurant was loud. Music played in the background, conversations filled the room and Karen Marcus was seated with a group of coworkers. For much of her life, this was exactly the kind of setting that made communication difficult. But this time, something remarkable happened: Karen could understand the person sitting across the table. “That just blew my mind,” she recalled. It may sound like an ordinary conversation, but for Karen, it represented something much bigger. She was not trying to piece together fragments of sentences or repeatedly asking someone to start over. She was simply sitting at the table, following the conversation and being part of the moment. A Lifetime of Working to Hear Karen was born with hearing loss. As she grew older, her hearing continued to decline, making conversations increasingly difficult. Social situations could leave her feeling uneasy before they even began. She might have to ask “What?” again and again, misunderstand what someone said or miss the conversation completely. “It was frustrating and embarrassing, even though it shouldn’t be,” Karen said. Her family and coworkers understood her hearing loss and tried to help by facing her when they spoke so she could read their lips. That support mattered, but communication still required effort. A restaurant, meeting or group conversation could quickly become overwhelming. Karen wanted to hear more clearly, but she also wanted something deeper: the confidence to participate without constantly worrying about what she might miss. Discovering What Was Possible Karen eventually received a cochlear implant and a compatible hearing aid. Before her implant was activated, she read about the experiences of other cochlear implant recipients and joined several online support groups. She wanted to understand what the process might be like and what she could realistically expect. Once her implant was activated, those possibilities began to become real. “Seeing those expectations come to realization, it has just been an amazing journey,” she said. The change became especially clear during that evening at the restaurant. Surrounded by music and competing voices, Karen could understand someone seated across the table—one of the most challenging listening situations for many people with hearing loss. Karen is careful not to describe the result as perfect hearing. Instead, she measures it against what life sounded like before. “I’m not going to exaggerate and say that it’s perfect,” she said. “But based on what it was before and what it is now, it’s light-years ahead.” Better Hearing in Everyday Life The difference extends beyond one memorable conversation. Karen can stream cellphone calls directly into her hearing devices, making it easier to understand the person on the other end. Television audio can also stream to her devices, helping her follow programs without struggling to catch every word. For conferences, presentations and other situations when a speaker may be farther away, Karen uses a Roger assistive listening device. During one tour, the guide clipped the Roger microphone to their collar. Even from approximately 20 feet away, Karen could hear the guide without difficulty. These features are not simply conveniences. They help Karen stay involved in her work, enjoy everyday activities, and communicate with greater confidence. “My new hearing devices have really helped with my confidence because I can hear so much better,” she said. “Overall, I just feel more normal, if you will.” A Team Celebrating Every Step Technology has played an important role in Karen’s progress, but so has the care surrounding it. Karen describes Dr. Hannah Dearth and Dr. Katie Brown as encouraging, patient, and kind throughout her cochlear implant journey. As her hearing improved, they celebrated each new milestone alongside her. “When I got my cochlear implant, every time I made progress, they were cheerleading me on,” she said. She also remembers what happened after she purchased a new iPhone and could not get it working properly with her hearing devices. The Johnson Audiology team initially emailed instructions, but when Karen still had difficulty, they invited her to come into the office. Christian, a Johnson Audiology, audiology assistant, patiently reviewed the settings on her phone and made sure everything was connected correctly. “He didn’t make this Boomer feel silly that I was needing all this technical help,” Karen said. That experience reflects what Karen values most about the team: she never feels rushed or dismissed. “They always answer all of my questions and make me feel like I am their one and only patient for the entire day,” she said. More Than Hearing Better Karen’s journey has not been about achieving perfect hearing. It has been about discovering how much more may be possible with the right combination of technology, professional care and continued support. For Karen, progress sounds like a phone call streaming clearly into her hearing devices. It sounds like a tour guide speaking from 20 feet away. It sounds like music playing in a busy restaurant—and still being able to understand the person across the table. Most of all, it feels like greater confidence and a renewed ability to participate in the personal and professional moments that matter to her. “I feel so fortunate to have been connected with Johnson Audiology,” Karen said. “Everything has been so wonderful on this journey to better hearing.” Karen will soon share more of her experience in an upcoming Johnson Audiology patient testimonial video. Watch for the opportunity to hear her story in her own words.
September 9, 2026
Artificial intelligence is becoming a bigger part of hearing aid technology. Today’s hearing aids can use advanced sound processing to help identify speech, manage background noise, adapt automatically to different environments, and make listening more comfortable. That has led to a common question: Which AI hearing aid is the best? The answer is not as simple as choosing one brand or model. Different manufacturers use AI in different ways, and the technology that works best for one person may not be the best fit for someone else. What Does “AI Hearing Aid” Mean? In general, AI-powered hearing aids use advanced processing to analyze sound and decide how the hearing aid should respond. Depending on the device, that may include: Identifying speech in noisy environments Reducing unwanted background noise Prioritizing certain voices Adjusting automatically as surroundings change Improving comfort in complex listening environments Supporting clearer phone calls and streaming While many manufacturers use similar terms, the technology behind those features can work very differently. Are All AI Hearing Aids the Same? No. Different manufacturers may focus on different listening challenges. One system may emphasize helping the wearer follow speech in a crowded restaurant. Another may focus more on preserving awareness of the surrounding environment. Others may prioritize personalization, automatic adjustments, connectivity, or listening comfort. So even though two hearing aids may both be described as “AI-powered,” they may create very different listening experiences. The better question is: How well does that technology match the situations where you need the most help? 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Someone who spends a lot of time in restaurants, meetings, and group settings may have different priorities than someone who spends most of their time in quieter environments. Your lifestyle and technology preferences. Work, travel, hobbies, phone use, streaming, recharge-ability, device style, and ease of use can all influence which hearing aid feels like the best fit. Your hearing goals. Ultimately, the most important question is what you want your hearing aids to help you do more comfortably and confidently. Does Newer AI Automatically Mean Better Hearing? Not necessarily. New technology can offer meaningful improvements, but the newest hearing aid is not automatically the best choice for every person. A device may have impressive features but still not match your hearing loss, lifestyle, or preferences. That is why professional selection and fitting remain so important. The technology itself is only one part of the process. 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