Hearing and Balance

Division of Otology, Neurotology, and Skull Base Surgery

The Division of Otology, Neurotology, and Skull Base Surgery delivers expert care for hearing, balance, and facial nerve disorders, inner ear and related skull base brain tumors, and diagnosis and treatment of complex vestibular problems.

We commonly provide medical and surgical treatment of external ear infection, exostoses (surfers’ ear), eardrum perforation, cholesteatoma, inner ear sudden hearing loss and middle ear hearing losses, and otosclerosis. Some of the more frequently performed operations are tympanoplasty with ossicular reconstruction, mastoidectomy, stapedotomy/stapedectomy, and exostoses excision. We are actively involved in clinical research, including innovative treatment of Ménière's disease and tinnitus.

Areas of Expertise

Conditions We Treat

  • Bone conduction hearing devices (Baha, Ponto, and Sophono)
  • Cholesteatoma
  • Chronic Otitis Media
  • Eardrum Perforation
  • Exostoses (surfer’s ear)
  • Ménière's disease
  • Sudden hearing loss
  • Tinnitus
  • Stapedectomy

Services We Offer

Audiology and Hearing Aid Services

The Audiology Division is committed to serving adult and pediatric patients with hearing and balance related healthcare needs. UCSF Audiology provides expert and comprehensive diagnostic assessment of hearing-related disorders using proven testing methods and state of the art technology. Comprehensive treatment and management program is provided for hearing loss, hyperacusis, tinnitus and dizziness, vertigo and balance-related disorders.

UCSF Audiologists are highly skilled providers able to help you with your hearing loss and balance needs and develop an individualized treatment plan based on your lifestyle and goals. A large variety of hearing aid and assistive listening device options are available through our hearing aid dispensing program. As a referring provider, you will receive detailed reports regarding your patient visits and thorough recommendations that arise from each consultation. As a patient, you can expect to receive comprehensive and focused care, coupled with a gentle, “patient-first” experience.

Our Services

We offer a full array of audiology-related services for all of your hearing and balance needs:

  • Comprehensive hearing evaluations
  • Hearing aid precision fittings with scientifically validated approaches
  • Pediatric hearing assessments for infants and young children
  • Hearing aid evaluation, selection among state of the art technology, and dispensing
  • Electrophysiological evaluation of hearing including auditory brainstem response testing and middle latency and late evoked potential testing
  • Aural rehabilitation
  • Custom hearing protection and ear plugs
  • Bone anchored hearing aid (BAHA) evaluations
  • Comprehensive tinnitus evaluations
  • Communication and hearing enhancement counseling and strategies
  • Evaluation and treatment of hyperacusis and misophonia
  • Vestibular evoked myogenic potential testing
  • Balance and vestibular testing including videonystagmography, rotational chair evaluation and electrophysiological testing


The Douglas Grant Cochlear Implant Center

The Douglas Grant Cochlear Implant Center evaluates and treats adults and children who receive inadequate benefit from hearing aids. UCSF has been an international leader in the development and application of electrical stimulation of the auditory system to restore hearing for more than 35 years. The Cochlear Implant Team provides the most advanced technology and service to patients, including Hybrid Implants (combined electrical and acoustical hearing).

  • Cochlear implants (Cochlear, MedEl, and Advanced Bionics devices)
  • Hybrid Electrical-Acoustical Stimulation Implants

For more information, please visit Cochlear Implant Surgery.


The Balance and Falls Center

The Balance and Falls Center assesses patients to determine potential causes of vertigo, dizziness and balance problems and recommends treatment strategies. Comprehensive services include videonystagmography (VNG), electronystagmography (ENG), rotary chair testing, vestibular evoked myogenic potential (VEMP) and canalith repositioning.

  • Vertigo
  • Labyrinthitis
  • Vestibular neuritis
  • Benign positional vertigo
  • Epley maneuver
  • Videonystagmography (VNG)
  • Rotary chair testing
  • Vestibular evoked myogenic potential (VEMP)
  • Vestibular rehabilitation


Skull Base Surgery

In collaboration with Neurological Surgery, the Division specializes in skull base surgery of the posterior and lateral cranial base. UCSF is a Center of Excellence for the management of tumors, infections, and injuries of the temporal bone and related structures. Acoustic neuroma (vestibular schwannoma) and meningioma are among the most common tumors treated by our joint skull base surgery team.

  • Acoustic neuroma (aka vestibular schwannoma)
  • Meningioma
  • Superior semicircular canal dehiscence