3926 Dayton Blvd
at the intersection of Morrison Springs
8151 Hixson Pike
within the office of Dr. Dell
12136 S. Main
across from CVS
For some of these questions, Dr. Holmes provides his comments; for others, a link is provided to information away from this website. Links away from the site open in a new window and will be clearly labeled.
Hearing loss most often occurs very gradually; others may notice your hearing loss before you do.
Hearing loss often occurs very gradually, with a reduction in speech clarity rather than loudness. Hearing loss may occur only for some pitches or only for softer sounds.
You may have a hearing loss if you:
Conductive Hearing Loss
Conductive hearing loss results from any pathology or condition that impedes or interrupts the mechanical transduction or transmission of mechanical sound energy into or through the outer and middle ear system.
Some causes of conductive hearing loss are:
Conductive hearing losses are often medically treatable. If we find through our evaluation process that you have a conductive hearing loss, we will work with your medical doctor and may refer you to Ear, Nose, and Throat specialists for further evaluation and management of this condition. If the condition cannot be remedied through medical or surgical care, hearing aids may be advised.
Sensorineural Hearing Loss
Sensorineural hearing loss results from pathology or damage to the inner ear organ for hearing or the hearing nerve as it runs from the ear into the brain. While the majority of causes of sensorineural hearing loss are benign, there are some causes of sensorineural hearing loss that pose a health threat.
Some causes of Sensorineural Hearing Loss are:
Mixed Hearing Loss
Mixed hearing loss occurs when the ear condition or combination of conditions affects the outer and/or middle ear, and inner ear together and there are components of both conductive and sensorineural hearing loss.
Central Hearing Loss
Central hearing loss occurs from a pathology or condition affecting the hearing processing areas of the brain or central nervous system. Peripheral hearing may be normal, but the brain has difficulty processing the signals it gets from the ears, causing problems in understanding, particularly in competing noise.
Some causes of Central Hearing Loss are:
The video below from audiologist Darrel Feakes is a good summary of Central Auditory Processing
to the American Academy of Otolaryngology's page for questions relating to earwax, called cerumen. Note that ear-candling is not advised; research has shown that they have not been found to be effective for treatment of excessive earwax or any other condition. Click here to see a copy of the Clinical Practice Guideline for removing cerumen, contained in our library.
The best hearing instruments are the ones that most effectively and efficiently meet your needs. There is no one best hearing aid.
Most hearing instrument manufacturers build good, reliable instruments. It is important that the instruments have the features and are configured and programmed ideally to suit your needs. The most important choice to make is in choosing the professional you wish to help you with your hearing. We can help you define your needs through history, a Hearing Demands and Needs Profile, and complete audiological assessment.
Choose Holmes Audiology as your hearing professional office based upon:
Overview tour by MedEl
More in-depth review of inner ear function
Health Insurance Plans and Hearing Aids
While some insurance plans do cover some or all of the costs of obtaining hearing aids, the plans vary widely in their coverage and there are often restrictions and protocols that must be followed. Some require that you use a specific network of providers or certain companies to acquire product.
It is best to call your insurance plan for an explanation of their benefits.
If you like you may call the office at 423-870-9930 and our staff can assist you in determining your coverage. We participate with most insurance plans.
Could I use a cochlear implant?
Cochlear implants are considered for individuals whose hearing is severe enough to prevent understanding of speech even with the best hearing aids. Evaluation for candidacy for implantation is a team approach including your medical doctor, the audiologist, the otologist, and sometimes speech pathologist and psychologist. If the best understanding for sentences is below 40%, you may be a candidate for a cochlear implant. See the links below for information about the cochlear implant programs at Vanderbilt and the more common manufacturers of cochlear implant devices.
What are the signs of hearing loss?
What causes hearing loss?
What is the best way to remove earwax?
What is the best hearing aid?
How do we hear?
Will my insurance cover hearing aids?
What about a cochlear implant?
copyright © 2014 Holmes Audiology
3926 Dayton Blvd.
Chattanooga, TN 37415