- Building on the results of your assessment, our Audiology specialists will share the best hearing device to suit you, carry out a style consultation and set up a session to give you advice about managing your hearing.
- Our specialists will talk about the way you currently manage your hearing. We’ll then assess the physical health of your ears and test what you can hear.
The Hearing Evaluation
The purpose of a complete diagnostic hearing assessment is to determine if a hearing problem exists. If it does, appropriate recommendations for medical referral, hearing aid use, assistive listening devices or other options will be discussed.Evaluating one’s hearing involves close detail and accuracy to clinical diagnostics and equally important, respect and compassion, to one’s care. We begin with talking and sharing to learn of your hearing, health, and work history. These details can offer a valuable understanding of a potential cause of hearing loss. In addition, a very thorough assessment is conducted to inspect the ear and ear canal. An up close view of the eardrum can offer a history of previous ear infections or perforations in the eardrum. We perform inner ear assessments with Otoacoustic Emissions (OAE). (Interesting fact, Ohio is the first state in the US to initiate an infant hearing screening program with OAE’s). The middle ear is assessed with Tympanometry and Acoustic Reflexes.Once in the sound room, we assess the hearing system with air and bone conduction and speech discrimination. We most certainly spend appropriate time to review the findings, review recommendations and solutions, and allow plenty of time for questions and answers. Finally, we communicate these results to your referring physician.
The audiogram is a graph showing the results of the pure-tone hearing tests. It illustrates the type, degree, and configuration of hearing loss.
The frequency or pitch of the sound is referred to in Hertz (Hz). The intensity or loudness of the sound is measured in decibels (dB). The responses are recorded on a chart called an audiogram that shows intensity levels for each frequency tested.
Pitch or Frequency
Each vertical line from left to right represents a pitch, or frequency, in Hertz (Hz). The graph starts with the lowest pitches on the left side and moves to the very highest pitches (frequencies) tested on the right side. The range of frequencies tested by the audiologist are 125 Hz, 250 Hz, 500 Hz, 1000 Hz, 2000 Hz, 3000Hz, 4000 Hz, and 8000 Hz.
Examples of sounds in everyday life that would be considered “low-frequency” are a bass drum, tuba, and vowel sounds such as “oo” in “who.”
Examples of sounds in everyday life that would be considered “high-frequency” are a bird chirping, a triangle being played, and the consonant sound “s” as in “sun.”
Loudness or Intensity
Each horizontal line on the audiogram from top to bottom represents loudness or intensity in units of decibels (dB). Lines at the top of the chart (-10 dB and 0 dB) represent soft sounds. Lines at the bottom of the chart represent very loud sounds.
Examples of sounds in everyday life that would be considered soft are a clock ticking, a voice whispering, and leaves rustling.
Examples of sounds in everyday life that would be considered loud are a lawnmower, a car horn, and a rock concert.
If we were to compare “normal conversational loudness level” (typically 60 dB) with whispering (typically 30 dB), we’d say that whispering is softer than conversation.
On the audiogram, the pattern of hearing loss (configuration) and degree are recorded. For example, your hearing might be normal in the low pitches while you have hearing loss in high pitches. In this case, you might hear speech, but it would sound muffled and unclear. If you have hearing loss at all pitches, you might have difficulty hearing any speech.
The audiologist uses a red O to indicate the right ear and a blue X to record the left ear. The farther down the audiogram the Xs and Os appear, the worse the hearing.