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Pediatric audiology is the branch of audiology specializing in children’s hearing. It is different from diagnosing and treating adult hearing issues because children may not be able to answer diagnostic questions the way adults can, due to lack of language skills or vocabulary, or lack of understanding of how hearing is supposed to be. Due to these limitations, different tests are used to diagnose children’s hearing loss (see below). Children are also growing and changing rapidly, providing additional challenges for treatment, which often needs to change and adapt as the child grows.
A pediatric audiologist is a professional child hearing specialist with a master's or doctoral degree in Audiology, who has additional technical expertise in children’s audiology and a desire to work with children. Our pediatric audiologists have decades of experience working with children. Their friendly, comfortable approach underlies their expertise in administering hearing tests for children, and providing hearing solutions based on each child's individual needs. We truly enjoy working with children and providing ongoing support as they grow and their needs change.
The diagnostic hearing evaluation for children is performed by a pediatric audiologist who performs a series of tests to determine if the child has a hearing loss, and if so, to discover:
► The type of hearing loss (which part of the auditory system is affected).
► The degree of hearing loss (how much hearing loss exists).
► The configuration of hearing loss (which frequencies or pitches are affected).
We use state-of-the-art technology to diagnose children's hearing loss. Our tests are conducted in a fun, game-like way, to keep children engaged and at ease while we collect the data required for an accurate diagnosis.
When functioning normally, the cochlea (in the inner ear) produces low-intensity sounds called otoacoustic emissions (OAEs). But when a child has a sensorineural hearing loss of 30dBHL* or greater, these OAEs are absent. There are two basic types of OAEs that we test for:
Both of these OAEs are easily measured in children, and make up an important part of the children’s hearing test.
* dBHL stands for Decibels Hearing Level, which is the level of sound measured in decibels (dB) relative to the quietest sounds that a young healthy individual should be able to hear.
Tympanometry is an objective test of middle-ear function which tests the mobility of the eardrum (i.e. tympanic membrane), the conduction of the middle ear bones, and the condition of the middle ear by creating variations of air pressure in the ear canal. While tympanometry is not a hearing test, per se, it is a measure of energy transmission through the middle ear which can help in the diagnosis of hearing loss.
As children age, they are able to provide hearing results through their behaviors and actions. After about 3 1/2 years of age, a child can be taught to participate in Conditioned Play Audiometry (CPA). The audiologist teaches the child to engage in an enjoyable activity, such as dropping a block in a bucket, when they hear a particular sound. The audiologist then finds the lowest intensity level that the child can detect sound at different frequencies 50% of the time, for each ear. From this information, a graphic representation of hearing ability (and hearing loss), called an audiogram, is created. The child’s hearing loss is then classified as mild, moderate, moderately-severe, severe, or profound.
Children may experience permanent hearing loss after an unspecified period of time after birth, called late-onset or delayed-onset hearing loss. If a child is diagnosed with mild, chronic or unilateral (one-sided) conductive hearing loss, or if they are at risk of developing progressive or delayed-onset hearing loss, audiological monitoring is recommended.
Pediatric audiological monitoring allows the pediatric audiologist to monitor children’s hearing abilities, as well as hearing aid details and performance, over time. Caregiver-report questionnaires may be used along with other measures, such as aided speech perception.
We're not just Doctors of Audiology - we're also parents. We understand how precious your little ones are, and how you're looking for the very best care for them. What sets our practice apart is our caring approach, and that's especially true for our littlest patients. We know how a hearing loss can be frightening for some children, and we take extra care to help your little ones understand everything we're doing, and feel confident with their hearing solutions. We ask you for the privilege of caring for your child's hearing and promise to care for them as our own.
Dr Anzola is outstanding. Dr Anzola has provided me with hearing aids that have improved my hearing dramatically. She does an outstanding job of adjusting them each time I see her. Her staff will always fit me in if I need some help. My hearing aids have made such an improvement in the quality of my life. I am most grateful to Dr Anzola.
- Linda B., Annandale, VA
Great Service with Outstanding Results. Lost my previous hearing aids so went to Dr Ana Anzola for help in getting new ones. Thanks to her I have new hearing aids which are extraordinarily better than anything I had before. She takes time to analyze your hearing loss and then creates the best solution tailored to your needs. I woukld recommend her to anyone who suffers from hearing loss problems.
- Thomas A., Mc Lean, VA
A five-star experience! I am a first-time hearing-aid user. I did not know what to expect but Dr. Anzola immediately put me at ease, explained the process and educated me on available options. I have been impressed with the follow-up services. The doctors and staff are friendly, efficient and professional. I have recommended Ascent to others.
- Kathleen S., Herndon, VA
A+++++ (that's 5) for service, professionalism, expertise, etc. I went to the office not really knowing what to expect. Marci Smith was the Audiologist and she is very personable and professional. I am almost please enough to travel to Rockville, her normal office. Everything about the people and office are really the best.
- Richard L., Falls Church, VA
All 5 stars! I purchased my Starkey hearing aids in Naples Florida where we spend part of the year. Audiology Associates located in Naples found Ascent in a directory. With the office close to where we live, I have come in twice to purchase supplies. Service was professional, courteous, and prompt. I will be back for continued purchases as well as service on my hearing aids if necessary.
- Richard S., Oakton, VA
Service is very good and quick. After service my hearing aid is in good condition. I satisfy. Thanks.
- Thuy D., Rockville, MD
Excelent practice. Dr Anzola is an excellent professional. I'm very happy with her professional practice and office. Before I went there, I visited many doctors and they never solved my problem. With Dr. Anzola my experience has been very good.
- Ana B., Bethesda, MD
Excellent! Highly recommend. I accompanied my mother for her initial exam and again when she received the hearing aids. I was very impressed with the amount of time spent and the attention to detail. My mother is not an easy customer and for her to be impressed also says volumes. Dr. Anzola listened well and carefully and responded to all questions and concerns. I was invited to sit in as the aids were prepared and how to use and care for them was explained. She took A LOT of time going over everything, answering questions, and explaining everything in detail. We never felt hurried or rushed. Our appointment was on a Friday late afternoon. What totally amazed us was on Saturday morning my mother got a call from Dr. Anzola. She wanted to see how my mother did after the appointment and in the morning. She asked my mother if she had any questions or concerns. A follow up from the doctor WITHOUT a call from us, was a pleasant surprise. I would highly recommend her.
- Dale L., Alexandria, VA
Dr. Anzola is very attentive, listens very carefully to what ou have to say, will answer all guestions and will change whatever that can be changed to accommidate your wishes. If you have a problem Dr. Anzola will squeeze you in as soon as possible.
- Mary M., Falls Church, VA
Overall - Excellent. Office is officially run and staff (Christine) always accommodating. Appointments are timely, so next to no waiting time. Very friendly but efficient and professional environment. Small waiting room but comfortable setting. Earing devices and testing process seem to meet excellent standards...Doctor Anzola appears very technically knowledgeable and competent.
- Linda G., Fairfax, VA
I Can Hear!!! Dr. Anzola and her staff have been unbelievably fabulous with me. They worked with me to make sure that I got the help I needed and got the comfort that I wanted. They've been there every time I've needed advice or help. And yes, I've already been recommending them to friends. Think you can't hear? Go get help - After 10 years, I'm hearing the birds again... I had no idea how much I'd lost and I'm so happy to have it back again!
- Sheldon C., Arlington, VA
They have gone out of their way to help me hear better. Many times I have called or gone to their office to correct a problem or answer a question.
– Lynda R., McLean, VA
Excellent service! Dr. Anzola is totally professional, helpful and experienced - it is a pleasure to use her services.
- Jane F., Mclean, VA
Dr. Anzola taught me how to use my hearing aid. Improving your hearing is more than purchasing an aid. I am very pleased with my choice to get assistance from Ascent Audiology for my hearing needs. Dr. Anzola is a teacher as well as a doctor. I highly recommend her practice.
- Carol B., Falls Church, VA
Great service, good listeners! My hearing aids are very comfortable. I've been wearing them now since Jan. 2013. Dr. Anzola is responsive to my questions and gives great customer service! Christina is so helpful and her calls to remind me of my next appointment are much appreciated. Thank you Dr. Anzola and staff.
- Craig R., Arlington, VA
Caring, professional audiologist Dr. Anzula guided me through the difficult transition of adjusting to wearing hearing aids. She made sure I had devices to fit mt needs and took the time and care to make sure I was satisfied.
- Rhett D., Mc Lean, VA
Outstanding in all areas. Dr. Anzola and her staff are well-trained professionals who are dedicated to providing a high level of service to their patients.She is not satisfied until her patient is completely satisfied.I am very pleased with the product and my relationship with Dr. Anzola and her staff
- David S., Fairfax, VA
* Free screening offer is applicable to new patients 18 years of age or older. Office visits only.