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There are many types of hearing tests in Salisbury, MD to help identify and diagnose hearing loss conditions. Many methods are out of date, but are still widely in use. Why? Some are not prepared to invest money and time to learn a new system. Some are stuck in their old ways and refuse to learn new technology. Audio Advantage Hearing Aid Center in Salisbury, MD uses the latest technology in diagnosing our patients hearing loss. Choosing the right hearing test, or combination of tests, can help us find the reason for your hearing loss and help create a plan of action that will lead to better, if not near perfect hearing.


(REM, also known as insitu- or probe microphone measurement) is the measurement of sound pressure level in a patient’s ear canal developed when a hearing aid is worn. It is measured with the use of a silicone probe tube inserted in the canal connected to a microphone outside the ear and is done to verify that the hearing aid is providing suitable amplification for a patient’s hearing loss. The American Speech–Language–Hearing Association (ASHA) and American Academy of Audiology (AAA) recommend real ear measures as the preferred method of verifying the performance of hearing aids. Used by audiologists, hearing aid dispensers and other hearing healthcare practitioners in the process of hearing aid fitting, real ear measures are the most reliable and efficient method for assessing the benefit provided by the amplification. Measurement of the sound level in the ear canal allows the clinician to make informed judgements on audibility of sound in the ear and the effectiveness of hearing aid treatment.


is a fitting and verification method (a Real Ear Measurement) that is used to ensure that your hearing aids are programmed for your individual needs. Small microphones placed in the ear canal are used to measure the amount of amplification that is obtained for all speech sounds.


testing also called pure tone testing uses headphones or inserts to present a signal by way of beeps at set frequencies. This is used to find the thresholds of our hearing (the quietest sound we can hear at a specific frequency). It is mainly used to identify the mechanical workings of the ear. This test generally takes 5 to 10 minutes.


testing uses a bone oscillator which is a small vibrator that is placed on the mastoid bone behind the ear. This test is similar to the air conduction test in that it plays beeps at different frequencies identifiying our thresholds for hearing. However, where air conduction test the mechanics of the ear, bone condution tests the auditory nerve of the ear and identifies any neural hearing loss we may have. This test generally takes 5 to 10 minutes.


testing assesses a person’s ability to understand speech from background noise. If your speech discrimination is poor, speech may sound garbled. Word recognition scores can be helpful in predicting the usefulness of a hearing aid. This test is done by playing words which are repeated by the patient. Testing can take 5 to 10 minutes.