WHO defines hearing loss as not being able to hear as well as someone with normal hearing hearing thresholds of 25dB or better in both ears. (1) Hearing loss can either be congenital or acquired. Of the acquired hearing losses, earphones induced hearing loss belongs to the noise induced sensorineural hearing loss category, which are mostly occupationally (machinery etc) or recreationally (personal audio devices, nightclubs) acquired. Approximately, 20-30 million people between 20 and 69 years old have high frequency hearing loss due to longstanding exposure to noise above 90 decibels (dB) mostly due to mobile phone and earphones use (2). Hearing loss is usually assessed by pure-tone audiometry. This is done by evaluating hearing at particular frequencies, or to evaluate deficits more completely. Pure-tone audiometry is performed with the use of an audiometer. Audiometers held by hand have a sensitivity of 92 percent and a specificity of 94 percent in detecting sensorineural hearing loss. Recent studies report that the individuals who use earphones present with decreased otoacoustic emissions amplitude as compared to those who do not use earphones despite having a normal hearing degree in the tonal audiometry (5). Studies have shown that most MP3 players today can produce sounds up to 120 dB and that long-term cell phone use to hear music may cause damage in the inner ear (6).