Children with ANSD had varied degree of hearing thresholds from normal to profound hearingimpairment. All of them had ‘A’ type tympanogram with absent stapedial reflexes. DPOAEs or TEOAEs were observed in 54 % of population with ANSD. All of them had abnormal auditory brainstem responses (ABR). Replicable cochlear microphonics was observed in 46 % of children with ANSD. These results indicate that ANSD is not a rare condition among children and we emphasize theuse of objective tests like tympanometry, Stapedial Reflex test, otoacoustic emissions and ABR in routine hearing assessment procedure for all children to identify ANSD. Keywords Otoacoustic emissions Sensory neural hearing loss Auditory brainstem responses Stapedial reflexes Cochlear microphonics