Complete Audiological Evaluations-We perform comprehensive hearing evaluations for all age ranges. This service is used to determine the severity and type of hearing loss and/or tinnitus. It includes a series of tests including pure tone, speech, and admittance testing. It is often the first step towards determining the treatment course for a variety of hearing and balance disorders.
The Weber test is an audiometric assessment that can indicate whether a hearing loss is conductive or sensorineural. The patient is presented with a tone through bone conduction and is asked to lateralize the sound as left, right, or center. This test allows the clinician to further diagnose the nature of the patient’s hearing loss. This is critical in patients for whom the medical history does not clearly reveal the etiology of the hearing deficit, and helps to guide the medical or surgical recommendations.
Eustachian Tube Function Test: The Eustachian tube connects the ear and the throat to allow for equalization of pressure in the middle ear. The Eustachian Tube test assesses the function of this tube to ensure that the ear is equalizing normally to atmospheric pressure. This test is the only objective way to measure Eustachian tube function, particularly in the presence of normal hearing and normal admittance results.
Ultra-High Frequency Testing: The Ultra-High Frequency test requires specialized equipment and headphones to test pure tone frequencies from 9k-16kHz which are not typically tested on the standard Complete Audiological Evaluation. The Ultra High Frequencies are assessed in the cases of subjective tinnitus, ototoxic monitoring, and/or concern of hearing difficulties in the presence of normal hearing. This test gives us information about damage to the audiological system prior to any detection of hearing loss on the standard audiogram. It would be important to know this information in the treatment of tinnitus, for adjusting ototoxic medications, and the need for Aural Rehabilitation.
Otoacoustic Emissions Testing- is a physiological assessment of the inner ear. Echoes from the sensory organ for hearing are being monitored to determine cochlear function. This test aids in the diagnosis of the degree and type of hearing loss and is especially useful in estimating hearing loss in difficult to test populations.
Auditory Brainstem Response Testing is a physiological assessment of the auditory nerve and hearing structures within the brainstem. It can aid in the differential diagnosis of cysts or tumors on or within the neural auditory pathway. It is also used to estimate levels of hearing in difficult to test or unreliable patients. Potentials from the auditory pathway are being monitored through superficial electrodes placed on the skin and ears.
Central Auditory Processing Testing is an interactive assessment of central auditory function. In some cases hearing levels may not be the cause for communication or hearing difficulties. There are times where the brain is aware that there is sound but the message may not be clearly processed at the level of the brain. In these cases, this testing may be indicated to help guide rehabilitation.
Tinnitus Evaluations- assessment of the patient's tinnitus is made through a series of tests to determine the best course of treatment for tinnitus relief.
Videonystagmography is used to aid in the diagnosis of a variety of balance disorders. Through the use of video goggles we are able to closely monitor eye movements to help in the differentiation of peripheral and central balance disorders helping to guide further assessment and/or treatment. The patient will be given a list of instructions to follow prior to the day of testing.
Electrocochleography Testing is a physiological assessment of the inner ear to aid in the diagnosis of endolymphatic hydrops and/or Meniere's disease. Action potentials from the cochlea are being monitored through superficial electrodes placed on the skin and ears.
Vestiular Evoked Myogenic Potential Testing is a physiological assessment of the inner ear to aid in the diagnosis of semicircular canal dehiscence. Muscular potentials from the sternocleidomatsoid muscle are being monitored through superficial electrodes placed on the forhead and neck.
Fistula Testing is a way of diagnosing Perilymphatic Fistula of the inner ear through the use of video eye goggles and pressure testing. This helps to guide in the treatment of the dizzy patient.
Aural Rehabilitation is the form in which we rehabilitate hearing loss and hearing disorders. We are set up to fit and counsel patients with a wide range of hearing devices including; traditional hearing aids, assistive listening devices, tinnitus devices, bone anchored hearing aids, middle ear implants, and cochlear implants. We also perform Aural Rehabilitation therapy through counseling and the Listening and Communication Enhancement (LACE) program by Neurotone.