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Hearing Evaluation

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What is a diagnostic hearing evaluation?

A diagnostic hearing evaluation is the first step in determining your hearing ability. This test assesses the amount of hearing loss and identifies its location along the hearing pathway.

We encourage you to bring a family member or a friend. Bringing someone with you can  provide support and help with communication. Whether you come alone or with a loved one, we will ensure you feel comfortable, supported, and heard every step of the way.

A Diagnostic Evaluation includes the following tests

Medical Review

Our audiologist will collect important information about your medical history, including any current or past health conditions, medications you are taking, and your family’s medical background. This helps ensure a comprehensive understanding of your health to provide the most effective care.

Otoscopy

An otoscopic exam is a routine procedure performed by hearing healthcare professionals to examine the ear canal and eardrum (tympanic membrane). This exam helps identify any signs of damage, infection, or obstruction that may affect your hearing health.

Air and Bone Conduction Testing

Pure-tone air conduction measures the quietest tones a person can hear at different frequencies. Bone conduction testing is similar. The results help the hearing specialist determine whether the hearing loss originates in the outer, middle ear or inner ear.

Speech Testing

Speech testing  measures speech reception and word recognition abilities. During this test, words and phrases are repeated. Testing may be performed in quiet or in the presence of background noise.

Speech-in-Noise 

The Speech in Noise (SiN) test evaluates  how well an individual understands speech in background noise. Audiologists use this test to assess  hearing sensitivity, speech perception, and how noise affects communication. This test is useful for identifying challenges in real-world environments as well as adjusting hearing aid features.

Tympanometry 

Tympanometry is a diagnostic procedure that  evaluates the middle ear function. During the test, a small probe is placed in the ear canal, which changes the air pressure and measures how well the eardrum moves in response. The test measures eardrum mobility, middle ear pressure and eustachian tube function.

Additional tests may include

Otoacoustic Emissions (OAE) 

A probe containing a microphone and speaker is inserted into the ear canal generating sound that stimulates the cochlea. This causes tiny hair cells to vibrate in response, producing a faint sound known as an otoacoustic emission. OAE testing is commonly used in newborn hearing screening.

Auditory Brainstem Response (ABR) 

Electrodes are placed on the scalp and earlobes, and clicking noises are played through headphones. The electrodes record the brainwave activity in response to these sounds, helping diagnose hearing loss, especially in infants and individuals who cannot undergo standard hearing tests.

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