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Assessments 
 
 
Otoscopic examination: Use an otoscope to check if the ear drums are intact and ear canals are free of discharge and foreign objects.
   
 
Pure Tone Audiometry: A standard hearing assessment is consisted of two parts. Firstly, hearing is assessed with headphones placing on both ears. Signals from low to high pitch are then presented to each ear respectively. Hearing assessment should be performed by qualified Audiologist in a sound-treated room. Secondly, a bone vibrator is placed behind the ear to look for the nature of hearing loss. The bone vibrator transmits the signals to the inner ear, bypassing the ear canals and the middle ears. For those with conductive hearing loss, soft signals can be easily detected with the bone vibrator, whereas for those with sensorineural hearing loss, signals are heard at similar levels with both devices.
   
 
Impedance Audiometry: Impedance Audiometry is consisted of two tests. Firstly, tympanometry is used to assess the integrity of the eardrum and the pressure level of the middle ear cavities. Abnormal findings indicated middle ear problem is present, e.g. middle ear infection and eardrum perforation. Secondly, acoustic reflex test is conducted to measure slight changes in the eardrum induced by the two muscles in the middle ear, which contract in response to loud sounds, for evaluating the integrity of ear bones and retrocochlear regions. The degree of hearing loss can also be inferred by the findings of this test.
   
 
Tinnitus evaluation: To find out the pitch and loudness level of tinnitus presents objectively. A custom-made treatment program will be designed for individual patient according to the case history and tinnitus status.
   
 
 
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