The Ear, Nose and Throat Centers of Texas are pleased to offer their patients a full range of in-house diagnostic hearing evaluations that are tailored to each individuals need. We are equipped to test everyone from infants to geriatric patients.
How is Hearing Testing Done?
Behavioral Observational Audiometry (BOA)
1-6 months old
- This form of testing uses the observation of the infant’s responses to various tones and spoken stimuli, which are presented through loudspeakers.
Visual Reinforcement Audiometry (VRA)
Approximately 6 months-3 years old
- This testing can be done using sounds coming from loudspeakers or headphones.
- The audiologist will talk to the child and play tones at different frequencies. When the child turns to where the sound is coming from, a toy on that side will light up and/or move.
Conditioned Play Audiometry (CPA)
Approximately 3-5 years old
- This testing involves creating a “game” that interests the child in order to get responses to specific sounds.
- These games may involve actions, such as putting a block in a bucket every time they hear a beep, or specific responses such as saying “woo” when the child hears the “train noise”.
Otoacoustic Emissions (OAEs)
- OAE testing measures the function of the inner ear, and is used when children cannot or will not respond to sounds using behavioral testing techniques.
- When a child passes the OAE test, this shows the inner ear is functioning normally, and typically indicates normal hearing abilities.
Ear Wax (Cerumen)
Ear Wax is produced by glands in the ear canal, and typically comes out of the ear on its own. The purpose of ear wax is to help trap debris in the ear canal before it reaches the eardrum. Therefore, some ear wax is a good thing! However, when an ear produces too much ear wax, it can harden in the ear canal and cause a blockage (impaction). The use of Q-tips and hearing aids can also cause an impaction by pushing the ear wax further into the ear canal.
Signs of Ear Wax Impaction
If you are experiencing any of these symptoms in addition to liquid and/or a bloody discharge from your ear, contact your doctor immediately before trying any over-the-counter remedies.
- Decreased hearing in the affected ear
- Ringing in the ear
- A “full” or “plugged” feeling in the ear
- Pain in the ear
Ear Wax Impaction Treatment
- Most drug stores sell over-the-counter wax softening drops (ex. Debrox). These drops help to soften the ear wax, and allow it to come out of the ear canal on its own. You can also try using a few drops of mineral oil in the ear.
- If your symptoms do not improve after a few days, contact your Ear, Nose, and Throat physician.
- Your doctor may clean out the ear wax using a tool called a curette, with suction, or by irrigating the ear with water.
How to prevent future ear wax impactions
- Avoid using Q-tips or other objects to clean your ears. Instead, use a damp towel and your finger to clean around the opening of your ear canals.
- If you wear hearing aids, make sure to have your Audiologist check your ears for excessive ear wax every few months.
What is Tinnitus?
Tinnitus is often described as “ringing” or “buzzing” in the ears, but it can be any sound or combination of sounds. Tinnitus results from nerve activity that the brain interprets as “sound.” Everyone experiences tinnitus sometimes. Some people experience constant or near-constant tinnitus.
What causes tinnitus?
The most common cause of tinnitus is exposure to loud noises. Tinnitus can also result from head injury, medications, earwax, and many other causes. It can be impossible to know the exact cause of tinnitus because it is associated with so many conditions, such as high blood pressure, stress, dental problems, metabolic problems and high cholesterol.
Connection between hearing loss and tinnitus
Damage to the ears often results in both hearing loss and tinnitus. However, they do not always occur together. Tinnitus does not cause hearing loss but sometimes tinnitus can seem to interfere with hearing. An audiologist can determine if you have a hearing problem.
Ideal Candidates for Tinnitus Treatment
Treatment can make tinnitus less of a problem. Not everyone with tinnitus needs treatment. Treatment may be helpful for you if your tinnitus is affecting your sleep, ability to concentrate, emotional well being, or daily activities. You may need a medical evaluation if your tinnitus is on one side of the head, or if you have changes in your hearing, ear pain, head, or neck problems, or balance issues.
What treatments do healthcare professionals provide?
A physician can often help if your tinnitus is causing sleep problems, anxiety, or depression. An ear, nose and throat (ENT) physician can check for any medical problems that may be causing your tinnitus. Check with your physician to find out if tinnitus is a side effect of your medication. Have your physician check your ears for earwax.
Some audiologists have been trained in tinnitus treatment. Two methods used by audiologist are masking and Tinnitus Retraining Therapy (TRT). These methods focus on making tinnitus less of a problem. Sometimes hearing aids can be used to treat tinnitus.
Many psychological methods have been used to manage pain and reduce stress. These methods can be helpful in treating tinnitus. Cognitive-Behavioral Therapy has been successful in treating pain. This method has been adapted to treat tinnitus.
Complementary and alternative providers
Many “complementary and alternative” methods have been suggested for tinnitus. These include vitamins and herbs, acupuncture, naturopathic treatment, hypnosis, and others.
What can I do about my Tinnitus?
Avoid loud noise. Loud noise can make your tinnitus temporarily or permanently worse. Protect yourself from loud noise such as, loud music, power tools, chain saws, guns, and factory noises. When you are around these types of loud noises use earplugs or earmuffs.
Avoid total silence. Being in a quiet room may make your tinnitus more noticeable. To help with this, try being around low volume, pleasant sounds, such as music or nature sounds (especially water). Devices that produce sound include radios, CD players, tabletop fountains, sound generators, and electric fans.
Lifestyle changes that might help:
- Reduce excessive use of caffeine, alcohol, salt, aspirin and nicotine
- Reduce stress as much as possible
- Get adequate sleep
- Keep your mind and body busy with meaningful activities
- Establish a healthy diet
- Exercise regularly
How will hearing aids affect my tinnitus?
Some people with hearing loss find that hearing aids make tinnitus less noticeable. Hearing aids can help with a hearing problem by amplifying sounds. This also keeps the ears “busy” causing the tinnitus to be less bothersome.
Schedule a Consultation
For more information about our hearing center and hearing testing, contact our practice today at 972.984.1050 to schedule a consultation. ENT & Allergy Centers of Texas serve McKinney, Plano, Allen and surrounding areas.