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Aguadilla (787) 882-8585

Mayaguez (787) 834-0660

Ponce (787) 844-8595

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Audiology and Hearing Aid Services

Auditory Brainstem Response (ABR) Testing for Infants

An Auditory Brainstem Response (ABR) is a hearing test that measures the brain’s response to sounds. ABR tests are often used for infants or children who cannot give verbal or behavioral responses to sounds they hear. The ABR uses small stickers that are placed on the skin of the head and headphones that are placed in each ear. The infant may remain awake or sleeping for the duration of the test. An audiologist interprets the responses that are measured and determines the child’s level of hearing in each ear. An ABR test can last between 30 minutes and 1 hour and is not painful for the child. ABR testing is also performed on older children and adults to diagnose the cause of the hearing and balance complaints.

Balance Assessment

Some causes of dizziness or imbalance are related to the ear. Typically, a physician will request balance (vestibular) testing to confirm or rule out possible causes of your balance complaints. Tests to determine the cause or source of dizziness may include several tests including hearing tests, balance function tests, or brainstem response evaluation.

Cerumen Removal

Cerumen, or ear wax, can be removed from the ear canal so that it does not interfere with listening or comfort, especially for individuals who wear hearing aids.

Counseling on the use and care of your hearing aids

Professional staff is available to help you with problems you may be having with your hearing aids. They can also spend time with you and discuss ways to make listening with hearing aids easier in your day-to-day life. Family members are welcome and encouraged to come with you and learn about your hearing aids.

Diagnostic Audiologic Evaluations

Performed by our licensed audiologists. Insurance often covers these services.

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Diagnostic Hearing Evaluations

During your examination you will be tested using a series of speech tests to determine your ability to understand speech within a conversation. The results will help us determine your ability to understand speech and how hearing aids will improve your ability to hear.

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Ear Impression

Since the various systems produce different hearing impressions, it is important for you to make a comparison yourself. For this purpose we will produce custom-made earmolds based on the exact contours of your ears. We can then ensure that your hearing aid fits perfectly.

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Evaluation and Fitting for Musician's Ear Plugs

Musicians practice and perform in a variety of different settings. They are exposed to high levels of sound, sometimes for long periods, which may put them at risk for permanent hearing damage. Musician’s ear plugs are custom-made devices that help to limit the sound exposure from instruments, while still providing a rich musical experience for the performer or audience.

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Fitting

To determine the optimum settings for your hearing aids, we use your audiogram, as well as your personal impression of how well you can hear. This adjustment process is carried out using a computer.

When adjusting your hearing aids, we take various measurements to check how well you can hear. Once we teach you how to operate them and instruct you on the energy supply (batteries), you should wear your new hearing aids for a few days in your regular surroundings.

Based upon what you tell us about how well you can hear in your everyday surroundings, we will make any necessary final adjustments to your hearing aids.

Follow-up Care

Once your hearing aids have been fitted to your complete satisfaction, we encourage you to return to this clinic any time you have questions or problems with your hearing aids. We will also recommend that you return to this clinic in one year for re-evaluation to monitor any changes in your hearing. This will ensure that the sound quality remains as good as ever, and will extend the life of your aids.

Getting Hearing Aids

Once you have told us your history and your personal expectations with regard to your hearing, we provide you with detailed advice on the most appropriate products and facilities to meet your requirements:

  • Which ear has a problem hearing?
  • Which style of hearing aid is most suitable for you: digitally programmable or fully digital?
  • Do you want to regulate the volume of the hearing aid yourself, or would you prefer a hearing aid that adjusts automatically to any hearing situation?
  • Which aid best suits your hearing loss or your personal situation? A Completely-in-the Ear, In-the-Canal, In-the-Ear (ITE), or behind-the-ear aid (BTE) aid?

Our Hearing Aids

Hearing Aid Dispensing & Fitting

At the hearing aid fitting, you will receive the hearing aids you were prescribed. They are programmed based on a prescription that is specific to each person’s hearing loss. The hearing professional may make adjustments after you try the hearing aids to make sure the settings and fit are ideal for you.

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Hearing Aid Repairs

Most hearing aid repairs can be done in the office setting in a short period of time; others will need to be sent to the manufacturer for repair. Your hearing professional can help determine what kind of a repair is necessary if you feel your hearing aid is not working properly.

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Hearing Aid Evaluation and Selection

During a hearing aid evaluation, you will meet with a licensed audiologist who will discuss with you the different styles, colors, technologies, and benefits to wearing hearing aids. You may be shown different styles and will have the opportunity to try different hearing aids in the office. Custom impressions may be taken of your ears, depending on the style of hearing aid chosen.

Hearing Evaluations for Children

Our audiologists are trained in specific techniques to evaluate the hearing of a child. Toys, games, and lights are used in the testing room to help obtain responses from a child to soft tones, noises, or words. The child may wear headphones or listen to the sounds in a room with speakers.

Hearing Protection

Workers in certain occupations are required to receive regular hearing tests due to the risk of hearing loss that can be caused by excessive noise in their workplace. These hearing screenings can be completed in less than 30 minutes, and comply with the standards set by OSHA.

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Industrial hearing screenings

Workers in certain occupations are required to receive regular hearing tests due to the risk of hearing loss that can be caused by excessive noise in their workplace. These hearing screenings can be completed in less than 30 minutes, and comply with the standards set by OSHA.

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In Office Services

We encourage ongoing cleaning and maintenance after your hearing aid purchase to ensure you receive optimum performance and benefit from your hearing aid(s). We encourage all our patients to come in for regular hearing aid check-ups and cleaning.

Unlimited maintenance and cleanings and 2 or 3-year repair and loss and damage warranties come with our hearing aids. We offer in-office repairs when possible.

Newborn Hearing Screenings

The majority of infants born in hospitals are screened for hearing before going home.

Those infants who do not pass this screening are referred to our clinics for a more in-depth evaluation utilizing the Auditory brainstem Response evaluation. This type of hearing test uses small headphones and stickers that attach to the baby’s skin. A soft clicking sound is played in each ear, and a computer measures the brain’s response to the sound. The baby may be awake or asleep during this short, painless test. Babies who did not receive a hearing screening at birth should be screened within the first month of life.

OAEs

Otoacoustic emission testing allows the audiologist to understand how the outer hair cells of your inner ear are working.

Test & Audiometry

In order to adjust your hearing aid to your individual requirements, we first determine your personal hearing profile, or "complete audiological evaluation." This is done by testing your ability to hear a variety of speech and environmental sounds.

Tinnitus Evaluation and Management

Tinnitus is described as a ringing in the ear, and can range in severity. A tinnitus evaluation can help you identify how much tinnitus interferes with your daily life and if there are treatment options that can benefit you.

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Tympanometry

Tympanometry is an examination used to test the condition of the middle ear and mobility of the eardrum (tympanic membrane) and the conduction bones, by creating variations of air pressure in the ear canal.

VNG - Balance Evaluations

Videonystagmography evaluates the function of the vestibular portion of the inner ear for patients who are experiencing symptoms of vertigo, unsteadiness, dizziness, and other balance disorders. Hearing evaluation tests are frequently combined with vestibular studies for the identification of inner ear disorders.

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