Introduction: Cochlear dead zones are defined as areas where the inner hair cells have been destroyed.THRESHOLDs on the audiograms show the integrity of those parts of the ear that are tested. Care must be taken in interpretating audiograms. Thanks to the advances in understanding of cochlear functions, it is now possible to spot false responses that come from dead zones of the cochlea. Recently, cochlear dead regions have been detected via TEN (THRESHOLD Equalizing Noise) test in which ipsilateral broadband noise and THRESHOLD shifting are used.Materials and Methods: A review of the literature on the subject of dead zones published from 1993 to 2003 was performed using Pubmed, Ebsco, Science Direct, Google Scholar Thieme ProQuest databases and library sources. key word: were "cochlear dead zone", "traveling wave", "ten (THRESHOLD equalizing noise) test", "ipsilateral noise" and "real-ear measurement for hearing aids prescription".Conclusion: Hearing aids fitting process for patients with severe and sloping sensory neural hearing loss must be noted specially by amplifying active zone and avoiding amplification for dead region i.e., offering amplification to the transition frequencies that have better hearing than others, those among the fine regions and the dead zones. Dead zone detection may help in hearing aids fitting and fine tuning.