Hearing is an essential sense of an individual, which is crucial for verbal communication and social living. With increasing noise pollution, ototoxic drugs, ototoxic chemicals the incidence of old age deafness is on increase. WHO estimates 360 million individuals in the world have disabling hearing loss, of which 91% are adults and only 9% are children. [1] Disabling hearing loss is >40 dB hearing loss in better ear in a person above the age of 15 years and >30 dB in better ear below the age of 15 years. [2] The noise, diabetes, cervical spondyliosis, hypertension, hypothyroidism, obesity, sinusitis, Eustachian tube dysfunction ototoxicity of drugs and chemicals are the few which aggravate the age related sensorineural deafness (presbyacusis). Noise induced hearing loss is 100% preventable, but once the patient had it, is for life time. [3]