Testing

Exceptional technology provided with extraordinary care.

Schedule a Consultation

Testing

Exceptional technology provided with extraordinary care.

Schedule a Consultation

What to expect when you visit our office

Our goal is to solve your problem. We administer a battery of tests to help us to figure out what might be wrong. We take pride in listening to your questions and value open communication with our patients. Please don’t hesitate to ask questions during your visit, we’re here to provide answers. 

Detailed Case History

What we find during our testing is almost as important as the information you provide us before we even begin a balance or hearing test.

Otoscopic Examination

We exam the outer ear and the ear canal to check for anything out of the ordinary that may influence our findings.

Immittance Testing

This part of a hearing test will tell us how the eardrum, the middle part of your ear including the bones in the middle part of the ear are working.

Acoustic Reflex & Decay Testing

These are non-invasive tests that help us to determine the health of the middle ear and a portion of the auditory system past the cochlea.

Hearing Tests

Whether or not you have a hearing loss is important.  But it’s also important to establish a baseline for the future.

Otoacoustic Emissions Testing

The otoacoustic emissions (OAE) test is used to find out how well your inner ear, or cochlea, works. It measures the sounds given off by the inner ear when responding to a sound.

Video Otoscopy

An easy and comfortable examination, video otoscopy involves inserting a tiny fiber-optic camera into the ear canal. A real-time video will be displayed on a TV like monitor

Auditory Brainstem Response Testing

An auditory brainstem response (ABR) test is a safe and painless test to see how the hearing nerves and brain responds to sound.

Learn more about hearing loss

We’ve found that our patients truly want to better understand as much as they can about hearing and hearing loss.  We’re glad we can be a resource for information.

1. Is there a link between hearing loss and age?
There is a strong relationship between age and reported hearing loss: 18 percent of American adults 45-64 years old, 30 percent of adults 65-74 years old, and 47 percent of adults 75 years old or older have a hearing loss.
2. Does exposure to loud noise impact your hearing?
Approximately 15 percent (26 million) of Americans between the ages of 20 and 69 have high frequency hearing loss due to exposure to loud sounds or noise at work or in leisure activities.
3. Is it possible to lose your hearing suddenly?
Approximately 4,000 new cases of sudden deafness occur each year in the United States. Hearing loss affects only 1 ear in 9 out of 10 people who experience sudden deafness. Only 10 to 15 percent of patients with sudden deafness know what caused their loss.
4. Who is the typical person suffering from tinnitus?
Of adults ages 65 and older in the United States, 12.3 percent of men and nearly 14 percent of women are affected by tinnitus. Tinnitus is identified more frequently in white individuals and the prevalence of tinnitus is almost twice as frequent in the South as in the Northeast.
5. Are there different types of hearing loss?

Types of Hearing Loss

There are four commonly recognized different types of hearing loss:

  • Conductive
  • Sensorineural
  • Mixed
  • Central
Conductive Hearing Loss

A conductive hearing loss occurs when sound is not conducted efficiently through the ear canal, eardrum, or through the tiny bones of the middle ear.  This results in a reduction of the loudness of a sound. Common causes of a conductive hearing loss include:

  • Trauma to the ear
  • Fluid in the middle ear
  • Excessive wax in the outer ear canal
  • Outer ear infection
Sensorineural Hearing Loss

Often referred to (in error) as “nerve deafness” a sensorineural hearing loss is caused by damage to the hair cells in the cochlea. These cells cannot be repaired or replaced. Common causes of sensorineural hearing loss include:

  • Exposure to loud noises
  • The aging process
  • Viral Infections
  • Trauma to the ear
  • Medications that are toxic to the ear

Typically a sensorineural hearing loss is permanent and irreversible.  The only solution for most people with a sensorineural hearing loss to improve their ability to hear is to use hearing aids.

Mixed Hearing Loss

Some people have both a conductive and a sensorineural hearing loss.  A combination of the two different types is referred to as a mixed hearing loss. For example, a mixed loss can occur when someone has a sensorineural hearing loss and develops fluid in their middle ear causing a conductive hearing loss. They may notice a decline in their ability to hear as a result of the temporary change in their hearing caused by the conductive hearing loss.  Once the conductive hearing loss is resolved, their hearing levels should return to the level it was prior to the conductive hearing loss.

Central Hearing Loss

Our outer and inner ears allow us to “hear” sound, but the brain, allows us to “understand” sound.  Various medical issues can cause our processing of auditory stimuli to breakdown causing a central hearing loss also known as an auditory processing disorder. Persons with a central hearing loss can hear sound but have difficulty with understanding or processing what they heard. When a central hearing loss is suspected, there are tests that can be done to determine if a hearing loss is due to a central auditory processing problem.

Causes of Hearing Loss

Hearing loss occurs when sound is blocked in any of the three areas of the ear. The most common cause of hearing loss and one of the most preventable is exposure to loud noises. Infections, both of the ear or elsewhere in the body, are also a major contributor to hearing loss.

Other causes of hearing loss include:

Presbycusis: Age-related hearing loss, such as having difficulty hearing in noisy places, having trouble understanding what people are saying or not registering softer sounds.

Heredity and Genetic Causes: There is a wide variety of diseases and syndromes that are either genetic or hereditary that can cause hearing loss including rubella (German measles), Treacher Collins Syndrome, Usher Syndrome, Waardenburg Syndrome and otosclerosis (growth of spongy bone tissue in the middle ear).

Statistics

Noise & Hearing Loss

18% of adults aged 20-69 have speech-frequency hearing loss in both ears from among those who report 5 or more years of exposure to very loud noise at work, as compared to 5.5 percent of adults with speech-frequency hearing loss in both ears who report no occupational noise exposure.

Hearing Loss in the United States

One in eight people in the United States (13 percent, or 30 million) aged 12 years or older has hearing loss in both ears, based on standard hearing examinations.

Men Versus Women

Men are almost twice as likely as women to have hearing loss among adults aged 20-69.

Who Could Benefit From Hearing Aids?

Among adults aged 70 and older with hearing loss who could benefit from hearing aids, fewer than one in three (30 percent) has ever used them. Even fewer adults aged 20 to 69 (approximately 16 percent) who could benefit from wearing hearing aids have ever used them.

 

Don't Wait Any Longer. Start Your Path to Better Hearing Today!

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Exton, PA 19341

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