Understanding Hearing Tests

A Comprehensive Guide to Audiological Evaluation

Speech Therapy

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Last updated: Mar 24, 2025

Overview

Hearing tests, also known as audiological evaluations, are diagnostic procedures used to assess your hearing ability and identify potential hearing problems.

Types of Hearing Tests

Pure Tone Audiometry

  • Measures hearing sensitivity at different frequencies
  • Patient wears headphones and responds to beeping sounds
  • Tests frequencies from 250 Hz to 8000 Hz
  • Results plotted on an audiogram

Speech Audiometry

  • Evaluates ability to understand spoken words
  • Includes Speech Recognition Threshold (SRT)
  • Tests Word Recognition Score (WRS)

Tympanometry

  • Measures eardrum movement
  • Evaluates middle ear function
  • Helps identify fluid buildup or eardrum problems

Otoacoustic Emissions (OAE)

  • Tests inner ear function
  • Particularly useful for infants
  • Measures cochlear response

What to Expect

Before the Test

  • Avoid loud noise exposure for 12-24 hours
  • Report any current ear problems
  • Bring current medication list

During the Test

  1. Medical history review
  2. Physical examination of ears
  3. Series of listening tests
  4. Response to various sounds and words

Test Duration

  • Typically 30-60 minutes
  • May vary based on test types needed

Results Interpretation

Normal Hearing Range

  • 0-25 decibels across frequencies

Degrees of Hearing Loss

  • Mild: 26-40 dB
  • Moderate: 41-55 dB
  • Moderately severe: 56-70 dB
  • Severe: 71-90 dB
  • Profound: >90 dB

Follow-up Care

  • Discussion of results with audiologist
  • Treatment recommendations if needed
  • Regular monitoring as advised

When to Get Tested

  • Difficulty understanding conversations
  • Frequent requests for repetition
  • TV/radio volume complaints
  • Age-related screening
  • Occupational requirements

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