Hearing Health Guide
Definition
The speech banana is a curved, banana-shaped region overlaid on an audiogram chart that marks where the sounds of everyday conversational speech typically fall, both in pitch (frequency, measured in Hz) and loudness (measured in dB HL). Audiologists plot a person's hearing thresholds against this region to show, at a glance, which speech sounds a person can and cannot hear comfortably. It gets its name from its shape: wider on the left where vowel sounds cluster, narrowing on the right where quieter, high-frequency consonants sit.
Speech sounds aren't evenly distributed across the audiogram. Vowels (a, e, o) tend to be lower in pitch and louder, so they cluster in the lower-frequency, lower-dB part of the chart. Consonants, especially unvoiced ones like s, f, th, and k, sit higher in frequency and are much softer.
When you plot every common speech sound this way, the region they occupy curves down and narrows toward the high-frequency side. That curve is the banana.
On a standard audiogram, frequency (Hz) runs left to right and loudness (dB HL) runs top to bottom, with quieter sounds at the top. If your plotted thresholds fall inside the banana at a given frequency, you can typically hear that speech sound at normal conversational volume.
If your thresholds fall below or outside the banana, especially on the right side, the softer high-frequency consonants become difficult or impossible to hear clearly, even though louder, lower-pitched vowels still come through fine.
This pattern explains a common complaint: hearing that someone is talking but not being able to make out the words. High-frequency consonants carry most of the information that distinguishes similar-sounding words, so losing access to that part of the banana affects clarity more than volume.
This is also why simply turning up the volume, on a TV or in conversation, doesn't fully solve the problem for many people with high-frequency hearing loss. The vowels get louder, but the missing consonants stay just as hard to distinguish.
Common Questions