FAQ

Audiologists are healthcare professionals who evaluate, diagnose, and treat hearing loss and other auditory conditions like tinnitus and balance disorders. Audiologists also provide valuable insight and products to help you prevent hearing loss, like protective custom earplugs. Audiologists are trained to work with all ages, from newborns to the elderly, however some do specialize in certain age groups or conditions.

Speech-Language-Hearing Association (ASHA), otherwise known as the CCC-A. With additional training and expertise, the audiologist may receive the Honor of Fellow, which is awarded by the American Academy of Audiology (AAA).

Common services and treatments provided by an audiologist include:

Diagnostic hearing tests
Audiologic evaluations
Tinnitus treatment programs
Hearing loss prevention and protection programs
Hearing aid fittings and consultations
Aural rehabilitation
Hearing aid repairs and maintenance
Pediatric hearing loss detection and treatment
Earmold and earplug fitting and consultation
Custom musicians earplugs and monitors
Dizziness and balance testing and treatment
Hearing rehabilitation and auditory training
Cochlear implant candidacy evaluations and implant programming

Typically, it takes individuals an average of seven years to seek treatment. If you have any the following symptoms, consider visiting an audiologist:

Hearing mumbling when people are speaking to you
Asking people to repeat what they said
Frequently complaining that people mumble
Needing to ask others about the details of a meeting you just attended
Playing the TV or radio louder than your friends, spouse or relatives
Not hearing the doorbell or the telephone
Missing the sounds of nature
A ringing sound in your ears

If you exhibit symptoms of hearing loss, you should see an audiologist to have a formal hearing evaluation. This hearing test, or audiologic evaluation, is diagnostic and allows the audiologist to determine the type and degree of your hearing loss. There will also be a hearing test that evaluates your sensitivity, acuity and accuracy to speech understanding.

Results of the hearing evaluation are plotted on a graph called an audiogram. The audiogram provides a visual view of your hearing test results across various pitches or frequencies, especially the ones necessary for understanding speech. The audiogram and results from your speech understanding tests are used to create a prescription by which hearing aids are programmed, if necessary.

The results of your hearing test are plotted on a chart called an audiogram. Loudness is plotted from top to bottom. The top of the graph is very quiet and the bottom of the graph is very loud. Frequency, or pitch, from low to high, is plotted from left to right. Hearing level (HL) is measured in decibels (dB) and is described in general categories. The general hearing loss categories used by most hearing professionals are as follows:

Normal hearing (0-25 dB HL)
Mild hearing loss (26-40 dB HL)
Moderate hearing loss (41-70dB HL)
Severe hearing loss (71-90 dB HL)
Profound hearing loss (greater than 91 dB HL)

There are three main types of hearing loss and each can be caused by different factors and require different hearing aid technology and features to have the best listening experience. The three types of hearing loss include:

Sensorineural hearing loss: When the problem is in the inner ear or a problem with the auditory nerve, a sensorineural hearing loss is the result. This commonly occurs from damage to the small hair cells, or nerve fibers, in the auditory system. Sensorineural hearing loss is the most common type of hearing loss in adults and accounts for more than 90 percent of hearing loss in all hearing aid wearers. The most common causes of this hearing loss are age-related changes and noise exposure. Loss may also result from disturbance of inner ear circulation, increased inner ear fluid pressure or from disturbances of nerve transmission. There are many excellent options for the patient with sensorineural hearing loss.

Conductive hearing loss: When there is a problem in the external or middle ear, a conductive hearing loss occurs. Conductive hearing loss develops when sound is not conducted efficiently through the ear canal, eardrum or tiny bones of the middle ear, resulting in a reduction of the loudness of sound that is heard. Conductive losses may result from earwax blocking the ear canal, fluid in the middle ear, middle ear infection, obstruction of the ear canal, perforation (hole) in the eardrum membrane or disease of any of the three middle ear bones. Individuals with conductive hearing loss can benefit from hearing aids, medical implants, medication or surgical options.

Mixed hearing loss: When there are problems in the middle and inner ear, a mixed hearing impairment is the result. Because mixed hearing loss involves both sensorineural and conductive hearing loss, treatment options from hearing aids to surgery depends on the nature of the impairment and the symptoms experienced.

Hearing loss in children can occur at any time in life from acquired factors such as ear infections, head trauma, certain medications and genetic factors. You may suspect your child has a hearing loss if you observe any of the following:

Failed newborn hearing screening
Delays in speech and language acquisition, including baby babbling
Frequent ear infections
Not startled by loud sounds
Not turning to the location of sounds after six months of age
Difficulty following verbal directions
Daydreaming in many situations
Concerns by school teachers or failed school hearing screening
Loud volume on the TV or radio
Complaints from the child that they cannot hear

A pediatric audiologist is trained to test children of all ages. Any symptom of hearing loss in children should be addressed promptly so that speech, language and academic development are not delayed or negatively impacted.

There are many types of hearing aids today and the style or device depends on your lifestyle, budget and hearing loss needs. There are in-the-ear styles as well as behind-the-ear styles. In addition to selecting the right style of device, it’s also important to consider what features would be most beneficial to you. From directional microphones to waterproof options, there are numerous varieties to meet everyone’s personal needs. Today’s hearing aids are even equipped with Bluetooth connectivity to work with wireless technology like a cell phone or television.

Hearing aids are available in many different sizes and styles, thanks to advancements in digital technology and miniaturization of the internal components. Many of today’s hearing aids are considered sleek, compact and innovative – offering solutions to a wide range of hearing aid users. When selecting a style of hearing aid, the following should be considered:

People with all types and degrees of hearing loss can benefit from an assistive listening device (ALD). Since the microphone of a typical hearing aid is worn on or behind your ear, its ability to enhance the talker-to-background-noise ratio can be limited. However, ALDs are designed to increase the loudness of a desired sound, such as a radio, television or a public speaker, without increasing the background noise. This is because the microphone of the assistive listening device is placed close to the talker or device being used, while the microphone of the hearing aid is always close to the listener.

ALDs include alarm clocks, TV listening systems, telephone amplifying devices and auditorium-type assistive listening systems. Many newer devices are small, wireless and compatible with a person’s digital hearing aids. Alarms and other home ALDs may be small devices that are placed discreetly on tables, next to the TV or on the wall.

It is often referred to as “ringing in the ears,” although some people hear hissing, roaring, whistling, buzzing or clicking. Tinnitus is not actually a disease, but a symptom of another underlying condition of the ear, auditory nerve or other influencing factor. Tinnitus can be intermittent or constant, with single or multiple tones. The perceived volume can range from very soft to extremely loud and may be recurrent or constant.

The exact cause of tinnitus is not known in every case. However, there are several likely factors that may worsen tinnitus. These include: