Help and Support for Hearing Loss

and other ear conditions such as tinnitus, Meniere’s disease and hyperacusis. Information on causes of hearing loss. Assistive devices for hearing impaired people.

Audiologist Puyallup WA

Local resource for audiolgists in Puyallup. Includes detailed information on local businesses that provide access to hearing aids, hearing loss services, hearing tests, ear, nose and throat specialists and ear doctors, as well as advice and content on hearing loss resources and services.

Harbor Audiology & Hearing
(253) 777-0922
1901 S 72nd St Ste A14
Tacoma, WA
Services
No charge for hearing aid consults with valid audiogramsAll hearing instruments are fitted on a 30-day initial basisGuaranteed successful fittingsAccess to the most technologically advanced instruments availableIn-house and manufacturer modifications and repairsOffice visits included throughout warranty period of the instrumentComplete Hearing Health Care:Batteries provided for the life of your hearing instrumentsQuarterly cleanings and adjustmentsYearly audiometric screeningsYearly hearing inst
Hours
SundayClosed ,Monday09:00 AM - 05:00 PM by Appointment ,Tuesday09:00 AM - 05:00 PM by Appointment ,Wednesday09:00 AM - 05:00 PM by Appointment ,Thursday09:00 AM - 05:00 PM by Appointment ,Friday09:00 AM - 04:00 PM by Appointment ,SaturdayClosed
Payment
Credit Cards,Visa,MasterCard,Discover,Cash,Check,Debit,Insurance

Stantan Erwin M.D.
(253) 777-3224
316 Martin Luther King Jr Way Ste 305
Tacoma, WA
Hours
SundayClosed
Payment
Credit Cards,Cash,Check,Insurance

Nicholas Hamill, M.D.
(253) 777-3138
1901 S Union B2010
Tacoma, WA
Hours
SundayClosed ,Monday08:00 AM - 05:00 PM ,Tuesday08:00 AM - 05:00 PM ,Wednesday08:00 AM - 05:00 PM ,Thursday08:00 AM - 05:00 PM ,Friday08:00 AM - 02:00 PM ,SaturdayClosed
Payment
Credit Cards,Visa,MasterCard,Discover,Cash,Check,Debit,Insurance

Harbor Audiology And Hearing
(253) 292-5202
4700 Point Fosdick Dr Nw Ste 212
Gig Harbor, WA
Services
Free hearing aid consults with valid audiogramsAll hearing instruments are fitted on a 30-day initial basisGuaranteed successful fittingsAccess to the most technologically advanced instruments availableIn-house and manufacturer modifications and repairsOffice visits included throughout warranty period of the instrumentComplete Hearing Health Care * Batteries provided for the life of your hearing instruments * Quarterly cleanings and adjustments * Yearly audiometric screenings * Yearl
Hours
SundayClosed ,Monday09:00 AM - 05:00 PM ,Tuesday09:00 AM - 05:00 PM ,Wednesday09:00 AM - 05:00 PM ,Thursday09:00 AM - 05:00 PM ,Friday09:00 AM - 04:00 PM ,SaturdayClosed
Payment
Credit Cards,Visa,MasterCard,Discover,Cash,Check,Debit,Insurance

The Vancouver Clinic Inc PS
(360) 335-3075
2525 NE 139th St Ste 220
Vancouver, WA
Services
* Allergy/ImmunologyThe Allergy and Immunology Clinic offers comprehensive management of allergic, asthmatic and immunologic disorders in children and adults. They also offer skin testing, testing for asthma and allergy injections. * Oncology (Cancer Care)Our department treats a full range of cancer including: * Lung Cancer * Colorectal Cancer * Breast Cancer * Lymphoma * Hematologic CancerWe also participate in clinical trials. * Audiology * Hearing tests * Hearing
Hours
Monday08:00 AM - 05:00 PM ,Tuesday08:00 AM - 05:00 PM ,Wednesday08:00 AM - 05:00 PM ,Thursday08:00 AM - 05:00 PM ,Friday08:00 AM - 05:00 PM ,SaturdayClosed
Payment
Credit Cards,Visa,MasterCard,American Express,Discover,Cash,Check,Insurance

Audiology/Hear Center
(253) 777-3204
5821 Sprague Court
Tacoma, WA
Hours
SundayClosed ,Monday08:15 AM - 05:00 PM ,Tuesday08:15 AM - 05:00 PM ,Wednesday08:15 AM - 05:00 PM ,Thursday08:15 AM - 05:00 PM ,Friday08:15 AM - 05:00 PM ,SaturdayClosed
Payment
Credit Cards,Visa,MasterCard,Discover,Diners Club,Cash,Check,Debit,Insurance

Virginia Mason South
(253) 336-4546
33501 1st Way S
Federal Way, WA
Services
Anesthesiology, Anticoagulation Clinic, Asthma/Allergy, Audiology, Bariatric (Obesity) Surgery, Bone Density Scanning, Brain Cancer, Breast Cancer, CT Scans, Cardiology, Cochlear Implants, Cosmetic Surgery, Dermatology, Diabetes Care, Endocrinology, Eye Care, Family Practice, Gastroenterology, General Internal Medicine, Gynecology, Head & Neck Surgery, Headache Clinic, Heart Attack and Stroke Prevention, Laboratory facilities, Lung Cancer, MRI, Mammography, Nephrology, Neurology, Nutrition Servi
Hours
SundayClosed ,Monday08:00 AM - 06:00 PM ,Tuesday08:00 AM - 06:00 PM ,Wednesday08:00 AM - 06:00 PM ,Thursday08:00 AM - 06:00 PM ,Friday08:00 AM - 06:00 PM ,Saturday08:00 AM - 01:30 PM
Payment
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Multicare Clinic Covington
(253) 237-1480
17700 Se 272nd St Ste 200
Kent, WA
Hours
SundayClosed
Payment
Credit Cards,Cash,Check,Insurance

Audiology/Hear Center
(206) 973-3345
304 15th Ave E
Seattle, WA
Services
Diagnostic and Rehabilitative ServicesAssistive listening and signaling devices.Wide array of inexpensive devices to assist in communication needs (television, telephone, alarm clocks, etc.)..Comprehensive Audiological EvaluationsA series of tests to determine hearing ability by air and bone conduction methods, speech identification and understandingCounseling and rehabilitation for patients and their familiesWe help you understand your hearing test results and their implications so that togethe
Hours
SundayClosed
Payment
Credit Cards,Cash,Check,Insurance

Peninsula Hearing Inc.
(360) 930-3531
19319 7th Ave Ne Ste 102
Poulsbo, WA
Services
Hearing Evaluations for Adults & ChildrenComprehensive Hearing Aid Fittings and AdjustmentsHearing Aid Repair & ProgrammingIndustrial Hearing Conservation ServicesEducational Audiology Services for Hearing Impaired ChildrenComplete Hearing Health Care ™*
Hours
SaturdayClosed
Payment
Credit Cards,Cash,Check,Insurance

Air-Bone Gap - What’s That?

by Neil Bauman, Ph.D.

A man wrote:

After three years of badgering, (and constant reminders that I was getting tired of repeating myself) my 84 year old aunt finally went to an audiologist for a hearing evaluation.

Upon finishing the audiogram, she was told to go see an ENT, in order to have her “Air-Bone Gap” evaluated. I’ve never heard of an air-bone gap before. What the Sam Hill is it anyway?

Good question. The reason for this strange and oxymoronic-sounding term, and the cause of your confusion, is that this term is really just a contraction audiologists use instead of saying, “The results of your air-conduction hearing tests and the results of your bone-conduction hearing tests don’t match each other because your air-conduction tests gave much poorer results than your bone-conduction tests.”

The difference (or gap) between these two lines plotted on your audiogram is the air [conduction] – bone [conduction] gap or air- bone gap for short. For example, if your audiogram showed an air- conduction hearing loss of 70 dB while your bone-conduction test results only showed a 40 dB hearing loss for a given test frequency, then the difference between them in this case would be an air-bone gap of 30 dB (70 – 40 = 30).

In case you are interested, air-conduction tests evaluate your ability to hear sounds traveling through the air in your ear canals, then vibrating your ear drums, which in turn vibrate the three tiny bones in your middle ears and then transmit these vibrations via the oval window to your cochlea.

In contrast, bone-conduction tests evaluate your hearing by placing a bone oscillator (vibrator) on the mastoid bone behind your ear. This directly vibrates your skull and thus your cochlea, which is embedded in your skull - thus effectively bypassing your ear canal, ear drum and middle ear bones.

If there is a difference between the air-conduction and bone- conduction test results, this indicates problems somewhere in your outer or middle ears. This could be something such as wax (or “junk”) in your ear canal blocking incoming sounds, a hole or other problem in your eardrum, fluid in your middle ear, damage to your middle ear bones (for example—otosclerosis), etc.

That is why if there is an air-bone gap you typically want to see an ear specialist to find out why. The good news is that often these kinds of problems can be fixed by an ear specialist...

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