What Tests Will Be Done?
The patient's age and known hearing status determine the specific tests in the free hearing evaluation. These tests assess the hearing loss degree, type, and ear canal and middle ear conditions. The audiologist identifies if the loss is conductive (middle or outer ear issue) or sensorineural (inner ear or brain processing issue).
Tests include pure-tone testing, bone-conduction testing, and speech testing.
Pure-tone Air and Bone Conduction Testing
Pure-tone air conduction testing identifies the quietest tones a person hears at various frequencies, from low to high. Bone conduction testing, using a different type of headphone, similarly assesses hearing. This testing lets the specialist pinpoint hearing loss origins, whether in the outer/middle or inner ear.
Speech Testing
We use a speech reception threshold (SRT) test with older children and adults 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.
Additional Tests:
The audiologist may also perform otoscopy (examining the ear canal) and tympanometry (test of the middle ear) to determine the health of the ear canal and the middle ear.
Other tests may include:
- Otoacoustic emissions (OAE) screening
What Can I Expect During My Free Hearing Evaluation?
The evaluation itself will last about 30-40 minutes. You should also allow for time for discussion with the audiologist to review test results, and ask questions.
If the determination is made that you need hearing aids, allow for sufficient time to discuss your options.
Overall, you should expect to be seen for an hour and a half for the testing, discussions, and hearing aid determination.
It is recommended that you bring a family member with you to the evaluation appointment. Most providers agree that hearing loss is a family issue. It helps to have another supportive person at the appointment to help you understand the information and recommendations.
Before your appointment, a complete medical history will be completed and the provider will want to hear about any complaints you have about your hearing. They will pay special attention to any concerns you have about exposure to noise, tinnitus, and balance problems. Make sure that you take a full list of any medications and supplements you are taking with you to your appointment.
The diagnostic audiologic evaluation is a good chance to establish a relationship with your provider. Above all, don’t be afraid to ask questions. You will want to be clear on any information you receive so that you can be an active participant in finding hearing solutions that work best for you and your lifestyle.