TMH Office
Dogwood Building
1405 Centerville Road, Suite 5400
Tallahassee, FL 32308
(850) 877-0101

Satellite Office
2625 Mitcham Drive
Tallahassee, FL 32308
(850) 877-1301

Hearing Evaluations

Adult Heairng Evalutions

Pediatric Hearing Evaluations

Adult Hearing Evaluations

Hearing evaluations assess the type and severity of hearing loss at various pitches. The aging process and exposure to loud noise are common causes of hearing loss. However, other problems such as middle ear fluid, hardening of the middle ear bones, tumors on the hearing nerve and diseases of the inner ear can affect hearing as well. Other brief tests may be performed during this visit to help determine the type of hearing loss present, or if standard procedures do not produce reliable results. Prior to the exam, your audiologist will discuss your hearing history with you and evaluate your concerns.

The test is performed in a sound treated booth using foam earphones. At the conclusion of the hearing test, your audiologist will review the results with you. Depending on the test results, recommendations may include being evaluated by an otolaryngologist, consideration to hearing aids or other assistive listening devices or using hearing protection in noise.

Length of exam: As long as one hour
Pre-test preparation: None

Pediatrics Hearing Evaluations

Research has shown that the most important years for language development occur between birth and two years of age. When hearing loss goes undiagnosed, whether due to persistent ear fluid or permanent nerve loss, children will miss the information they need to form good language skills. That is why it is so important that caregivers be aware of speech, language and hearing milestones and seek professional advice when they have concerns. To determine if your child is meeting these important milestones, see How does your child hear and talk

If you have concerns, contact our office at 850-877-0101 extension 243 to schedule a pediatric hearing evaluation.

Pediatric Hearing Evaluations (6 months – 5 years)

Hearing evaluations in young children assist in determining the presence of hearing loss, as well as the type and severity of hearing loss. Parents are often surprised at the extent of information that can be obtained on young children. Prior to the exam, your audiologist will discuss with you the concerns you have regarding your child’s hearing, as well as obtain any medical history that might be pertinent to your concerns. The type of testing performed with your child depends on their age and developmental level.

Visual Reinforcement Audiometry (approximately six months to three years of age) – This test is performed by having your child sit on your lap in a sound treated booth. Speech sounds and tones are presented through speakers in the booth and lighted puppets are used to reward your child when he looks for the source of the sound. By decreasing the intensity of the sound, we determine the lowest level at which your child will respond.

Play Audiometry (approximately three years to five years) – This test involves having your child sit in a sound treated booth. He is taught to listen for sound and to throw a block on the floor, or perform some other play activity, every time a sound is heard. He may also be asked to point to pictures on a board to determine the softest level at which he can understand speech.

Other brief tests are often performed during the same visit to determine the presence of middle ear fluid, which is common in young children, as well as automated hearing screens.

Length of exam: As long as one hour
Pre-test preparation: None

Auditory Brainstem Response (ABR) for Pediatrics

ABR Testing Instructions -Download PDF

An ABR uses a computer to evaluate the hearing nerve from the inner ear to the brainstem. Electrodes are placed on your child’s head and earphones placed in their ears which produce clicking sounds. The response of the hearing nerve is monitored to determine the softest level at which the nerve is able to respond to the clicking sound. By monitoring the waveforms produced by the hearing nerve, we can closely predict the degree of hearing loss at certain pitches. This test is often used during infancy when the baby did not pass the Universal Infant Hearing Screening conducted in the hospital after delivery. It is also used for older children when standard types of hearing tests do not yield conclusive results. It is necessary for your child to be asleep during the test.

Natural Sleep

Natural sleep is the preferred method for children under one year. It is necessary that your child be deprived of sleep prior to arriving at the appointment so that they are more likely to nap in the office. It is often helpful if two adults accompany the child so that one adult can keep the child awake in the car on the way to the appointment. Please try not to let your child fall asleep until the audiologist has called you back to the exam room. It is also suggested that your child arrive to the appointment hungry. Just before the exam begins, you can feed your child to encourage sleep.

Length of exam: As long as three hours



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