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Audiological Services in NUH

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The audiology service in NUH is comprehensive. It comprises basic and advanced hearing diagnostic assessments, central auditory processing assessment and management, vestibular assessment, the middle ear implant programme, and the cochlear implant programme.

Common hearing conditions that are seen by audiologists are congenital or acquired hearing loss in children, hearing loss due to aging (presbycusis) in elderly, or hearing loss due to ear infections. Audiologists support the ENT doctor in the hearing assessment and diagnosis of hearing disorders.

Adult Rehabilitation

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Hearing and Speech Tests
Hearing Aids, Bone Conduction and Cochlear Implant Rehabiliation

Audiologists assist patients in obtaining suitable hearing aids based on their hearing profile and listening needs. Hearing aids are programmed based on the individual’s hearing levels.

Tinnitus Counselling and Management (Basic and Advanced)

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Tinnitus counselling and management is one of the subspecialties in audiology. Patients who suffers from tinnitus will benefit from the counselling and customised management plan.

Vestibular Assessment

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Vestibular Assessment:
This is another subspecialty in audiology. Patients who experienced dizziness, vertigo and imbalance will undergo a series of assessments to assess their vestibular and balance function.

Computerised Dynamic Posturography Test:
This involves a series of tests that aims to assess how well a patient can maintain balance under different conditions that they may encounter in everyday life. It helps to identify functional impairments associated with the underlying disorders.

Paediatric Diagnostics

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Visual reinforcement audiometry (VRA):
VRA is an approach used by paediatric audiologists to assess hearing levels for children between 6 to 24 months. The child will be conditioned to response to stimuli using visual reinforcer such as a puppet or a video on screen.

Play audiometry:
Play audiometry is another method used by paediatric audiologist to assess children's hearing aged between 2-5 years old. Children will be conditioned to response to stimuli by playing a game or toy.

Auditory Brainstem Response (ABR), Otoacoustic Emissions (OAE):
Auditory brainstem response (ABR) test and otoacoustic emission test are objective tests that do not require response from the patient. It is usually used to assess children who are unable to participate in the behavioural hearing test to response to stimuli.

Paediatric Habilitation

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Audiologists provide early intervention using hearing aids, bone conduction devices, cochlear implants and Frequency modulation (FM) systems to help them achieve normal speech and language development.

Central Auditory Processing DIsorder (CAPD)

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Full CAPD assessment comprises a battery of tests to assess auditory processing abilities. It can only be conducted on children above seven years of age. Upon diagnosis, patient will be referred to a speech therapist for customised management plan and intervention.

Others

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Electroneuronography (ENoG) assess the facial nerve function in Bell's palsy patient to monitor the neural recovery process.
Hearing aid technical support (HATS): HATS provides services for hearing aid users to troubleshoot their devices and to send for servicing if needed.

Useful Resources

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The NUH Cochlear Implant (CI) program has been established since 2000 and has benefited many children and adult patients who have undergone cochlear implant surgery to improve their hearing.
This booklet provides more information on the CI journey. This helps parents to understand how cochlear implant works as well as the intervention process involved pre- and post-surgery. Refer to the booklet here.

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2023/10/19