Advanced Hearing Services

At Fayetteville Otolaryngology, we offer a wide range of diagnostic audiology services, spanning across all ages, as well as the most up to date advances in hearing aid technology, hearing protection, assistive listening devices, swim molds, and musician’s monitors.

Our experienced audiologists perform most of these audiology tests during your scheduled medical examination. Call our offices today and you can speak directly with our audiologists to schedule an appointment. Health insurance will cover most of these tests.

Diagnostic Services

  • Comprehensive audiometry
  • Otoacoustic emissions testing
  • Auditory evoked brainstem response testing
  • Electronystagmography
  • Electrocochleography
  • Tympanometry and acoustic reflex testing

Digital Hearing Instruments

When it comes to digital hearing instruments, Advanced Hearing Services offers a range of instruments made uniquely to suit the auditory and financial needs of individual patients of all ages. AHS will work with certain third party providers for patients with limited resources, or children with Medicaid coverage.

Diagnostic Audiometric Tests

Comprehensive audiometry is comprised of various tests to help the audiologist determine the type and degree of hearing impairment a patient is experiencing. The tests can be performed on almost every patient. The tests include:

  • Pure tone audiometry
    This test, using pure tone signals, is designed to determine a patient’s hearing sensitivity for a range of typical tones people hear every day. The patient is seated in a sound treated room, where he or she will listen for specific tones under earphones. If warranted, the test will be repeated with bone conduction headphones to determine if the hearing impairment is present in the middle ear.
  • Speech audiometry
    This speech test involves detection and discrimination tasks. To determine whether a patient processes the sounds of speech normally, speech discrimination is useful. When the scores for speech discrimination are good enough, this usually indicates a patient can benefit from amplification.
  • Immittance audiometry
    This test is used to determine the amount of resistance present in the middle ear system. The test measures tympanometry and acoustic reflexes. Tympanometry determines the flexibility of the tympanic membrane, or eardrum. While acoustic reflexes assess both nerve conduction and the middle ear system. These Immittance tests assist in confirming the presence of middle ear fluid, a perforation, or a functioning ventilation tube.
  • Auditory evoked brainstem response (ABR)
    This form of testing is used primarily to assess the function of the auditory nerve. While the patient listens to rapid clicking sounds, the brainwaves generated in the auditory pathway are recorded and analyzed. The electrical signal traveling along the auditory nerve from the inner ear to the brainstem are picked up by electrodes. ABR recordings are extremely useful in ruling out acoustic neuromas, as well as determining an approximate hearing threshold for higher frequencies. ABR testing is helpful when assessing hearing loss in infants and children when audiometry is not possible.
  • Evoked otoacoustic emissions (OAEs)
    To assess the function of the cochlea, OAE tests rely on the natural phenomena, emissions, which occur in normally functioning ears. An Emission (a weak signal) is returned from the inner ear through the tympanic membrane when the normally functioning cochlea is stimulated with sound. Audiologists record this emission with special microphones that are placed in the ear canal.
  • Electronystagmography (ENG)
    This test involves a number of tests to assess balance function. ENG tests have a main goal to isolate abnormal dizziness to either the inner ear(s) or central nervous system.
  • Electrocochleography (ECoG)
    These tests are usually conducted with ABR and ENG testing for assessment of Meniere’s disease in the presence of hearing loss and vertigo. Using electrodes placed near the tympanic membrane, responses are gathers and analyzed, similar to the ABR, searching for any abnormal electrical pattern within the cochlear, instead of the auditory nerve.

We Can Help

If you have any comments, questions or concerns, our staff and providers are happy to counsel you to help you decide what is right for you and your family.

...or call (910) 323-1463

1839 Quiet Cove Fayetteville, NC 28304

MON - FRI 8:30am - 12:00, 1:00pm - 5:00