Diagnostic Audiologic Evaluation
If you have been referred for a diagnostic audiologic evaluation, it means that hearing loss needs to be ruled out or further examined. The diagnostic audiologic evaluation may be indicated for individuals who did not pass an initial hearing screening or who notice difficulty hearing in different situations.
The evaluation is done to determine if a hearing loss is present, and if so, to detail the type and severity of the hearing loss. It also may provide insight into the cause of the hearing loss as well as provide guidance for the audiologist in making appropriate treatment recommendations.
What Tests Will Be Done?
The specific tests done during the evaluation will depend on the patient's age and what is already known about their hearing status. These various tests will determine the degree of hearing loss, the type of hearing loss, and the conditions of the ear canal and middle ear. Dr. White will also determine if the hearing loss is conductive (middle or outer ear problem) or sensorineural (inner ear problem or central processing difficulty of the brain).
A diagnostic audiologic evaluation includes pure-tone testing, bone-conduction testing, and speech testing.
Pure-tone Air and Bone Conduction Testing
Pure-tone air conduction testing determines the quietest tones that a person can hear at different frequencies, both low and high. Bone conduction testing is similar to pure-tone air conduction testing. A different type of headphone is used during bone conduction testing, and the results help the audiologist determine if the hearing loss is originating from the outer/middle ear or from the inner ear.
A speech reception threshold (SRT) test is sometimes used to confirm the results of a pure-tone test. This test determines the lowest level at which the patient can recognize words or speech stimuli.
Word recognition scores (WRS) are obtained to determine and patient’s ability to understand speech at normal conversational level and/or elevated speech levels.
Speech in noise testing is used to determine a patient’s ability to understand speech in a background noise situation.
The audiologist will also perform video otoscopy which will allow you and Dr. White to see your ear canal and eardrum.
Tympanograms are sometimes indicated if there is a concern about the health of the middle ear (middle ear fluid, perforation of tympanic membrane, etc.)
Acoustic Reflex Testing is sometimes indicated for detecting location of pathology on the hearing nerve pathway.