Soft sounds (tones) of various pitches are played to the patient through headphones or a bone conducted headphone. The patient responds with a button push to indicate that they have detected the tone. The aim of this test is to ascertain the softest sound the patient can hear (their hearing threshold)
Soft sounds (tones) of various pitches are played to the child through headphones or a bone conducted headphone. The child is taught to respond by playing a game; pushing a car down a race track, hitting a peg with a hammer, etc. The aim of this test is to ascertain the softest sound the child can hear (their hearing threshold)
Otoscopy describes the visual inspection of the pinna (outside part of the ear), the ear canal, and the tympanic membrane (eardrum).
Tympanometry is a test of the outer (ear canal) and middle ear system (eardrum and ear bones). Primarily it attempts to detect the movement of the tympanic membrane (eardrum). The test involves placement of a soft earplug in the ear, pressure and a humming sound are present throughout the test. The test is not painful.
This test aims is utilised to assess the hearing and facial nerve pathways but can also add to the investigation of the middle ear system (eardrum and ear bones). The same equipment is used as in tympanometric assessment.
A soft earplug is placed in the ear and holds a constant pressure whilst loud sounds are played to the patient. The test is not painful, however some patients find the sounds uncomfortably loud; let your audiologist know if the sounds are getting uncomfortable and the test can be discontinued.
Speech sounds, words or sentences are played through a headphone or speaker to the patient. The patient responds by repeating the word or pointing to the corresponding word or picture on a response board. Background noise is utilised in some cases to make the testing more difficult.
This test helps the audiologist to understand the functional impairment suffered by the paitient, to get a better idea of how much impact the hearing loss is likely to have on the patients everyday life.
The test is also useful for confirming pure tone audiometry assessment results and detecting pathology of the hearing nerve
Questionnaires and patient interview often assist an audiologist to understand the impact of hearing loss on a patients life.
Both formal self-report questionnaires and informal discussion can provide important information about a patients hearing health and guide an audiologist in the most appropriate way to tackle the condition.
Advice is provided about amplification options.
Many companies are linked to particular manufacturers and preferentially or solely deal with one group of products. Evidence Based Audiology is a private practice without manufacturer ties and you can therefore be assured of non-biased advice on what is the best option for you.
Importantly; advice should provided in an evidence based manner, without "pressure to buy".
Even high quality hearing aids may provide minimal benefit if they are not fitted correctly.
Choosing the correct; device, style, earmould, and aeration vent are all important factors.
To obtain the best fit complex measurements must be made on the clients ears to ensure that the hearing aids are fitted close to prescriptive targets.
A hearing aid or implantable device makes up only a part of the process of hearing rehabilitation.
Clients must be counselled on how to maintain and utilise the device to obtain the maximal benefit.
Auditory training may also be utilised to obtain maximal benefit. This might include the use of speech/speech in noise training and practice utilising tactics in a simulated listening environment.
A variety of implantable solutions are available for those who fit candidacy criteria.
Some patients will benefit from implantable bone conduction devices which send the sound through vibration in skull to the inner ear. Trail of such devices can be arranged prior to implantation to ensure this option is right for you.
Referral for cochlear implantation can be made in those patients who fit candidacy criteria (usually, but not limited to, those with severe to profound hearing loss).
More informaiton is available on the "Information" page.
There are a range of products which can be used either in conjunction with or instead of hearing aids. Advice on which products would best suite the patients needs can be supplied as appropriate.
Examples include; wireless microphone systems, amplified phones, wireless TV headphones, vibrating alarm clocks, flashing light alerts for the doorbell/fire alarm, etc.
Exposure to loud sound can be dangerous to your hearing health.
Monitoring of hearing, advice about noise reduction strategies including earmuffs, custom earplugs and musicians plugs is available.
For those with perforated eardrums or grommets (tubes through the eardrum) preventing water from entering the middle ear space is important for the health of the ear.
Custom made, float-able earplugs in a range of colours can be provided as needed.