Services & Solutions

NeoSound Service & Solution Offerings

SERVICES

Comprehensive Audiologic Evaluation

Diagnostic Audiogram

An Audiological evaluation is a series of diagnostic procedures used to determine the type, degree, and configuration of hearing loss. The goal of this evaluation is to determine a hearing diagnoses and to potentially develop a treatment plan that is unique to the patient’s needs in order to improve their communication skills. This typ of testing is often used to evaluate the cause of the Individuals may be self-referred or referred by a physician or other professional. 

Impedance Audiometry

Tympanometry

Tympanometry is a testing methodology that is used to evaluate the function of the middle ear.  It provides a graphic representation of the relationship of air pressure in the external ear canal to impedance (resistance to movement) of the ear drum and middle ear system.  This impedance measurement examines the acoustic resistance of the middle ear.  If the eardrum is hit by a sound, part of the sound is absorbed and sent via the middle ear to the inner ear while the other part of the sound is reflected.  The information derived from tympanometry provides the clinician with additional information regarding the patient’s middle ear function.  This is typically to document or rule out the presence of otitis media, tympanic membrane perforation or Eustachian tube dysfunction.  The test is non-invasive and does not require a response from the patient.  Typical test time for both ears is less than two minutes.

Acoustic Reflex Testing

An acoustic reflex, or contraction of the Stapedial muscle, occurs under normal conditions when a sufficiently intense sound is presented to the auditory pathway.  This contraction of the muscle causes a stiffening of the ossicular chain which changes the compliance of the middle ear system. Acoustic reflex testing plays a major role in the differential diagnoses and should be part of every audiologic evaluation.  They can provide/confirm information about the type (conductive, sensory, neural) and degree of hearing loss)

Otoacoustic Emissions (OAE) Testing

OAEs are sounds produced by the inner ear in response to a sound stimulus.  When sound stimulates the outer hair cells in the cochlea, a nearly inaudible sound that echoes back out into the middle ear is produced. We measure this retrograde sound primarily because normal hearing individuals, generally produce these emissions, and individuals with a hearing loss greater than 30 DB do not.  This makes the OAE test a great screening measure for hearing loss as most clinics categorize normal hearing up to 25 dB threshold measurements from 125 to 8000 Hz.  OAE measurements are also sensitive to cochlear damage to the outer hair cells (noise, chemicals, etc)

Occupational Hearing Services

Hearing Testing & Monitoring Services for Noisy Occupations

  • Rail Road employees
  • Truck Drivers
  • Dentists and certain Medical fields
  • Emergency dispatch and fire/EMS/First Responders
  • Professional Sports, racing
  • Radio/TV
  • Construction
  • Carpentry
  • Mining
  • Manufacturing
  • Entertainment & Nightlife
  • Airport Staff
  • Law Enforcement, Military & Shooting Range Marshals
  • Nursery School Teachers
  • Professional Musicians
  • Landscapers
  • DJs
  • Aviation
  • Music Engineers

Industrial workplace noises, gunfire, loud music, and other common, everyday sounds that are louder than 85 decibels can cause permanent hearing loss.

Just how loud is 85 decibels?
Take a look at these decibel ratings and permissible exposure times provided by the National Institute of Occupational Safety and Health and the Centers for Disease Control and Prevention (NIOSH)

Sounds Intensities Permissible exposure time
City traffic, inside the car 85 dB 8 hours
Bulldozer 88 dB 4 hours
Jazz concert 91 dB 2 hours
Power mower 94 dB 1 hour
Nightclub 97 dB 30 minutes
Ambulance siren, inside driver window down 100 dB 15 minutes
Rock concert, leaf blower 115 dB 30 seconds
Ambulance 125 dB Approx 3.0 seconds
Jet from 100 ft 135 dB Approx 0.25 seconds
Gun shot 145 dB Approx 0.029 seconds
12-gauge Shotgun 165 dB Approx 0.00023 seconds

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Who needs Ear Protection at Work – YOU?

According to the NIOSH, approximately 22 million US workers are exposed to hazardous noise levels at work, causing an estimated $242 million per year to be spent on worker’s compensation due to hearing loss disability.  As a result NIOSH recommends “all worker exposures to noise be controlled below a level equivalent to 85 dBA for eight hours to minimize occupational noise induced hearing loss.  NIOSH also recommends a 3 dBA exchange rate so that every increase by 3 dBA doubles the amount of the noise and halves the recommended amount of exposure time.”
Additionally, NIOSH recommends a hearing loss prevention program that includes the use of hearing protection devices, periodic hearing tests and education for workers, along with administrative controls that include accurate record keeping, evaluations and audits.

Ototoxicity Monitoring

A variety of drugs, such as certain powerful antibiotics, chemotherapy agents or some anti-neoplastic drugs generally used against (potentially) life-threatening diseases can cause auditory (hearing) and/or vestibular (balance) dysfunction.  Auditory damage can include permanent hearing loss and tinnitus secondary to sensorineural loss.  A given drug may affect the hearing organ and balance organs differently. 
Audiologic monitoring for ototoxicity is primarily performed for two purposes:

Early detection of changes to hearing status typically attributed to the drug so that other options or changes to the regimen may be considered
Audiologic treatment or intervention when a significant hearing impairment has been documented

We work closely with the primary care providers and specialists (i.e. Oncologists, ENTs, etc) to help provide the best level of comprehensive hearing healthcare for the patient.
Ototoxic Medications: Drugs that can cause hearing loss and tinnitus by League for Hard of Hearing (link to pdf)

Recreational Hearing Services

Hearing monitoring and hearing protection solutions for a wide variety of loud recreations and hobbies

  • Hunters
  • Shooters
  • Musicians
  • Concert-goers
  • Wood working
  • Motorcycles
  • Sporting events (louds stadiums, car racing, etc)

We provide all varieties of hearing protection ranging from basic Foam ear plugs to Digital Ear Muffs to Custom In-the-Ear Devices.  Come in and check out our hearing protection line.

Tinnitus Evaluations

Tinnitus is often described as the perception of a sound without an actual external source.  Often, people will refer to it as “ringing in their ears” and often sounds like hissing, buzzing, roaring or chirping.  An estimated 50 million people in the U.S. suffer from tinnitus.  Of those, 16 million have sought medical attention for their tinnitus; and 2-3 million are completely disabled from it.  But there is help.  Tinnitus can be managed.  There are two types of tinnitus:

Subjective Tinnitus: Sounds that only the affect person can hear.
Objective Tinnitus: Head or ear noises that produce a sound that is measurable and sometimes audible with a sensitive microphone.

The Tinnitus Diagnostic Evaluation assesses several aspects of one’s tinnitus in order to potentially find ways to alleviate or eliminate the tinnitus and its bothersome nature.  We will evaluate the following:

  • Complete Diagnostic Audiologic Evaluation
  • Medical, Otologic & Audiologic History
  • Cause of tinnitus & exacerbating factors: There are many causes of tinnitus.  One of the most common causes is exposure to excessively loud sounds which end up damaging the cochlea (inner ear).  Other causes: head & neck trauma, ear wax build-up, jaw misalignment (TMJ), ototoxicity.
  • List of medications: Many medications have been listed as having ototoxic (toxic to the ear) properties.  We will review these lists and consult with the patient about how and why to approach their physician regarding these medications.
  • Psychoacoustic Measurements: Quantification of your perception of the tinnitus.

The goals of our tinnitus treatment protocol are based around these steps:

  1. Eliminate any medical reasons for the tinnitus. Refer to specialist if necessary.
  2. If possible, treat the cause and source of the tinnitus to eliminate or mitigate the tinnitus.  Attempt to eliminate or reduce the number of exacerbating factors
  3. Educate:  The more you know about tinnitus and bring light to this mysterious sound, the better you will be able to handle the effects of tinnitus.
  4. Amplification or Sound Therapy, if applicable

The first step to alleviating your tinnitus is to address it and have it evaluated.  If you would like to evaluate your tinnitus, please contact us at 1-844-NeoSound or 303-456-4445.

SOLUTIONS

Assistive Listening Devices (ALDs) are used to improve hearing ability for normal and hard of hearing individuals in various situations.  Examples of ALDs:

  • FM Devices
  • Loop Systems
  • Hand-held Amplifiers
  • Bluetooth Devices
  • TV Systems
  • Amplified Telephones

Custom Ear Mold Products are solutions that are tailored specifically by our Audiologists based on your needs.  These molds are often used to make hearing protection, swim & ear plugs, molds for hearing aids, music monitors and earphones,

Swim Plugs are plugs that prevent water from going into the ear canals.  Often used to avoid ear infections (swimmer’s ear), protect the ear post-surgery, prevent ear trauma for water sports

Hunter’s Communication & Hearing Protection Solutions

Passive hearing protection offers attenuation of unwanted sounds by ‘blocking’ them from entering the ear canal.  These plugs reduce and attenuate all sounds.
Active hearing protection often digitally reduces noise when it reaches a dangerous level and then allows certain sounds like voices, alarms, and soft environmental sounds to be audible. 

Law Enforcement or Military Communication & Hearing Protection Solutions

Passive hearing protection offers attenuation of unwanted sounds by ‘blocking’ them from entering the ear canal.  These plugs reduce and attenuate all sounds.
Active hearing protection often digitally reduces noise when it reaches a dangerous level and then allows certain sounds like voices, alarms, and soft environmental sounds to be audible. 
Combinations of hearing protection and communication devices can be made to protect hearing while allowing one to communicate when needed.  Various types of solutions exist dependent on your needs.

Motorcycle Communication & Hearing Protection Solutions

Passive hearing protection offers attenuation of unwanted sounds by ‘blocking’ them from entering the ear canal.  These plugs reduce and attenuate all sounds.
Active hearing protection often digitally reduces noise when it reaches a dangerous level and then allows certain sounds like voices, alarms, and soft environmental sounds to be audible. 
Combinations of hearing protection and communication devices can be made to protect hearing while allowing one to communicate when needed.  Various types of solutions exist dependent on your needs.

Industrial/Work Environment Communication & Hearing Protection Solutions

Passive hearing protection offers attenuation of unwanted sounds by ‘blocking’ them from entering the ear canal.  These plugs reduce and attenuate all sounds.
Active hearing protection often digitally reduces noise when it reaches a dangerous level and then allows certain sounds like voices, alarms, and soft environmental sounds to be audible. 
Combinations of hearing protection and communication devices can be made to protect hearing while allowing one to communicate when needed.  Various types of solutions exist dependent on your needs.

Hearing Aid Ear Molds are custom molds that fit your behind-the-ear (BTE) hearing devices or your thin tube/receiver-in-the-canal hearing devices.

Sleep Molds drown out unwanted noise, snoring, etc with a comfortable fit

Custom Earphones are custom molded to each individual’s ear allow for optimal sound isolation, crystal clear sound clarity, enhanced bass and treble sensitivity, and an excellent comfortable fit.

Musician’s Music Monitors are custom-made specialty musicians monitors with the most recognized brands and the highest quality (Shure, ACS, Westone, and more)

Musician’s Filtered Hearing Protection are standard music filters that attenuate sound w/ a flat frequency response to maintain natural sound quality

Hearing Aids

At NeoSound, we provide uncompromised hearing services with industry-proven hearing aid technology.  When deciding on which manufacturers to partner with, we evaluate the quality of the products, advancements in technology, level of customer service, and product support for our audiologists.

Currently, we have decided to partner with the following hearing aid manufacturers for the reasons mentioned above in alphabetical order:

  • GN ReSound
  • Oticon
  • Phonak
  • Siemens
  • Starkey
  • Widex

What is the process of purchasing hearing aids?

  1. Hearing Test: Obtain a hearing evaluation to rule out any causes that may be treated medically
  2. Hearing Aid Recommendation: If you are a candidate for hearing aids, your NeoSound hearing health provider will make a recommendation based on several variables: Your Hearing Loss, Your Hearing Needs, Your Budget, Your Ear Anatomy, Your Dexterity, Other Medical/Audiological Factors
  3. Purchase: Once purchased, you will have a 30 day hearing aid assessment period in which the provider will help fine-tune the device so that you experience comfort, benefit, and satisfaction.
  4. Follow-ups: The only way the provider can help you is you tell us if there is anything that needs to be fine-tuned or changed.  Please call us if you need help or contact us to schedule an appointment to have your hearing aids checked.
  5. Annual Evaluations:  Updating the hearing devices with a new evaluation is an important step in assuring a quality fitting.