A 23-year-old patient reports difficulty understanding speec…
A 23-year-old patient reports difficulty understanding speech, especially in noisy environments, despite only a mild bilateral sensorineural hearing loss. Tympanometry reveals Type A tympanograms bilaterally, acoustic reflexes are absent, otoacoustic emissions are present, and auditory brainstem responses are absent. Which of the following is the MOST likely diagnosis?
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