Behavioural Observation Audiometry

Hearing loss is a medical ailment that elevates a lot of weight with lot of misinformation sometimes. Having a hearing loss doesn’t mean your child is incapacious to hear profoundly, or that sounds just aren’t noisily enough. Hearing is tested by observing for revulsion in your child’s behaviour in counterstand to sound. A sound is handy through speakers and a reactance like a blink or a smile alludes that the sound was heard. Behavioral tests are based on watching a change in your infant’s behavior in repercussion to sound.

Behavioral observation audiometry is a test of hearing loss waged for your new born babies and infants where their counteraction to sound is gauged during breastfeeding or bottle feeding. This test entails rendering sounds to your babies and heeding their counterstand in order to test hearing.This test is often fixed for infants less than six months of age or who are progressively not able to turn their head towards a sound. It not only helps to sink in the presence of hearing loss, but also perceives which hearing aid is recommended for your baby. This test examines the behavioural shift in reactive to different sounds in your babies. Your child’s counteraction to each sound is kept on record and your baby’s hearing potency is analysed.

Behavioural tests are based on reckling a change in behaviour in counteraction to a sound. The behavioral observation audiometry test is featured in order to evaluate the reactance of auditory child when opting a hearing aid or to appraise the boons of the hearing aid for your new born. As the name signifies it is based on the perusal of behavioral and involuntary mirror of your child. This is a pattern for testing hearing in infants before they can manifest the systematic reactive to sounds. The aim of this test is to scrutinize the accuracy of unconditioned behavioral observation audiometry in anticipating the hearing acuity in babies and check the esteem of test upshots at various frequencies.

Behavior observation audiometry is an audiometric test for hearing level estimation in BABIES as young as 6-9 months.In this test the baby is seated with caregiver in a sound proof room and an audiologist is presenting various calibrated or measured sounds through speakers .The babies response to sounds presented is then OBSERVED and noted and measured.An estimation of babies hearing loss is made through this audiometric test.

BOA is a time consuming test as it is difficult to get a reliable & repeatable response from babies as young as 6 months for the same test stimulus.

BOA can take sometimes days & weeks to establish reliable hearings thresholds across various frequencies.

BOA cannot be ear specific test as we are presenting sound in a free field setup, hence always a better ear will response & in case of asymmetric hearing loss, we cannot establish each ear hearing levels.

Parents needs to understand that this test may need immense patience to establish reliable response from their babies & this may require several repeats

BOA is generally used to augment or add value to other objective tests. Therefore, this test should not be treated or interpreted as a standalone test to confirm diagnosis of hearing loss & also to fit amplification device.

Kavya Clinic is the prominent and renowned hearing care centre which is well-equipped with the most innovative and sophisticated audiological solutions for all kinds of hearing loss for your infants. Our audiologists are well-versed in operating the behavioural hearing tests by observing your child’s behavioural alteration in response to different sounds. These counterstands may entail head twists, eye locomotion, raising a hand, or doing any activity, relying upon the age of the child.

Behavioural observation audiometry at Kavya Clinic is designed for the infants younger than seven months of age who cannot reactive when they hear a sound. At Kavya Clinic one or an assimilation of tests is used and customized for each new born. Our audiologist at Kavya Clinic are in the first place trained to unearth bodily repercussion to sound i.e. fag-end of activity, bodily activity, eye widening, eye opening in your child.

The behavioural observation audiometry test which is operational by our audiologists at Kavya Clinic endows the most accurate denotation of hearing potentiality in your babies.

Speech Audiometry

Speech Audiometry

Speech audiometry is an audiometry test in which we test the speech understanding of an andividual in a test setup.We provide various speech stimulus through an audiometer and the tester has to recognise them and respond based on his ability to response.

Speech audiometry is an integral test or tool for hearing loss assessment.It is moslty done along with pure tone audiometry and it adds value to the pure tone audiometry.Speech audiometry also gives us information regarding the minimum audiometric level at which an individual can understand speech & also discomfort and tolerance of speech stimuli.

This test provides extra information above the detection level of a hearing impaired person.This tests enables us to understand whether hearing aid or amplification device will be usefull for a particular hearing loss or not.It also helps us in fitting an amplification or hearing aid devices.

There are various sub tests under speech audiometric test–SRT–It is the smallest level at which a person can recognise 50% of closed set disyllabic words in a test set up SIS/SDS–It is a measure or test that determines that how many words /sentences an individual can recognise or identify correctly at a comfortable loudness level.



Tympanometry is a test to appraise the middle ear functioning and is used to assess health and working of the outer and middle ear, entailing the external auditory canal.It is a test of middle ear functioning. Tympanometry discerns at the flexibility of eardrum to switching air pressures, signalizing how efficaciously sound is effused into the middle ear. This test can be executed either in a hearing healthcare professional’s office or a doctor’s clinic.

Firstly, the clinician will do an optical(otoscopic) examination of your ear canal and eardrum using an illuminated scope (otoscope) placed in the ear. Then, an inquest with a conciliatory rubber tip will be enunciated in your ear. The inquest will stimulate the air pressure in your ear canal to alter as you listen some low-pitched tones. The sensing can be similar to the pressure modifications felt during starting and landing when you’re on a plane. While the pressure is acclimating, the dimensions of your eardrum’s operation will be taken and recorded.

Tympanometry is a test that weigh outs the operation of the middle ear. It works by diverging the pressure within the ear canal and assessing the stirring of the eardrum (tympanic membrane).Tympanometry is a non- pragmatist test of middle ear functioning, which implies it requires no willingly reactance on the part of the client being tested.

It renders nifty quantitative acquaintance about the existence of fluid in the middle ear, maneuverability of the middle ear system, and ear canal loudness. Its use has been petitioned in alignment with more qualitative knowingness of your ear canal functioning (e.g., history, visual aspect, and maneuverability of the tympanic membrane). Tympanometry can also provide operable know-how about the lucidity of tympanostomy tubes.

Tympanometry, the older and more enormously used technology, has been a successfully employed test for evaluating middle ear pathologies since the 1970 is conveniently available at Kavya Clinic. Tympanometry is an objective diagnosis, which is a prompt and simpleton procedure. Our audiologist at Kavya Clinic while performing this test will sneak in a probe into your ear canal, which discerns the level of pressure existent, as well as the conformity of the ear drum.

The upshots of the testing are recorded on a graph called a tympanogram at Kavya Clinic, gearing up our audiologists to examine and refer you for advance screening if required. It is a type of hearing test used to ascertain the provocation of conductive deafness. The audiologists at Kavya Clinic are well-equipped to specify how well the operational part of the ear (from the external canal to middle ear canal) is functioning.

Tympanometry test at Kavya Clinic is operated to discover problems kindred with the tympanic membrane and middle ear that can extend to hearing loss, especially in children. Our audiologists meticulously detect the problems in your middle ear by ascertaining how well the stirring parts of the middle ear are working. At Kavya Clinic Tympanometry test also allows our audiologists to perceive the functioning of the Eustachian Tube, the upper auditory pathways and the reflex contraction from the middle ear muscles.

Paediatric Hearing Assessment


  • New Born Hearing Screening
  • Complete Hearing Assessment
  • Behavioral Observation Audiometry (BOA
  • Speech Audiometry
  • Immittance Audiometry (Tympanometry & Acoustic Reflexes)
  • Otoacoustic Emission Testing (OAE)
  • Auditory Brainstem Response Testing (ABR)
  • Automated Steady State Response Testing (ASSR)
  • Trans Tympanic Electric Auditory Brainstem Response Testing (TTEABR)
  • Aided Audiometry