Frequently Asked Questions

General Hearing FAQs:

  1. What is hearing loss?
    Hearing loss is a partial or total inability to hear sounds in one or both ears. It may occur gradually or suddenly and vary in severity.
  2. What causes hearing loss?
    Causes include aging (presbycusis), noise exposure, genetics, ear infections, ototoxic medications, head trauma, and earwax blockage.
  3. How do I know if I have hearing loss?
    Common signs: asking people to repeat themselves, turning up the TV volume, difficulty hearing in noisy environments, and feeling that others are mumbling.
  4. Can hearing loss be prevented?
    Yes, especially noise-induced hearing loss. Use hearing protection in loud environments and avoid prolonged exposure to high-volume sounds.
  5. How common is hearing loss?
    Over 1.5 billion people worldwide experience some degree of hearing loss; it's especially common in older adults.

Hearing Tests & Diagnosis

  1. What is an audiogram?
    An audiogram is a chart that shows the softest sounds a person can hear at different frequencies (pitches). It's used to diagnose the type and degree of hearing loss.
  2. What types of hearing tests are available?
    Common tests include:
    • Pure-tone audiometry (air and bone conduction)
    • Speech audiometry
    • Tympanometry
    • Otoacoustic emissions (OAE)
    • Auditory Brainstem Response (ABR)
  3. How often should I get my hearing tested?
    Adults should have their hearing screened every 3–5 years, or annually if over age 60 or at risk. Children should be screened at birth and during key developmental stages.

 Pediatric Hearing

  1. How can I tell if my child has a hearing problem?
    Signs include delayed speech, inattentiveness, turning the TV volume up high, or not responding to sounds. Newborns should have a hearing screening before hospital discharge.
  2. What is a central auditory processing disorder (CAPD)?
    It’s a condition where the brain has difficulty processing auditory information, even if hearing is normal. It often affects understanding speech in noisy environments.

Communication & Coping

  1. What are some tips for communicating with someone who has hearing loss?
  • Face them when speaking
  • Speak clearly, not loudly
  • Minimize background noise
  • Use gestures or visual aids when helpful
  • Can hearing loss lead to other problems?
    Yes. Untreated hearing loss is linked to social isolation, depression, cognitive decline, and balance issues.

Hearing Protectors

Earplugs are small devices inserted into the ear canal to protect your ears from:

  1. Loud noise – like at concerts, construction sites, or while using power tools.
  2. Water – to prevent swimmer’s ear or keep ears dry when bathing or swimming.
  3. Foreign objects or wind – useful for motorcyclists or during air travel.
  4. Sleep disruption – to block out background noise and improve sleep quality.

Types of Earplugs:

  • Foam Earplugs: Soft, expandable foam; rolled and inserted into the ear. Inexpensive and disposable.
  • Silicone Earplugs:
    • Moldable: Flattened balls that cover the ear canal entrance.
    • Pre-molded: Reusable and shaped to fit the ear.
  • Wax Earplugs: Often used for swimming or sleeping; moldable and comfortable.
  • Filtered or High-Fidelity Earplugs: Designed for musicians or concertgoers; reduce volume without distorting sound quality.
  • Custom Molded Earplugs: Made by audiologists to fit your ears exactly. Best for long-term or professional use.

Canal caps are a type of hearing protection that sit at the entrance of the ear canal rather than inside it. They're a convenient option for environments with intermittent noise exposure.

Features:

  • Design: Typically consist of soft earplugs attached to a flexible band or headband.
  • Position: The ear tips "cap" the ear canal rather than being inserted deeply.
  • Ease of Use: Easy to put on and take off quickly — ideal for workers moving in and out of noisy areas.
  • Hygiene: Since they don’t go deep into the ear, they’re often considered more hygienic than foam plugs for frequent reuse.

Types of Canal Caps:

  1. Banded Canal Caps:
    • Semi-rigid band keeps caps in place.
    • Can be worn under the chin, behind the neck, or on top of the head.
  2. Multiple-Tip Designs:
    • Some have rounded tips, others are flanged for a more secure fit.
  3. Replaceable Tips:
    • Some models allow tip replacement while reusing the band.

Earmuffs are head-worn devices designed to protect the ears. There are two main purposes for earmuffs:

  1. Hearing protection (Noise-reducing)
  2. Thermal protection (Cold-weather warmth)
  1. Hearing Protection Earmuffs (Noise Reduction)

Used in loud environments (e.g., construction, shooting ranges, factories).

Types:

  • Passive Earmuffs:
    • Use sound-absorbing materials only.
    • No electronics.
    • Offer consistent noise reduction (typically 20–30 dB NRR).
  • Electronic (Active) Earmuffs:
    • Include microphones and speakers to amplify safe sounds and suppress dangerous noise.
    • Common in shooting sports or military use.
    • May feature Bluetooth or communication systems.
  • Noise-canceling Earmuffs:
    • Use active noise cancellation (ANC) to reduce low-frequency noise.
    • Often used for travel, offices, or industrial settings.

     

    Types:

    • Over-the-head earmuffs:
      • Traditional design with a headband over the top.
    • Behind-the-head earmuffs:
      • Band goes around the back of the neck; often worn with helmets or hats.
    • Adjustable/foldable earmuffs:
      • Collapsible for easy storage; can be either of the above styles.

    Electronic hearing protectors—also known as active hearing protection—are devices designed to protect your ears from loud noises while allowing you to hear safe sounds clearly.

     

    How They Work:

    Electronic hearing protectors use microphones and speakers to:

    • Amplify quiet or normal-level sounds (voices, alerts, ambient noise)
    • Suppress or block loud, dangerous sounds (like gunshots, engines, or tools) by instantly reducing volume electronically

     

    Common Types:

    1. Electronic Earmuffs
      • Over-the-ear design
      • Often used by shooters, industrial workers, or military personnel
      • May include Bluetooth for music or calls
    2. Electronic Earplugs
      • In-the-ear protection with digital noise control
      • Lightweight and low-profile
      • Often rechargeable
    3. Communication Headsets
      • Used by law enforcement, military, or construction crews
      • Combine noise reduction with radio or intercom systems

     

    Benefits:

    • Situational awareness: You can still hear conversations, alarms, and instructions.
    • Protection from sudden loud noises: The electronic circuit reacts instantly.
    • Comfort and versatility: Many models allow customization, volume control, or app connectivity.

     

     

     

    What is NRR?

    NRR stands for Noise Reduction Rating. It is a measurement (in decibels, dB) that indicates how effectively a hearing protection device—like earplugs or earmuffs—reduces noise exposure.

     

    Key Points:

    • Higher NRR = More noise blocked
      For example:
      • Foam earplugs: NRR 29–33 dB
      • Earmuffs: NRR 20–30 dB
      • Combined use (earplugs + earmuffs): Even more protection
    • Set by the EPA (Environmental Protection Agency) in the U.S.
      Based on standardized laboratory tests.

     

    How to Interpret NRR in Real Use:

    Actual noise reduction is often less than the label suggests, because of imperfect fit and real-world conditions.

    To estimate actual protection:

    Estimated reduction = (NRR - 7) ÷ 2

    Example:
    If NRR = 30 dB,
    Realistic protection ≈ (30 - 7) ÷ 2 = 11.5 dB

    This is a conservative estimate used in workplaces by OSHA (Occupational Safety and Health Administration).