Pediatric Audiology - North Carolina Eye, Ear, Nose & Throat - NCEENT

If your child is diagnosed with a hearing loss, the Pediatric Audiologist works closely with the Otolaryngologist as well as the Speech-Language Pathologists and other support providers in the community and schools to provide the best care for your child.

Pediatric Audiology provides hearing testing and  hearing aid fittings  for infants and children who are having a wide range of hearing disorders.

Hearing Tests for Children - Serving Cary, Chapel Hill, Durham, Roxboro

One of the following or a combination of the following tests will be used with your child.  The  Audiologists  will choose the best test for your child based on their current developmental/cognitive level.  None of these tests cause discomfort for your child.

Visual Reinforcement Audiometry (VRA)

Your child will sit on your lap.  Sounds will be played through speakers or earphones and a toy will be shown to your child to teach him to respond in certain ways to the sound (e.g., a head turn).

Conditioned Play Audiometry (CPA)

Your child must be old enough to voluntary respond to a sound.  Sounds will be played through speakers or earphones.  Each time a child hears a sound, they are asked to drop a block in a bucket or put a peg in a peg-board.

Conventional Audiometry

Your child will be asked to raise their hand, clap their hands, or click a button in response to a sound.  Sounds will be played through earphones.


A special soft earplug is placed into the entrance of the ear canal.  A puff of air is blown into the air.  Movement of the eardrum is then measured with slight changes in the air pressure.

Otoacoustic Emission

A special earplug is placed into the entrance of the ear canal.  A clicking sound is played and delivered into the ear and sound activity from the ear is recorded and analyzed on the computer.  Your child needs to be as quiet as possible for this test.

Auditory Brainstem Response Monitoring

Brain activity is measured when clicking sounds are presented through tiny earphones placed in / on your child’s ears.  Tiny electrodes or stickers are placed on your child’s forehead and earlobes or mastoids.    These responses are recorded on the computer and then analyzed by the  Audiologist .  Your child needs to be asleep for this test.

Hearing for Speech

Your child will be asked to point to pictures or repeat words upon request from the Audiologist  to help determine the softest level at which the child can understand speech or to determine your child’s understanding of speech at a comfortable level.

Auditory Processing Testing

Auditory processing is most simply defined as what the brain does with what the ears hear.  This includes several aspects of listening. 
Your child will work with the Pediatric Audiologist  as well as the  Speech-Language Pathologist  and undergo a series of tests ranging from a hearing test to a speech and language evaluation to determine how your child processes information.

If your child has difficulty following auditory directions, struggles in noisy situations, and has difficulty in school, auditory processing testing may be indicated.  This test may be the key in helping in your child succeed.

Visit North Carolina Eye, Ear, Nose and Throat for Cary audiology, Chapel Hill audiology, Durham audiology, and Roxboro audiology!