ABSTRACT:The paper gives an overview about two research projects, both dealing with optical head tracking in hearing applications. As part of the project "Development of a real-time low-cost tracking system for medical and audiological problems (ELCoT)" a cost-effective single camera 3D tracking system has been developed which enables the detection of arm and head movements of human patients. Amongst others, the measuring system is designed for a new hearing test (based on the "Mainzer Kindertisch"), which analyzes the directional hearing capabilities of children in cooperation with the research project ERKI (Evaluation of acoustic sound source localization for children). As part of the research project framework "Hearing in everyday life (HALLO)" a stereo tracking system is being used for analyzing the head movement of human patients during complex acoustic events. Together with the consideration of biosignals like skin conductance the speech comprehension and listening effort of persons with reduced hearing ability, especially in situations with background noise, is evaluated. For both projects the system design, accuracy aspects and results of practical tests are discussed.