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AUDIOMETRY

Audiometry and Audiogram:

If you suspect you have a hearing loss, make an appointment with a Hearing Health Care Professional to have a hearing test After the age of 50, a regular hearing test should be a part of your annual physical check – up.
Hearing test is easy, comfortable and safe.
Your ability to hear the volume (Intensity) at each tone (frequency), produces, a unique pattern which is recorded as an audiogram.
The audiogram is used to determine the type and degree of the hearing loss. The results determine if the hearing loss is best treated medically or with hearing instruments.
Hearing test produce is called Audiometry & result plotted in a graph is called Audiogram.

TYMPANOMETRY

  •  It is a test of Outer & Middle ear function called Tympanometry.
  • It is also called Impedance Audiometry.
  • It is totally objective test and patient’s response is not required. Responses were recorded as a graph Called Tympanogram.

ELECTROPHYSIOLOGICAL TESTING:

Electrophysiological tests assess the inner ear. When the outer hair cells in the cochlea are stimulated, they not only send information onward towards the brain, but also transmit a response backwards through the ossicles and eardrum into the external ear canal. The otoacoustic emissions (OAE) test takes advantage of this fact. This type of test is also used for newborn hearing screening. The OAE test is particularly good in assessing patients with ototoxicity or acoustic trauma where damage to the outer hair cells may have occurred.
A computerized hearing test called “Auditory Brainstem Response” (ABR) audiometry is helpful in determining the site of an inner ear or brainstem hearing disorder. It’s also used to evaluate degree of hearing loss in people who can’t respond to standard hearing tests.

The inner ear and the 8th cranial nerve also include the balance (vestibular) system. Because of this, many ear diseases affect balance and can cause dizziness, imbalance, or vertigo (spinning dizziness). Tests of the balance system may be necessary to determine the cause of your hearing loss.

The vestibular (balance) system monitors the position and movements of the head to stabilize retinal images so you can see properly. This information is integrated with thevisual system. So problems with the balance system often produce involuntary movements of the eyes.

“Videonystagmography” (VNG) uses goggles that cover the face and contain a video camera to record eye movements. Posturography is a test that uses a computer to help record input to the balance system from the four components of balance: ears, eyes, muscle-joint sense (proprioception), and brain.

At House Clinic, we offer the latest electrophysiological testing to help assess and diagnose inner ear disorders.

1) BERA Test :

BERA Test is conducted to determine the integrity of auditory nerve, hearing loss and its severity in those cases when it is difficult to determine hearing loss through audiometry. This test helps take a decision on the condition of auditory nerve. The test is important as it is not possible for the audiologists to move forward before determining this.

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2) OAE Test :

OAE Test is conducted to check if the cochlea i.e. inner ear is healthy and properly functional. Convenient location of our clinics ensures ease of success for our clients. We employ a highly qualified team of professional audiologists, each with extensive experience in all areas of hearing loss and the latest hearing instrument for the testing.

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3) ASSR Test :

We conduct ASSR (Unaided & Aided) Test to determine frequency specific threshold for hearing problem of the patients. We use the latest audiology equipment in diagnosing hearing loss. Professional audiologists associated with make sure that you get the best medical advice possible. Easy to access clinics help the patients reach us conveniently

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VESTIBULAR FUNCTION TEST:

Vestibular tests are tests of function. Their purpose is to determine if there is something wrong with the vestibular portion of the inner ear. If dizziness is not caused by the inner ear, it might be caused by disorders of the brain, by medical disorders such as low blood pressure, or by psychological problems such as anxiety. Recent studies have suggested that vestibular tests are more accurate than clinical examination in identifying inner ear disorders

1) VEMP Test :

The vestibular evoked myogenic potential (VEMP or VsEP) is a neurophysiological assessment technique used to determine the function of the otolithicorgans (utricle and saccule) of the inner ear. It complements the information provided by caloric testing and other forms of inner ear (vestibular apparatus) testing.

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2) ENG Test :

Electronystagmography (ENG) is a diagnostic test to record involuntary movements of the eye caused by a condition known as nystagmus. It can also be used to diagnose the cause of vertigo, dizziness or balance dysfunction by testing the vestibular system.

• Caloric tests:
The caloric test is a part of the ENG. It is an attempt to discover the degree to which the vestibular system is responsive and also how symmetric the responses are, between left and right ears. It is a test of the lateral semicircular canals alone — it does not assess vertical canal function or otolithic function.

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3) ECoch – G Test :

The electrocochleography test is an objective measure of the electrical potentials generated in the inner ear as a result of sound stimulation. This test is most often used to determine if the inner ear (cochlea) has an excessive amount of fluid pressure.

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NEWBORN HEARING SCREENING

  • Babies are screened by portable handy equipment – test being called Oto Acoustic Emission (OAE). Time taken for test is 1-2 minutes.
  • If abnormal result (no response), test repeated after 2 weeks. If again no response, Brainstem Evoked Response Audiometry (BERA) test along with Behavioral Observation Audiometry (BOA) is done for confirmation and quantification of hearing loss.
  •  If BERA abnormal, do comprehensive hearing evaluation.
  •  If confirmed, next step is hearing aid usage at the earliest.
  • Hearing aids may be fitted for infants as early as 2 months of age. This should be followed with auditory training and speech therapy. Children with profound deafness who drive negligible benefit from conventional amplification with hearing aids may be considered for cochlear implants. To conclude, it is necessary to secure holistic development of the child by detecting hearing loss at birth and providing remedial measures at the earliest.

TEST LIST

1) Pure Tone Audiometry 

2) Tympanometry/ Impedence/ Immitance 

3) Free Field Audiometry 

4) Eustachian Tube Function Test (ETFT) 

5) Special Test (SISI,TDT,ABLB,SDS,SRT) / Speech Audiometry

6) OTO Acoustic Emissions (OAE) 

7) Brainstem Evoked Response Audiometry (BERA/ABR/BAER) 

8) Auditory Steady State Response (ASSR) 

9) Vestibular Evoked Myogenic Potentials (VEMP)

10) Electrocochleography(ECOCHG) 

11) Electronystagmography (ENG) 

12) Vestibular Tests (VEMP+ECOCHG+ENG)

13) Tinnitus Assessment

14) Tinnitus Retraining Therapy(TRT) Per Session

15) TRT Package (4 Sessions)

16) Hearing Aid Trial

17) Hearing Aid Programming/Fine Tuning 

18) Speech Assessment 

19) Speech Therapy Per Session 

20) Speech Therapy Packages –

A) 8 Sessions 

B) 16 Sessions 

C) 24 Sessions 

21) Registration Fee