FOR PHYSICIANS

For Physicians 

Madison & Saratoga Hearing Center works with a variety of insurance companies. Download our list of participating Insurance Companies for your reference. 

Our Center’s goal is to utilize an interdisciplinary approach to hearing healthcare. We work hand in hand with the patient’s primary or referring physician during the initial evaluation, treatment, and follow-up care.   

Our Center offers the following Diagnostic Hearing, Vestibular Testing and Hearing Aid services. 


Auditory Brainstem Response (ABR) Testing

This is a comprehensive test that will evaluate the neural conduction of the auditory nerve from the inner ear up to the middle of the brainstem. It is used to identify possible central nervous system causes of hearing loss. This test is most commonly used to diagnose an Acoustic Neuroma or Vestibular Schwannoma. The ABR testing is performed in our Albany and Saratoga Springs locations only. 


Cerumen Management 

Cerumen management is a preventative maintenance procedure. Our Doctors use the curettage wax removal technique via video otoscopy. Our Doctors will work with hearing aid patients on routine ear care and set a quarterly schedule for cerumen removal and follow-up visits when necessary. Should cerumen management not be achieved by this method, our Doctors will refer the patient to their primary care physician or Ear, Nose, and Throat Physician for alternate removal options.  
 

Comprehensive Adult Hearing Evaluations 

The purpose of an audiologic referral is not only to measure the degree of hearing loss, but also to determine where in the auditory system the loss is occurring. Our Doctors utilize the following tests as necessary to aid in the identification process: air-conduction, bone-conduction, speech reception threshold, speech discrimination, speech in noise, tympanometry, acoustic reflex, acoustic decay, and otoacoustic emissions testing. 


Hearing Aid Consultation and Fittings 

During the hearing aid consultation our Doctors will first take the time to explain the hearing evaluation test results and answer any questions the patient may have about their hearing health. Recommendations on hearing aids are made based on the patient’s hearing loss, lifestyle and budget. Hearing aids can be programmed to the patient’s hearing loss at this appointment to provide an in-office demonstration of amplification benefit.   


Newborn Hearing Screenings

Newborn Hearing Screenings are performed via Otoacoustic Emissions (OAE) Testing. OAE does not require any sedation to the child, however does run best with reduced myogenic and environmental noise. That is why we will work with the patient/guardian to set-up an appointment that best accommodates the child’s sleeping and eating routine. A small probe tip is inserted into the child’s ear canal which is used to measure the OAE responses. Newborn Hearing Screenings are performed in our Albany and Saratoga Springs locations. 


Pediatric Hearing Evaluations

Our Albany and Saratoga Springs locations are fully equipped to perform Pediatric Hearing Evaluations. Visual Reinforcement Audiometry (VRA) and or Conditioned Play Audiometry (CPA) will be used to obtain hearing threshold information. 

Visual Reinforcement Audiometry (VRA) evaluates the hearing of infants of six months to two years. Sound of varying intensity are presented to one of two speakers as the child sits on a parent’s lap. If sound is heard by the child, he or she turns their head towards the appropriate speaker and is rewarded by visual stimulus, such as an animated toy or flashing light. 

Conditioned Play Audiometry (CPA) evaluates the hearing of children 2-5 years in age. The child is conditioned to drop a play block in a bucket in response to hearing a sound. This technique is used to identify ear specific and frequency specific hearing thresholds. 


Tinnitus Evaluation and Rehabilitation 
Our Doctors will first perform a comprehensive hearing evaluation and work with the referring physician to rule out any medical causes for the patient’s perception of tinnitus. After this is complete tinnitus treatment options will be discussed with the patient including hearing aid amplification and Tinnitus Retraining Therapy.    


Tympanometry
Tympanometry evaluates the tympanic membrane and middle ear by measuring pressure reflected from the eardrum. This test helps detect middle ear pathologies such as middle ear effusion, ossicular discontinuities, otosclerosis, perforated tympanic membranes, Eustachian tube dysfunction and the status of pressure equalization tubes. 


Videonystagmography (VNG)

This is a comprehensive test that will evaluate the entire vestibular system (peripheral and central). It is used to assist with differential diagnosis of the most common forms of vestibular dysfunction, which may include BPPV, a unilateral or bilateral peripheral weakness, and central vestibular involvement.   
The VNG test consists of three test sections: Ocular Motor Testing, Positional Testing, and Caloric Testing. During all three test sections, the patient is required to wear test goggles that record eye movements via infrared cameras. The eye movements recorded are used to determine if and what type of vestibular dysfunction is present. More information of VNG Testing and Test Prep Procedures can be found on our VNG Information Page. 


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