Clinical Information

Clinical Information

DHWANI AURICA that wish to be of international caliber will have to embrace technology and implement it, as technology will be a benchmark criterion in qualifying as a healthcare organisation of international standard we at Dhwani Aurica includes complete personal & clinical History for providiing BEST solutions.

Audiologists are health care professionals who provide patient-centered care in the prevention, identification, diagnosis, and evidence-based treatment of hearing, balance, and other auditory disorders for people of all ages.

An Audiometry exam tests your ability to hear sounds. Sounds vary based on their loudness (intensity) and the speed of sound wave vibrations (tone)Hearing occurs when sound waves stimulate the nerves of the inner ear. The sound then travels along nerve pathways to the brain.Sound waves can travel to the inner ear through the ear canal, eardrum, and bones of the middle ear (air conduction). They can also pass through the bones around and behind the ear (bone conduction).

This test can detect hearing loss at an early stage. It may also be used when you have hearing problems from any cause.

Common causes of hearing loss include:

Acoustic trauma

Chronic ear infections

Diseases of the inner ear

Head injury

Inherited conditions

Medicines that can harm the inner ear, including certain antibiotics (such as neomycin or gentamycin), diuretics, and large doses of salicylates (such as aspirin)

Occupational hearing loss

Perforation /Ruptured Eardrum

The Hearing Specialty Clinic offers audiological consultations for :

  • Hearing assessment: pre- and post-operative or pre- and post-treatment administered in ENT
  • Expert audiological report for occupational deafness
  • Hearing surveillance in connection with taking potentially ototoxic medications
  • Overall hearing needs assessment
  • Recommendation of hearing aids and evaluation of their performance
  • Follow-up for adaptation to wearing hearing aids
  • Demonstration and recommendation of assertive hearing devices (telephone amplifier,environmental controls for the door, telephone, smoke alarm and alarm clock)
  • Tinnitus assessment and help to reduce the tinnitus-related distress


Spirometry is a medical test that assesses lung function. Spirometry is the preferred screening method for asthma and COPD (chronic obstructive pulmonary disease). In addition, Spirometry can be used periodically to evaluate the treatment of lung disease.

Spirometry is a simple and noninvasive method intended to measure mobilizable volumes and airflows. The evaluation of the lung function of a patient is made by comparing it to the average lung function of a person of similar race, height, weight, sex and age. Based on this comparison, we determine whether the patient has a lung disorder.

Hearing Test

An audiometry evaluation is a painless, noninvasive hearing test that measures a person's ability to hear different sounds, pitches, or frequencies.Patients who have a tumor in or around the ear may undergo audiometry testing to determine whether hearing loss has occurred or to monitor their hearing before and after surgery. It is also used to evaluate whether hearing aids or surgery may improve one's hearing.

A pure tone audiometry test measures the softest, or least audible, sound that a person can hear. During the test, you will wear earphones and hear a range of sounds directed to one ear at a time. The loudness of sound is measured in decibels (dB). A whisper is about 20 dB, loud music ranges 80-120 dB, and a jet engine is about 180 dB. The tone of sound is measured in frequencies (Hz). Low bass tones range 50-60 Hz, high-pitched tones range 10,000 Hz or higher. Normal hearing range is 250-8,000 Hz at 25 dB or lower.

A word recognition test (also called speech discrimination test) 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.

A tympanometry test detects problems such as fluid/wax buildup, perforated eardrum, ossicle bone damage, or tumors in the middle ear. Acoustic reflex testing evaluates the cranial nerves and brainstem.

Types of Hearing Aids

Completely in Canal (CIC)

Only slightly larger than the Miniscopic hearing instrument, the CIC is another great option for patients who want a nearly invisible solution. Almost completely hidden except for a removal cord, the CIC is a smart choice for patients who want high-end technology in a small package.

In the Canal (ITC)

ITC instruments are custom built for your ear, so they fit snugly and comfortably. Only the face of the device extends into the outer ear, while the body extends into your ear canal. The slightly larger design offers extra power, making the ITC a great selection for mild to mildly severe hearing loss.

In the Ear

The ITE is a classic choice for patients who want a more powerful device that still resides in their ear. The user friendly controls are easily operated and the extraordinary technology is powerful enough for mild to severe hearing loss.

Receiver in Canal (RIC)

RIC instruments are a beautiful combination of form and function. A sleek shell housing the microphone sits discreetly behind your ear, separating itself from the receiver to eliminate feedback. Amazingly comfortable, RICs are extremely lightweight and have an "open fit" design, which makes them barely noticeable when worn. The receiver-in-canal device is small, discreet and incredibly quick to fit; which makes it perfect for many first-time wearers.

Mini Behind the Ear

The mini BTE rests behind the ear. The case at the back of the ear houses the technology, while a clear tube then directs amplified sound into the ear canal via an earmold or earbud. Features React Touch Control Technology, allowing you to change the hearing aid volume up and down and adjust settings to match your environment with the simple sweep or touch of a finger. The mini BTE is the smallest BTE model, available with thin tubing and a tiny earbud for ultimate discretion. Appropriate for most types of hearing loss and ages.

Cross Hearing Aid

A Contralateral Routing of Of Signals (CROS) hearing aid is a type of hearing aid that is used to treat unilateral hearing loss(single sided deafness). It takes sound from the ear with poorer hearing and transmits to the ear with better hearing.

Cochlear Implant

What is a cochlear implant?

A cochlear implant is an electronic medical device that replaces the function of the damaged inner ear. Unlike hearing aids, which make sounds louder, cochlear implants do the work of damaged parts of the inner ear (cochlea) to send sound signals to the brain. Cochlear implants have helped over one hundred thousand people hear again or for the first time.

Which are the factors that can affect hearing outcomes?

Hearing is uniquely different for everyone - like a fingerprint. There are many factors that can affect how well your child will hear and talk with a cochlear implant. These include

How long your child has had hearing loss

The condition of their inner ear

Other medical conditions

The level of habilitation after receiving the cochlear implant

Practice hearing with their cochlear implant

Who can they help??

Cochlear implants can help children who:

Have severe to profound sensorineural (inner ear) hearing loss in both ears and

Receive no real hearing benefit from hearing aids and

Are not making progress in developing speech and

Have parents and families dedicated to their child learning speech and being part of the hearing world

Hearing with a cochlear implant

An external sound processor captures sound and converts it into digital code

The sound processor transmits the digitally-coded sound through the coil to the implant

The implant converts the digitally-coded sound into electrical impulses and sends them along the electrode array, which is positioned in the cochlea (inner ear).

The implant's electrodes stimulate the cochlea's hearing nerve, which then sends the impulses to the brain where they are interpreted as sound.

BERA: Brainstem evoked response audiometry (BERA or ABR) involves sophisticated, computerized equipment. Sounds are placed in the ear, and the brainstem's response is recorded from electrodes (similar to electrocardiogram electrodes) that are taped to the patient's head. This testing is extremely helpful in:

In 2007, a panel of global clinical experts shared their consensus opinion that a majority of cochlear implant candidates would benefit from bilateral implants (cochlear implants in both ears). They determined that children in particular stand to gain significant benefit to hearing performance as a result of the increased sound stimulation during the developmental "window" that occurs during early childhood.

What are the benefits of a cochlear implant?

Many parents of children with cochlear implants report that their child:

Speaks at normal hearing level

Speech and language has developed at the right level for their age

Has greater confidence in social situations

Communicate better with family, friends and teachers

Hears clearly in noisy environments

In classrooms, playgrounds and other loud, busy places

Enjoys a world of new sounds

Parents and friend''s voices, music, birds singing, rain outside the house

Feel safer in the world

Know the direction sounds come from such as voices and approaching vehicles

Talk on the phone

Enjoy music