Sphear Clinic

Lajpat Nagar, Delhi

Identification and intervention of hearing loss are available to monitor your childs hearing. We are committed to delivering high-quality service and for using the most innovative hearing device. We understand your busy lifestyle and want to help you get the most out of it. Get an appointment today with our hearing health professional.

SpHear clinic offers a wide range of testing and diagnostic service to evaluate cognitive skills, neurodevelopmental delay, Visual Reinforcement Audiometry, pediatric hearing assessment, Pure-tone ABR testing, speech & language therapy, emotional & behavioural difficulties, and learning difficulty (such as dyslexia, dysgraphia, dyscalculia).

Generally, speech is the sound that we utter(produce) with the help of our mouths(articulators). But, when this sound is not understood by others, it is indicative of a speech problem. Some of the common speech problems include delayed speech, stuttering, mispronunciation(misarticulation) etc. Delayed speech indicates a delay in the speech processing mechanism(production). Language, on the other hand, has less to do with sounds, it is more about meanings. It is a measure of intelligence. Language delay indicates a delay in the use of the language. In this context, it is important to state that speech and language delay are not the same. Since language and speech are two different stages(things); the two may be delayed individually. A child, who is unable to utter(produce) intelligent speech sound, might not be suffering from the delayed language. In such a case, the child might be trying to utter (has age appropriate)language, but the language can be difficult to be understood(expressed in speech).similarly, a child having delayed language (not delayed speech), might not have got enough opportunity of producing speech sounds. Delayed language is when a child is developing language skill in the right sequence but at a slow rate.

Cochlear Implant devices facilitate people with sound who receive little or no benefit through hearing aids. A pre-evaluation is a critical process of Cochlear Implant to assess the candidate functional hearing ability and verify whether these are likely to be radically improved through an implant.The assessment and procedure are conducted by multidisciplinary team of experts with an experience in working with deaf or young children with hearing problems. Formal Pre-Cochlear Implant Evaluation Process Step 1: Orientation The purpose of the process is to orient the child and its family about the Cochlear Implant. Some of the general topics discussed with h family may include: What is the Cochlear Implant?Does Cochlear Implant work?Routine follow-ups and precautionsCost of implantWarranty and insurance

Hearing loss is a common problem in elderly people. But, as the population of adult rises, so does the problem of hearing loss. Our Adult programs & services in hearing loss aim to solve the problem. Audiologists at our clinic perform the audiological evaluations for adults like comprehensive hearing evaluation and Auditory Brainstem Response (ABR) Test. Based on the results of the analysis, recommendations are made to treat the hearing loss or problem of communication in Adults that results from the loss. When the problem of hearing loss cannot be treated medically or surgically, a possible treatment which is fitting of hearing aids is recommended. After the initial consultation, hearing aids can be ordered.

AudiologyNew Born Hearing ScreeningComplete Hearing AssessmentBehavioral Observation Audiometry (BOASpeech AudiometryImmittance Audiometry (Tympanometry & Acoustic Reflexes)Otoacoustic Emission Testing (OAE)Auditory Brainstem Response Testing (ABR)Automated Steady State Response Testing (ASSR)Trans Tympanic Electric Auditory Brainstem Response Testing (TTEABR)Aided Audiometry

These days many people suffer from mild-to-moderate hearing loss problem and hearing aids have become a practical solution for improving the problem of hearing. Cochlear implant system is designed for people who are not able to benefit from hearing aids. It is an electronic device which stimulates the auditory nerve with electric signals which the brain can understand as sound. Cochlear implants are considered the only machinery available to functionally re-establish one of the five senses. In contrast to hearing aids, which intensify sound, these electronic devices bypass the damaged part of the inner so that person can hear it best. People who have cochlear implant are heard clearly in the noisy environment, enjoy music and reconnect with friends and family

Cochlear Implant is very beneficial over a normal hearing aid as you are able to hear speech sounds and spoken languages more accurately facilitating development in natural speech. The implants adept to assist the sensitivity at certain frequencies for speech and also enables to monitor their own speech more productively.When a young child acquires a cochlear implant, they require a lot of inputs from a speech and language pathologist or parents to develop skills. In the case when an adult receives an implant, they are likely to be less demanding for input from professionals as they already have desired speech skills.

The Middle Ear Implant is a newer technology approved by the FDA in 2002. After this time it has been seen by many as a strong aid in achieving better hearing. The Middle Ear implant consists of an internal device, which is surgically implanted and also there is an external component which is called the Audio Processor. The external piece is worn behind the ear and there are no visible wires. The Middle Ear Implant works by picking up sound, by the external processer, and transferring it across the skin electromagnetically to the implanted receiver. The receiver then transmits the signal to the implant which creates vibrations in the ear and copies the function of a normal ear. This vibration is then sent to the cochlea which in turn is sends the signal to the brain for interpretation. Since the implant bypasses the middle ear, sound goes directly into the cochlea therefore avoiding problems with reduced sound.

Why & When do People Require Voice Therapy?Voice therapy or voice training is a series of techniques and procedures that work on several vocal parameters such as pitch, volume, and quality. Voice therapy treats a wide spectrum of speech and communication disorders. Usually, speech-language pathologists provide voice therapy. Whats the Main Purpose of Voice Therapy?Generally, the main goal of voice therapy is to restore the patients voice to a level where they can get their daily voice or speech requirements fulfilled.

Everything You Need to Know about Fluency TherapyFluency disorder, commonly known as stuttering can be defined by primary and secondary behaviors. Primary behavior includes repetitions of sounds, whole words, and syllables, prolongations of single sounds, blockages of airflow or other speech-related issues. Secondary behavior, on the other hand, is developed with the advancement of time. This kind of behavioral pattern often includes hesitation, interjections of syllable, sounds, or words, word revision, complete changes in the words, and motor skills related to stuttering (loss of eye contact, frequent eye blinking, extraneous movement etc.) People often get confused over normal disfluency and stuttering. Normal disfluency is when the children start learning to combine multiple words and speak short sentences. This can continue up to the age of 7. This is absolutely normal for the children between 2 to 7 years age. But, if you find your children stuttering even after this phase of time, you should consult a doctor and consider fluency therapy.

What is Misarticulation Therapy & How does it Work?Articulation refers to any speech disorder which can be defined by distortion, substitution, omission, or any addition of phonemes. Sometimes children find it difficult to utter certain sounds. He or she may alter certain sounds due to the course of their speech. In most of the cases, the children outgrow these issues with the advancement of time. But, if it persists for a longer time, then it can be an articulation problem. There are many reasons working behind articulation problem in children such as weak muscles, less control over the tongue, problems in respiratory system or any kind of speech immaturity. Sometimes adults also suffer from articulation due to hearing loss, brain injury, dyslexia, intellectual disability etc. Articulation disorder involves some major issues that can lead to some phonemes, known as misarticulation. The most common misarticulations (related to sound) include additions, omissions, distortions, and substitutions etc. Misarticulation therapy has been designed to make coordination between articulators like lips, cheeks, jaw, palate, and tongue.

An Auditory Brainstem Implant (ABI) is a modified cochlear implant intended to be used to stimulate the cochlear nucleus in the brainstem of patients who have had their eighth nerves severed during surgery for removal of bilateral eurofibromata, as in patients with Neurofibromatosis 2 (NF2). The cochlear implant linear array of electrode contacts is replaced by a small rectangular silastic paddle containing the 21 contacts. This is surgically inserted into the lateral recess of the fourth ventricle. The need for this device is much less common than that for a cochlear implant, but these patients are typically totally deaf and, although the benefit is not as great on the average as that of the cochlear implant, most recipients derive significant auditory perception.

Electronystagmography (ENG) is a diagnostic test that records the eye involuntary movement caused by a condition known as Nystagmus , acquired in infancy or later in life that results in limited vision. The condition affects the two cranial nerve responsible for brain functioning. The two nerves are the oculomotor nerve and the acoustic nerve. The oculomotor nerve connects the brain with eye muscles. The acoustic nerve connects the brain the cochlea. The acoustic nerve is responsible for controlling hearing and balance. Need for ENGThe test helps in determining the disorders in the part of the cochlea (inner ear) that are dependable for position sense, orientation, and balance that are connected with brain, ears, and eyes. If you are suffering from following symptoms, your doctor might recommend you ENG test: Unexplained loss in hearingExperience dizzinessProblem of balance and vertigoUsher syndromeAcoustic neuromaLabyrinthitisMenieres diseaseSuspected lesion in the inner ear

Newborn hearing test program is designed to identify a problem of hearing in babies shortly after birth. Before you bring your newborn baby to home from hospital, they need a hearing screening. However, most of the babies can hear normally where 1-3 out 1, 000 babies are born with some degree of hearing loss. The need for Newborn Hearing TestThe first three years of life for a baby are very important when the brain is developing. Children begin to learn speech and language in the first 6 months of life. Research suggests that children with hearing loss develop better language skills that get help early. The baby hearing loss should be screened before they left the hospital for home. If your baby hearing loss is not detected during the first month of life ask your doctor to screen your child today. If the screening shows a possible problem, quick action can be taken.

Hearing loss can be congenital -by birth or can be acquired. If acquired, it can be progressive with age or can also erupt with a sudden affect. It can also happen when hearing loss is dubious-unsure; pure-tone audiometry may be effective test to evaluate hearing deficits by spot- examining certain frequencies, or to appraise shortfalls more completely. Pure Tone Audiometry is a type of hearing test that gauges hearing sensitivity and determines the feeble tones you can hear at various frequencies. It is a test done to detect the qualitative and quantitative analysis of your hearing to find out if a hearing loss is present or not. There can be various types of audiometry test depending on age & cognitive abilities. At sphearclinic.com clinic the Pure Tone Audiometry, is done as a basic review test for your hearing to identify your auditory threshold levels. We have the best instruments in any private clinic in entire north India used for the scaling of auditory threshold known as the audiometer. An audiometer is an instrument or machine that plays sounds via headphones employed for the gauge of acuity of your hearing and threshold of your audibility.

Hearing loss in children can be detected through several techniques. When children are very young (less than 6 months old), hearing loss detection needs to be done without a childs cooperation. When the child is 30 months to three years old, the test is accompanied using child cooperation. This activity is known as Play Audiometry (also known as Conditioned Play Audiometry). What is Play Audiometry?Play audiometry test measures the childs level of hearing through a fun and interactive method, using toys and games. The test is ideal for children between 2 to 5 years old (preschoolers) as this non-invasive diagnosis requires a child full attention and cooperation to complete successfully. We would be able to measure the condition of your child by evaluating their response to sounds presented through a different level of loudness and pitches. Some of the popular games we use at the SpHear clinic are throwing a ball in the bucket, putting pieces into puzzles, or any other playful activity. Once we are satisfied that the results of the test are accurate, the results are entered into the notes and prepared for the appointment with the SpHear pathologist.

Hearing loss is a medical ailment that elevates a lot of weight with lot of misinformation sometimes. Having a hearing loss doesnt mean your child is incapacious to hear profoundly, or that sounds just arent noisily enough. Hearing is tested by observing for revulsion in your childs behaviour in counterstand to sound. A sound is handy through speakers and a reactance like a blink or a smile alludes that the sound was heard. Behavioral tests are based on watching a change in your infants behavior in repercussion to sound. Behavioral observation audiometry is a test of hearing loss waged for your new born babies and infants where their counteraction to sound is gauged during breastfeeding or bottle feeding. This test entails rendering sounds to your babies and heeding their counterstand in order to test hearing.This test is often fixed for infants less than six months of age or who are progressively not able to turn their head towards a sound. It not only helps to sink in the presence of hearing loss, but also perceives which hearing aid is recommended for your baby. This test examines the behavioural shift in reactive to different sounds in your babies. Your childs counteraction to each sound is kept on record and your babys hearing potency is analysed.

The orient discretion of the auditory handicapped child has been manifested to be of utmost importance for the general evolution of your child as well as for the anthesis of his speech and language. Precise cognizance of the auditory function is thus a hypothesis for planning a training broadcast for your child having communicative disorders. Visual reinforcement audiometry is a new pattern innovated for testing hearing in infants. It is a test that devises an audiologist to appraise hearing in infants and toddlers who are too young for normal hearing tests. Visual reinforcement audiometry test banks on behavioural conditioning to prefabricate your infants to respond to sounds. It is formulated for children aged between 6 months to around 3 years old. It is a behavioural audiometric test performed in sound-proof rooms. During the test, your child is made to sit on your lap or a chair in front of an investigative loudspeaker, or by drawing on headphones. Your baby will be trained to link the sound to a sequential reward such as a toy or computer screen illuminating up near the loudspeaker. Once your child is able to affiliate with the sound and spectacle reward the loudness and pitch of the sound will be diversified to discern the quietest sounds your child is able to catch.

An aided audiogram test to confirm sound audibility at different frequencies.

Audiological tests inquest your ability to hear the loudness and pitch of auditory sensations. The upshots are charted on a graph (audiogram) to help prim the vehemence and provocations of hearing problems. An audiological specialist employs the latest innovation and auditory sense tests to ascertain the type and degree of your hearing loss.Audiological tests are used to key out and check the medical analysis of hearing loss. The procedure used reckon on the age of the individual and other factors. Special audiological tests are accessible to test hearing with special ceremonials in babies and children. A special audiological test is a pain-free, non-encroaching audiological test that valuates your ability to listen varied sounds, pitches or frequencies. These tests help in medical analysis and treatment of all forms of hearing loss to ascertain and assess auditory functioning and meliorate your overall hearing health. These Special Audiological Tests can further be described in the following ways: Special audiological tests using precise tone.Special audiological tests using brink level.Special audiological tests for valuating cochlear and retro-cochlear pathology.Special audiological tests necessitating behavioral reactance.

Speech audiometry is an audiometry test in which we test the speech understanding of an andividual in a test setup.We provide various speech stimulus through an audiometer and the tester has to recognise them and respond based on his ability to response. Speech audiometry is an integral test or tool for hearing loss assessment.It is moslty done along with pure tone audiometry and it adds value to the pure tone audiometry.Speech audiometry also gives us information regarding the minimum audiometric level at which an individual can understand speech & also discomfort and tolerance of speech stimuli. This test provides extra information above the detection level of a hearing impaired person.This tests enables us to understand whether hearing aid or amplification device will be usefull for a particular hearing loss or not.It also helps us in fitting an amplification or hearing aid devices. There are various sub tests under speech audiometric testSRTIt is the smallest level at which a person can recognise 50% of closed set disyllabic words in a test set up SIS/SDSIt is a measure or test that determines that how many words /sentences an individual can recognise or identify correctly at a comfortable loudness level.

As the name connotes, a Speech-in-Noise test will confer you a denotation of how well you can sense speech in a noisy surroundings. Speech in noise testing is a simpleton procedure but a potent diagnostic instrument. The diverse background noises that are stand by in day-to-day life can sometimes make hearing hard especially when you are endeavoring to penetrating speech. In this perspective, Speech-in-Noise tests are designed to mime real-life actualities. A person with a hearing loss often will be less able to perceive speech, particularly in noisy environments. This is peculiarly true for people who have a Sensorineural loss which is out and away the most generic type of hearing loss. As such, Speech-in-Noise tests can render valuable knowingness about a persons hearing efficacy and can be used to discover the existence of a Sensorineural hearing loss. These tests render worthy information about a persons potency to hear in backdrop noise. In simple terminology the test confers an audiologist a quantitative score to ascertain how well you can grasp words clearly in the existence of backdrop noise. Speech in noise tests that gauge the sensing of speech in existence of noise are now a significant persona of audiologic tests battery and hearing exploration as well. As research show that backdrop noise and a patients sensing of background botheration and endurance can impact hearing aid usage, speech-in-noise tests acts as a convinced counselling instrument to help patients assess their expectations and hit their hearing potency. The Speech-In-Noise test is done for clinical use in conjunction with a diagnostic audiologic valuation such as hearing in noise.

Tympanometry is a test to appraise the middle ear functioning and is used to assess health and working of the outer and middle ear, entailing the external auditory canal.It is a test of middle ear functioning. Tympanometry discerns at the flexibility of eardrum to switching air pressures, signalizing how efficaciously sound is effused into the middle ear. This test can be executed either in a hearing healthcare professionals office or a doctors clinic. Firstly, the clinician will do an optical(otoscopic) examination of your ear canal and eardrum using an illuminated scope (otoscope) placed in the ear. Then, an inquest with a conciliatory rubber tip will be enunciated in your ear. The inquest will stimulate the air pressure in your ear canal to alter as you listen some low-pitched tones. The sensing can be similar to the pressure modifications felt during starting and landing when youre on a plane. While the pressure is acclimating, the dimensions of your eardrums operation will be taken and recorded. Tympanometry is a test that weigh outs the operation of the middle ear. It works by diverging the pressure within the ear canal and assessing the stirring of the eardrum (tympanic membrane).Tympanometry is a non- pragmatist test of middle ear functioning, which implies it requires no willingly reactance on the part of the client being tested. It renders nifty quantitative acquaintance about the existence of fluid in the middle ear, maneuverability of the middle ear system, and ear canal loudness. Its use has been petitioned in alignment with more qualitative knowingness of your ear canal functioning (e.g., history, visual aspect, and maneuverability of the tympanic membrane). Tympanometry can also provide operable know-how about the lucidity of tympanostomy tubes.

Audiometric tests check a persons hearing stages with the help of an audiometer, but also gauge the potentiality to single out between diverse sound intensities, discern pitches, or differentiate speech from background noise. Reflex audiometry is also evaluated under the audiometric tests. The upshots of audiometric tests are used to diagnose hearing loss or disorders of ear.Absence of reflexes with normal hearing vulnerability may be an initial sign of many auditory neuropathies with poor encryption of speech at primitive stage perplexities. The reflex audiometry is a two-sided reflex (the reflex befall in both ears with single-ear provocation) and can be assessed by recording the switch in acoustic resistance or accession in response to stimulation (tones or noise) to the same or the contrary ear (called the uncrossed and crossed reflex respectively). Reflex audiometry evaluates the stapedius and the tensor tympani reflex originated eardrum stirring in reactance to intense sound. This test is helpful in ascertaining specific types of hearing loss in circumstances where patients reliability is ambiguous. The reflex audiometry test is a significant tool for discovering auditory perplexity from the middle ear to the superior olivary complex. During this test you will hear loud beep sounds in both ears while sitting calmly. The aim of reflex audiometry test is to ascertain your nerve signals, to and from, the brain from the cochlea. The reflex audiometry diagnosis evaluates the impedance of your tiny ear muscle that contracts when a loud sound emanates.

Your Eustachian tube is a tunnel-like shell that integrates your nasal cavity to your middle ear. When your ear pops, thats the moment your Eustachian tube opens and allows pressure in the middle ear to commensurate. The tube can become barricaded or stay exposed too much, and both circumstances can lead to impacted hearing. You might not have a genuine hearing loss, but sounds could seem echo-like or unfeeling because importunate pressure in the middle ear is precluding your tympanic membrane or the bones in the middle ear from ongoing properly. The Eustachian tube affixes your middle ear cavity with the nasopharynx. It pumps up the middle ear system and deterges mucus from the middle ear into the nasopharynx. Unfolding and folding functioning of the eustachian tube are physiologically and pathologically significant. Normal unfolding of the eustachian tube parallels atmospheric pressure in the middle ear; folding of the eustachian tube safeguards the middle ear from dispensable pressure waverings and loud volumes. The main function of the Eustachian Tube Function Test is to rejuvenate balance in this pressure.

A Reflex decay test is a test that assesses any diminution in the reflex action in reactance to extended perpetual stimulation. This test is usually done when there is a hunch of decay of the acoustic reflex. To conduct this test, a high intensity stimulus is exhibited to the ear, just contralateral to the tip of the probe. This stimulation is conferred in the form of a pure tone with a recurrence of at least 10dB above the ambit of the acoustic reflex. This tone is played for about 10 seconds as acute stimulation can cause detriment to the ear canal. A stimulation above the range of 105 dB should not be employed as it can cause permanent detriment to the ear drum.Reflex decay test has been evolved in order to diagnose tumor- stimulated pathologies entailing and touching the auditory nerve. This test is usually wrought by conferring sound that is 10 dB over the contralateral acoustic-reflex threshold at 500 or 1000 hertz (Hz) for 10 seconds. Reflex Decay Test is a monitoring procedure for retrocochlear entailment. Once the reflex threshold has been enunciated, the stimulus intensity is enhanced, and the reflex is gauged for persistence over 10 second duration. It is the diminution in the magnitude of the acoustic reflex during an elongated stimulation.

Auditory Brainstem Response (ABR) test is a painless test performed to estimate the hearing sensitivities and abnormalities between the hearing nerve and brainstem pathways that transfer sounds from the inner ear to the brain. The patients who have the following symptoms in both or one ear are the right candidate for ABR test: Difficulty in hearing and conversationRinging in the earProblem with balanceScreening newborn who are at high risk of hearing lossEar or brain infectionDelayed speech and language development

Hearing loss in infants and young childrenDiagnosis of hearing loss in infants and young children requires an accurate estimation of ear and behavioural analysis based on frequency. These behavioural responses are measured through an automated test- Auditory Brainstem Response (ABR). Although the relationship between ABR and behaviour thresholds accuracy for prediction which depends on the degree of hearing loss. About ChirpChirp is a latest electrophysiological procedure for detection of hearing loss in infants and young children. It is a most advance method that has shown sensitivity up to 100% enabling detecting of a normal hearing threshold at all frequencies. Chirp Stimulus is designed to record auditory brainstem response (ABR) in the paediatric. It is responsible to recognize the timing of spectral stimulation to compensate temporal dispersion in human cochlea. It produces a same level of traditional responses (ABR, ASSR) with up to 2x amplitude. Chirp enhances detection of sound wave responses and reduces time to automate detection.

Over the years, the Click-Evoked ABR has played a major role for evaluating the peripheral auditory function and continued its efforts in determining hearing loss problems in infants and children. The Auditory Brainstem Response (ABR) is neurological process to determine hearing sensitivity and abnormalities in auditory nerve or pathway. Traditional ABR has shown a poor sensitivity to tumours and unable to detect any problem associated with it, as ABR rely on latency changes of peak V. To enhance ABR quality to detect small tumours, Stacked derived ABR is used to identify small acoustic tumours (small than 1cm) missed by standard ABR. What is Stacked ABR?The Stacked ABR is a test used in testing for acoustic tumours and Menieres disease. In addition to existing neural activity produced from 5 regions of frequency across cochlea in response to (click) stimulation and high-pass noise masked responses. It is a combination of test for all frequency regions of the cochlea. The Stacked ABR is a valuable screening process because it is sensitive, specific, widely available, comfortable, and cost-effective. What to expect?An audiologist will place electrodes on forehead and earlobes which is directly connected to a computer to take recordings. Earphones are placed in the ears to deliver click stimulus. You are not required to respond to the clicks while sitting in a reclined position. You are instructed to sit as relaxed as possible with closed eyes.

The potential clinical advantages for determine brain encoding and plasticity in hearing aid users have driven a rising importance in CEP. It aids in understanding the effect of hearing aids on brain performance and resulting behaviour, may advance the contemporary science underlying thriving rehabilitation of hearing loss. Cortical Evoked Potential or CEP is a test depends whether we are testing your child while wearing a hearing aid or without. The test is also known as Auditory Evoked Potential where small electrical signals are generated in brain by a hearing pathway. A loudspeaker is used with frequency variation to make several speech sounds (like m, g, and t). The stimulation are carried inside the brain and they can are recorded from the surface of the head via a electrode and analysed on a computer device. Why to take CEP Test?In infants and young children where testing for hearing loss problem cannot be detected through observation or whether hearing aids have been fitted or adjusted optimally. There is no need of behavioural response during the Cortical Evoked Response Eudiometry. What to expect?Three electrodes are attached to the surface of the child head with the help of a surgical tape. The electrodes do not cause any discomfort while there are possibilities that the procedure might cause some reddening of the skin that can last up to 24 hours. It is a safe procedure and there will be no harm to the baby. During the event, hearing aid signals are used to create stimuli to elicit CEP. Then these signals outputs from the hearing aids are recorded.

Late Latency Response (LLR) is a component of auditory evoked potential response. The auditory evoked potential represents the cortical activity related to memory, attention, and auditory discrimination proficiency. The processing of acoustic signal occurs differently between verbal and non-verbal stimuli. These influence the amplitude and latency patterns. The LLR response is found between 50 to 250 milliseconds from the time of stimulation. The test reflects the response of auditory cortex. LLR can acquire through pure tone stimulation by applying an envelope tone buster. The response is from a low frequency less than 30 Hz and has a frequent voltage of ranging between 3 to 10 microvolts. The recordings have certain high points and low points. The peak depicts positive potential difference those are labelled as P where as the low points depicts negative potential difference those are labelled as N. LLR responses are usually acquired by surface electrodes.

Cochlear implantation is a proven treatment for auditory neuropathy. Although for clinicians the outcomes is still a huge challenge. Electrical Evoked Auditory Brainstem Response (EABR) imparts valuable findings in selecting ear for surgery. It is also helpful in determining key information responses of auditory neurons to electrical stimulation. What is EABR?It is an effective tool for measuring integrity in the auditory nerve and predicting performance outcome. Electrical Evoked Auditory Response is a modern technique for measuring ABR using an electrical stimulus. Instead of a conventional acoustic stimulus, the auditory brainstem or cochlear implant develops a stimulus that evokes the ABR. EABR is a functional and objective examination technique, which allows audiologist to measure the performance of auditory nerve fibers as well as to verify site of the auditory nerve lesion. Why EABR?Verify placement of electrodes during the surgery for cochlea implant or auditory brainstem implantTo estimate hearing threshold level in infants and young children those cannot address using behavioural therapyMap device in cochlear implant or auditory brainstem implantAssess interaction between channels of electrodesDetect rate of stimulation

The lowest level of electrical stimulation that elicits a measurable response.

Otoacoustic emission tests determines cochlear status, specifically hair cell.

Evaluation of hearing ability in young children.

How can Auditory Rehabilitation Help to Deal with Hearing Loss?Auditory rehabilitation is the method of providing training and proper treatment to enhance hearing abilities for those patients who are hearing impaired. Rehabilitation therapies try to teach the patients adjusting to hearing loss, using the amplification devices in the best possible way, understanding with the help of assistive devices, handling conversations, and taking care of communication. Before delving into the details about auditory rehabilitation, lets explore more about hearing loss. Nature of Hearing Loss ADULTSBefore starting auditory rehabilitation, it is important to understand the specific nature of the hearing loss. Sometimes you may need to go through several discussions with your audiologist and family for finding out the things that can rightly click. These discussions will let you gain insight into: Why it seems that people are mumbling?Why you cant understand what you are hearing?Why you face difficulty in hearing female voicesWhats your Familys Take on your Hearing loss?