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Children's Hearing Evaluation

Children’s Hearing Evaluation

What to Expect—Specialized Testing for Children

There are several diagnostic tests that can be used in the identification of hearing loss in infants and children.

Auditory Evoked Brainstem Response Testing (ABR)

This diagnostic test measures the electrical activity in the brain in response to sound. It evaluates how well the auditory nerve and auditory brainstem work. Thin wires are attached to your child’s forehead and earlobe while a small earphone delivers sound safely to your child’s ears.

Otoacoustic Emissions (OAE)

Measures if the haircells in the cochlea are functioning properly. Responses are either present, absent, or present but abnormal. A small, comfortable earphone delivers sound safely to your child’s ears.

Otoscopic Evaluation

A careful visual inspection of the outer ear and ear canal is performed before any testing is begun.


This is a test that evaluates your child’s middle ear and the movement of the eardrum. With a soft eartip placed in your child’s ear canal, it is possible to identify the presence of fluid in the middle ear, a perforation in the eardrum, or if ventilation tubes are open. This test helps the Audiologist determine the cause of hearing loss and if the loss is temporary or permanent.

Acoustic Reflex Testing

This test measures how the small muscle in the ear contracts to protect the ear from loud sounds.

Behavior Audiometric Testing

It is important for the Audiologist to evaluate and monitor how a child responds to sound. Behavioural testing can begin as early as 3 months of age. There are three different types of testing:

  • Behavioral Observation Audiometry (BOA) BOA testing can be used with children as young as 3 months of age. Observations are made of how an infant responds to sounds at different loudness and pitches.
  • Visual Reinforcement Audiometry (VRA) VRA testing can be introduced as early as 4-6 months of age. Your child’s head turn response is visually reinforced with an engaging animated and/or illuminated toy.
  • Conditioned Play Audiometry (CPA) CPA can be used with children as young as 24 months of age. Testing requires the child to complete a task such as dropping a toy in a bucket when he or she hears a sound.

Timing Your Appointment

Thank you for choosing Constance Brown Hearing Center for your hearing healthcare needs.
To ensure an efficient visit to Constance Brown Hearing Centers, please allow yourself time to arrive 15 minutes prior to your scheduled appointment.  Appointments are made according to the amount of time the staff anticipates that each patient will need.
Arriving extremely early may cause an extended wait time as other patients will be seen at their scheduled appointment times first.  If you arrive late, we will make every effort to see you but you may be asked to reschedule.


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Our Mission

The mission of Constance Brown Hearing Centers is to impact lives through comprehensive hearing care provided by experts with advanced degrees in audiology.

Hearing aids have meant everything to me. I can hear much better and enjoy having a conversation with others. A new world has opened up to me because I can hear what others are saying.

— Vivian R. Portage, MI
I chose Constance Brown Hearing Center because of its reputation as an ethical center to have my hearing tested. My recent experience confirmed my expectations.

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Constance Brown Hearing Centers offers convenient locations that are easy to access and handicap accessible. I have no complaints about the service I received!”

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I would like to let you know how much hearing aids have changed my life. Since being fitted with a hearing aid, I can hear sounds that I have not heard in years. Thank you so much I am very grateful.”

— Velma K. Paw Paw, MI

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