Services

Once a hearing loss is identified, a hearing aid may be prescribed and fitted. A&A Audiology is a full dispensing center, offering the most advanced fully digital hearing aids. Our unique pricing structure features itemized pricing. Professional service fees include comprehensive fitting and follow-up services, including reprogramming and ongoing care. Each hearing aid comes with at least a two-year repair warranty, a one-time loss and damage guarantee and a 30-day adjustment period. Any returns during the adjustment period are given a full refund less the professional service fees for the audiological evaluation, communication needs assessment and fitting fee.

A&A Audiology is a center of excellence specializing in comprehensive diagnostic evaluations for adults and children. A thorough diagnostic audiological evaluation is the first step if you suspect a hearing problem and essential before commencing habilitation. A comprehensive audiological evaluation at the A&A Audiology Clinic routinely includes otoscopy, air and bone conduction pure tone audiometry, full immittance testing to determine middle ear status, otoacoustic emissions (OAE), and thorough speech recognition measures, including speech-in-noise testing and/or screening for central involvement, to evaluate the presence, extent and nature of hearing loss.

Evaluation of hearing can take place at any age. Special testing techniques and tests are used to assess the hearing ability in a very young child. Following the testing, your audiologist will present the results of the testing and answer any questions you may have. The audiologist will also give you recommendations based on the evaluation. If the audiologist recommends hearing aids or other assistive device, he/she will recommend that you return for a hearing aid evaluation appointment.

Measurements of otoacoustic emissions assess the function of the outer hair cells in the cochlea and are a key test in differentiating between cochlear and purely retrocochlear disorder. This objective test can help to determine if normal cochlear function exists even in difficult-to-test populations.

A comprehensive audiological assessment is performed to determine the presence, type, configuration and severity of hearing impairment. In addition to routine audiometry, special testing is conducted such as immittance, otoacoustic emissions and speech-in-noise testing to provide recommendations as needed for medical intervention, further evaluation and/or avenues available to improve communication such as hearing aids or cochlear implants.

Vestibular services include a comprehensive battery of tests that are designed to evaluate a patient's balance system. Electronystagmography and videonystagmography are used to record and analyze eye movements that help us determine how well the balance system is working. Recordings of those eye movements will be made with electrodes taped around the eyes or by infrared goggles.

Our electrophysiology lab provides a variety of specialized diagnostic testing including electrocochleography, auditory brainstem response, middle latency response, late latency response, auditory steady-state response, stacked auditory brainstem response and vestibular-evoked myogenic potentials.

Auditory Processing Disorder assessments are available for children (seven years or older) and adults who may have an impaired ability to attend, discriminate, recognize or comprehend auditory information. Audiology-based assessments are combined with language assessments to gain a complete picture of auditory processing as part of our Language, Listening and Learning Program.

Dizziness is one of the most common complaints people bring to their primary care physician. It is a problem that can affect individuals of any age, but it is more of an issue for older adults. We offer a comprehensive battery of tests that are designed to evaluate a patient's balance system. We begin by obtaining a thorough case history that includes a detailed description of the specific balance problems. Videonystagmography procedures are then used to record and analyze eye movements and help determine how well the balance system is working. This new state-of-the-art, computer-based instrument is used to assist in the diagnosis and treatment planning for the patient's balance disorder.

These tests are designed to examine the cause of the dizziness. Depending upon the patient, either electronystagmography (ENG) or videonystagmography (VNG) will be chosen. ENG uses several electrodes which are taped around the eyes while VNG utilizes infrared video goggles to detect and record very small eye movements. These movements are recorded in response to changes in head position, watching moving objects move across the visual field, sudden movement of the body or head as well as stimulation of the ear canal with warm or cool water or air.

Electrophysiological measures, such as those procedures listed below, play an important role in the assessment of hearing in difficult to test populations, such as very young children, as well as in the differential diagnosis of cochlear versus retrocochlear disorders. These tests are considered objective in that a behavioral response is not required of the patient. Auditory evoked potentials are very small electrical voltage potentials originating from the brain. They are usually recorded from the scalp in response to an auditory stimulus (i.e., clicks, tones, speech sounds, etc.). Evoked potentials are typically recorded using small disk-like self-adhesive electrodes which are stuck on the head and face. The electrodes do not hurt, and they come off easily after completion of testing. A typical recording requires the placement of three or four electrodes. These tests require the use of highly sensitive amplifiers and computer averaging equipment.