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This article on singing with hearing loss is a personal account that aims to help those who have or are experiencing problems with tinnitus or partial hearing in one or both ears. Please note that the author is not a doctor or medically trained so readers are advised to seek professional advice in all matters relating to their health.

I have suffered with tinnitus ever since I can remember, mainly the 'white noise' kind but also the occassional high pitched whine or ringing sound at varying degrees of volume. Suprisingly enough this has not affected my ability to hear things clearly, except on particularly bad days so unlike some less fortunate folk, I have learned to cope with the constant background noise in my head.

Things changed dramatically when a car accident on Christmas Eve 2000 severely affected my hearing and left me with partial hearing in one ear. The ENT and ear specialist both advised that a hearing aid would be of no use and probably be more confusing to use than what was left of my natural hearing. Feeling somewhat deflated by the news, I spent the following week wondering if I would ever be able to sing again and due to my other injuries, it was over a year before I even attempted a few notes!

During this awful period, various friends and family members were constantly telling me to stop shouting during our conversations! Without realising, I was raising my naturally soft speaking voice to a much higher volume and over compensating for the loss of hearing. Something had to be done!

Over the next few months I spent time researching hearing loss along with possible solutions. There was little on the internet about the subject, but I have friends who suffer from some form of hearing disability. Each case was unique to the individual, but the inability to hear certain frequencies in their range, disorientation and occassional loss of balance appeared to be a common factor with many. We discussed various related issues like singing in tune and the loss of vocal dynamics (soft/loud), in some cases I discovered that these can be overcome!

I experimented with an old studio trick, gently plugging one or both ears with my fingers whilst singing. This increases the singers awareness of the natural reverberation that occurs in the head when the voice is used and discovered that blocking the 'bad' ear, helped in correcting pitching issues. Recording my voice at every opportunity has always been part of my vocal regime, and proved invaluable during my efforts to re-train my auditory awareness.

Ear plugs are often recommended to avoid hearing loss and simulates the 'finger in ear' effect, but not something I had previously used, so I tried using ear protectors but to little effect. This is a personal issue as am unable to tolerate anything inserted in my ear for very long as it causes my ears to itch. This is NOT due to wax build up which is something I have never experienced!

After several weeks of using the blocking and recording review process, I slowly learnt how to use the 'bad' ear again. It took a fair amount of practise to regain the natural pitch I had previously taken for granted, and still experience the odd slip in tuning!

Rehearsing with a band for the first time was initially a frustrating experience ... too many sounds going on and an inability to hear myself properly sent my tuning issues off the scale! The solution turned out to be a simple one ... turn down the volume! Sure the guys in the band whinged a bit at first, but now appreciate how rehearsing in a small room at lower volumes enables them to hear everything that is going on instead of battling against a wall of sound!

Singing on stage with the band was another adventure, by necessity the volumes were increased and it took time to become acustomed to listening with my 'inner ear' without being distracted by the other instruments. I considered using an In Ear Monitor (IEM) but these are costly and pointless to purchase considering my ears aversion to anything placed in them, besides which, I like to hear chatter from the audience and found that strategic placement of the floor monitor or working in front of the P.A. speakers worked well enough!

Despite the tinnitus and partial loss of hearing, I am fortunate to have found a way to continue singing and realise that there are many in similar situations who cannot. I hope my experiences help some of you to explore the possibilities further and encourage everyone to sing even if the result is not as you would wish it to be ;-)

This article has been written exclusively by RoXi for use by Vocalist.org.uk and may not be reproduced without the written permission of the author.

Vocal Health Kit Vocal Health Care Kit
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Hearing Sensitivity Tips on protecting hearing for singers.
Vocal Health
Vocal Health Q & A available on the FAQ

Health Links

These are just a small example of the extensive links to online information and resources we have available in the Vocal Health Links section, which contains links to anatomical and health related articles, organisations and advice for singers. (All links open in a new window).

4 Reasons Why Ear Plugs Will Improve Your Voice
Article on singing with ear plugs at Hub Pages

BUPA Hearing Loss Fact Sheet
Includes an overview of how the ear works, symptoms, causes, diagnosis and treatment of hearing loss.

Discussion on Hearing Protection
Interesting chat on using hearing protection at NineHertz.

Does Choir Singing Cause Noise Induced Hearing Loss
Article by M. Steurer, S. Simak, D.M. Denk and M. Kautzky from the Department of Otorhinolaryngology, Head and Neck Surgery, General Hospital Vienna, University of Vienna Medical School, Austria.

Hearing Impairment
This article at Wikipedia includes information on the classification, causes, management, prevention and treatments for hearing loss.

Hearing Loss and Singing
Interesting thread at Viva Voice forum for singers at The Associated Board of the Royal Schools of Music website.

Hearing Loss Anecdotes
A collection of anecdotes from singers and musicians who have suffered with hearing loss from Say What Club Online Voices.

Hearing Loss and Hearing Impairment among Baby Boomers
This article provides information on well known actors, musicians and singers like Barbra Streisand who suffer with hearing loss and/or impairment.

Hearnet.com
Hearing Education and Awareness for Rockers

HSE - Noise: Hearing Protection
Information on when and how hearing protection should be used by the Health and Safety Executive.

In Ear Monitoring for Live Vocals
Useful thread on this subject at the GearSlutz forum.

Information on hearing impairment and loss
Includes tips and advice on how to avoid hearing loss.

Loud Music and Hearing Damage
Interesting selection of articles on hearing loss in relation to musicians at Abelard public education site.

On Stage Monitoring
Comprehensive article by Gavin Harrison of Sound on Sound magazine.

RNID
The Royal National Institute for Deaf People provides information for tinnitus sufferers, hard of hearing and deaf people. Their site includes a searchable directory of uk services and a host of free factsheets and leaflets on all aspects of hearing loss, tinnitus and deafness available for download.

X-Factor Talk
Includes a thread on the forum about the contestants wearing in ear monitors.