Audiology

As a multidisciplinary practice, our Doctors of Audiology work in collaboration with our ENT and Allergy providers to determine the best course of treatment for each patient. Our Audiologists are specifically trained to identify, diagnose, rehabilitate and monitor disorders of the hearing and balance system for patients of all ages. If you are being treated by one of our ENT or Allergy providers, you may be referred to an Audiologist for further testing and consultation to help aide in your diagnosis.

Common conditions

Hearing loss

Hearing loss is common and can occur for many different reasons ranging from inner-ear nerve damage to earwax buildup. Hearing loss can also vary in severity, in order to assess the level of hearing loss you are experiencing, our Audiologists will conduct hearing tests and assess your results.

People who have hearing loss may experience the following symptoms:

  • Difficulty understanding everyday conversation
  • A feeling of being able to hear but not understand
  • Having to turn up the TV or radio
  • Trouble hearing while on the phone
  • Asking others to repeat often
Tinnitus

Tinnitus is the perception of sound when no actual external noise is present. While it is commonly referred to as "ringing in the ears," tinnitus can manifest many different perceptions of sound, including buzzing, hissing, whistling, swooshing, and clicking. Tinnitus can occur in one or both ears and can be both an acute (temporary) condition or a chronic (ongoing) health ailment.The U.S. Centers for Disease Control estimates that nearly 15% of the general public - over 50 million Americans - experience some form of tinnitus. Tinnitus can vary in severity and though most people have a relatively mild form of it, it can have a big impact on their quality of life.

Conditions that might cause tinnitus include:

  • Hearing loss (age related or noise induced)
  • Temporomandibular joint disorder (TMJ)
  • Drugs or medicines that are toxic to hearing
Vertigo

Vertigo creates the false sense that you or your surroundings are spinning or moving. It is often caused by a problem with the inner ear. Vertigo is often triggered by a change in the position of your head.

Benign paroxysmal positional vertigo (BPPV) or positional vertigo: A brief, intense episode of vertigo triggered by a specific change in the position of the head. You might feel as if you're spinning when you bend down to look under something, tilt your head to look up or over your shoulder, or roll over in bed.

Symptoms of Vertigo:

  • Feeling off balance
  • Nausea & vomiting
  • Abnormal eye movement
  • Ringing in ears
Dizziness and Other balance disorders

Dizziness is a term used to describe a range of sensations, such as feeling faint, woozy, weak or unsteady. These feelings may be triggered or worsened by walking, standing up or moving your head.

A balance disorder is a condition that makes you feel unsteady or dizzy. If you are standing, sitting, or lying down, you might feel as if you are moving, spinning, or floating. If you are walking, you might suddenly feel as if you are tipping over.

Everyone has a dizzy spell now and then, but the term "dizziness" can mean different things to different people. For one person, dizziness might mean a fleeting feeling of faintness, while for another it could be an intense sensation of spinning (vertigo) that lasts a long time.

Meneire's disease

Meniere's disease is an inner ear disorder thought to be caused by a buildup of fluid and changing pressure in the ear. Meniere's disease can occur at any age, but it usually starts between young and middle-aged adulthood. It's considered a chronic condition, but various treatments can help relieve symptoms and minimize the long-term impact on your life.

Signs and symptoms of Meniere's disease include:

  • Recurring episodes of vertigo
  • Hearing loss
  • Ringing in the ear (tinnitus)
  • Feeling of fullness in the ears

Services Provided

Complete Audiologic Evaluation (CAE)

This is a painless and non-invasive hearing test with headphones. The CAE is a standard hearing test performed in a booth free of outside noises and distractions.

What To Expect During A Routine Hearing Exam:

The Audiologist will look in your ear canals to check for excessive wax, redness or infection using an otoscope. Immittance Testing will then be conducted to determine how well your eardrum is moving and will measure the reflexive responses of the middle ear muscles. Next, the Audiologist will place headphones or insert soft foam earbuds in your ears and perform Pure-Tone Audiometry where you will be asked to listen and respond to a series of tones at different pitches and volumes. Finally, Speech Audiometry will be conducted, for this part of the test the Audiologist will either use a recorded or live speech word list. You will be asked to repeat the words that you hear.

Symptoms That Warrant This Exam:

  • Age-related hearing loss
  • Pediatric hearing testing
  • Loud noise exposure (work or recreationally)
  • Tinnitus (ringing in ears)
  • Sudden hearing loss
  • Ear infections
Brainstem Evoked Response Test (BSER Aka Auditory Brainstem Response (ABR))

This is a non-invasive computerized method of examining the pathway of the auditory nerve from the cochlea (inner ear) to the brainstem.

What To Expect During The Exam:

The Audiologist will have you sit in a chair and place two (2) electrodes on your forehead and soft foam gold tip earbud in your ears. The lights will be shut and you will be asked to listen to a series of sounds but no response is needed from you. The computer will be recording the response and the Audiologist will analyze the data.

Symptoms That Warrant This Exam:

  • Tinnitus
  • Vertigo
  • Dizziness
  • Sudden hearing loss
  • Asymmetric hearing loss

ECochG

This test is an addition to the BSER exam and is utilized when Meniere's Disease is suspected as a diagnosis. The ECochG Test may be done in conjunction with a BSER exam.

Symptoms That Warrant This Exam:

  • Tinnitus
  • Vertigo
  • Dizziness
  • Sudden hearing loss
  • Asymmetric hearing loss

Videonystamography/
Electronystamography
(VNG/ENG)

This exam uses video goggles or electrodes placed around the eyes in order to exam the vestibular system within the inner ear.

What To Expect During The Exam:

The Audiologist will have you sit in a chair or on a table. Depending on the equipment available in the office, video goggles or electrodes will be placed on your eyes. You will be asked to follow a series of lights with your eyes; you will be asked to move your head into different positions; and finally, the Audiologist will use an air irrigator to blow air into the ear to measure the response of the vestibular system within the inner ear.

Symptoms That Warrant This Exam

  • Vertigo
  • Dizziness
  • Imbalance
  • Suspicion of Meniere's Disease or other vestibular disorders

Services Provided

Complete Audiologic Evaluation (CAE)

This is a painless and non-invasive hearing test with headphones. The CAE is a standard hearing test performed in a booth free of outside noises and distractions.

What To Expect During A Routine Hearing Exam:

The Audiologist will look in your ear canals to check for excessive wax, redness or infection using an otoscope. Immittance Testing will then be conducted to determine how well your eardrum is moving and will measure the reflexive responses of the middle ear muscles. Next, the Audiologist will place headphones or insert soft foam earbuds in your ears and perform Pure-Tone Audiometry where you will be asked to listen and respond to a series of tones at different pitches and volumes. Finally, Speech Audiometry will be conducted, for this part of the test the Audiologist will either use a recorded or live speech word list. You will be asked to repeat the words that you hear. 

Symptoms That Warrant This Exam:

  • Age-related hearing loss
  • Pediatric hearing testing
  • Loud noise exposure (work or recreationally)
  • Tinnitus (ringing in ears)
  • Sudden hearing loss
  • Ear infections
Brainstem Evoked Response Test (BSER Aka Auditory Brainstem Response (ABR))

This is a non-invasive computerized method of examining the pathway of the auditory nerve from the cochlea (inner ear) to the brainstem.

What To Expect During The Exam:

The Audiologist will have you sit in a chair and place two (2) electrodes on your forehead and soft foam gold tip earbud in your ears. The lights will be shut and you will be asked to listen to a series of sounds but no response is needed from you. The computer will be recording the response and the Audiologist will analyze the data.

Symptoms That Warrant This Exam:

  • Tinnitus
  • Vertigo
  • Dizziness
  • Sudden hearing loss
  • Asymmetric hearing loss
ECochG

This test is an addition to the BSER exam and is utilized when Meniere's Disease is suspected as a diagnosis. The ECochG Test may be done in conjunction with a BSER exam.

Symptoms That Warrant This Exam:

  • Tinnitus
  • Vertigo
  • Dizziness
  • Sudden hearing loss
  • Asymmetric hearing loss
Videonystamography/ Electronystamography (VNG/ENG)

This exam uses video goggles or electrodes placed around the eyes in order to exam the vestibular system within the inner ear.

What To Expect During The Exam:

The Audiologist will have you sit in a chair or on a table. Depending on the equipment available in the office, video goggles or electrodes will be placed on your eyes. You will be asked to follow a series of lights with your eyes; you will be asked to move your head into different positions; and finally, the Audiologist will use an air irrigator to blow air into the ear to measure the response of the vestibular system within the inner ear.

Symptoms That Warrant This Exam:

  • Vertigo
  • Dizziness
  • Imbalance
  • Suspicion of Meniere's Disease or other vestibular disorders

WHAT TO EXPECT

If you are receiving diagnostic testing for a balance disorder, a follow up appointment may be scheduled to note the progress of your condition in conjunction with your rendered treatment plan set forth by the ordering ENT or Allergist. For patients which hearing loss is identified, counseling is available to help these individuals make educated choices for the remediation of their hearing impairments, including arrangements for hearing aid evaluations and fittings if required. A wide variety of options for hearing aids and other assistive listening devices are available at select locations. Regardless of your needs, our Audiology team is committed to making you Feel Better and Hear Better.

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