Hearing Testing
Human Hearing
Most humans hear sounds in the range of 20 to 20,000 Hz. Sensitivity vary as a function of frequency, with sounds in the middle frequencies being heard well.
HEARING/AUDIOLOGICAL TESTINGS
PURE TONE AUDIOMETRY / AUDIOGRAM
- Degree of hearing loss (How much problem).
- Types of hearing loss (Where is the problem).
- To Rule out Retrocochlear and Cochlear pathology.
IMPEDENCE AUDIOMETRY (Interaacoustic, Zarmany)
- To rule out middle ear pathology.
- To rule out cochlear sensitivity loss or VIII nerve disorder.
- Ipsilateral VII nerve lesion.
- Evoked stapedius reflex test for cochlear implant.
SPEECH AUDIOMETRY
Provides information about hearing handicap. Problem maybe worse than indicated by pure tone average (PTA) for the speech frequencies.
- Useful to determine candidacy for hearing aid.
- A very poor result, out of proportion to PTA, suggests probable retrocochlear cause of hearing loss.
- SRT
- SDT (PBmax100)
- SAT
- UCL
Behavioral Observation Audiometry (BOA)
Conditioning Audiometry
- To know aided response.(With hearing aid and cochlear implant)
- For smaller children.
Oto Acoustic Emission (OAE) - (Biologic Company, USA)
- To rule out hearing loss in newborn.
- To rule out inner ear pathology.
Brainstem Evoked Response Potential (BERA) - (Biologic Company, USA)
- To know site of lesion.
- Fully automatic & computerized test.
- Threshold estimation
Multiple Auditory Steady-State Response (ASSR) - (Biologic Company, USA)
- Objective Audiometry.
- Fully automatic and computerized
Electrocochleorgraphy (ECochG) - (Biologic Company, USA)
- Diagnosis of Meniere's disease.
- Differential diagnosis.
Objective and subjective fitting of all companies of digital hearing aid- (Swiss & USA combine technology)
- Objective fitting gives accurate fitting in children as per earcanal length.
- It care overamplification and prevents further damage due to overamplification.
Mapping & Telemetry
- Mapping & Telemetry available for all three companies of Cochlear implants.