A simple and effective speech in noise test is described with clinical
findings for patients with normal hearing, cochlear and retrocochlear
pathologies and auditory dysacusis. The test utilizes material readil
y available in Audiology and ENT Departments. It was possible to obtai
n useful diagnostic information in patients who complain of hearing lo
ss, but who demonstrate normal audiometric thresholds and normal speec
h in quiet discrimination.