Although face masks are a problem for people with hearing loss, I want to emphasize our audiology clinic fully supports face coverings to limit the spread of COVID-19. Yet, face masks create a barrier in communication for individuals with hearing loss. Masks conceal crucial visual cues that many hard of hearing people use to understand speech.

Communication Is More Than Words

Understanding what someone is saying and how they are saying it not only comes from the tone of voice they use but the facial expressions they produce when they are saying it. It’s true – whether we are heard of hearing or not, facial expressions provide much-needed context to a conversation.

But when someone does has difficulty hearing, facial expressions take on added importance.

They help that listener fill in the proverbial blanks left by the words they couldn’t make out.  We’ve had patients tell us how frustrating it is that masks suddenly eliminated their ability to see facial expressions. Some had not even realized how dependent they had become on seeing facial expression until now.

Face Masks Prevent Lip-Reading

Interpreting facial expressions isn’t the only way our eyes can help us compensate for hearing loss. When someone is struggling with their hearing, lip-reading provides some much-needed back-up. Since traditional face masks cover the mouth and make it impossible to lip-read, many hard-of-hearing individuals fear to become isolated from their community in such a difficult crisis. They need a solution to keep them connected to others.

What Did That Masked Person Say?

Even those of us with normal hearing can have difficulty understanding what a mask-wearer is saying. Masks muffle words. In particular, masks often block the high-pitched sounds that allow us to understand certain consonants. High-pitched sounds are typically the sounds that are most difficult to understand when a hearing loss first occurs.

Clear Face Masks

Face masks that have a clear panel are starting to come into the marketplace. It’s been amazing to see such a vast global awareness of the issues cause by face masks, and these things are becoming mainstream.

Clear masks solve a few of the issues experienced in understanding speech as they bring back essential visual cues. For some, these masks help but still don’t solve the problem entirely; these masks still obscure part of the face. At times, we’re not going to see enough of the face to interpret facial expressions accurately. When transparent masks fog up, lip-reading becomes a challenge as well as the addition to muffled sound.

Finding a Long-Term Solution

Perhaps you or someone you know has recently come to terms with a newly discovered hearing loss and need to find a long-term solution. Since masks have increased our dependence on our ears, we’ve had people in the same situation contact our clinic in search of a solution. Some of these new patients tell us how stressful it is to deal with the challenges masks have brought. You may be able to relate to their feelings. Please know we’re here for you.

At our clinic, we can perform a hearing evaluation and recommend the best treatment options for you.

If you or a loved one has been struggling or complaining that others are mumbling, contact us to schedule a comprehensive hearing assessment.

To protect you, other patients, and our staff, we have safety protocols in place for in-person appointments.

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Dr. Jan Liles

Dr. Liles earned her bachelor’s degree from the University of Montevallo and her master’s degree from the University of Alabama. From 1991 to 2001, she worked with two ENT medical practices and initiated one of the first newborn hearing screening programs in the state. In 2002, she was awarded a doctorate in audiology from the University of Florida. Dr. Liles and her longtime best friend, Dr. Sheehy, founded Alabama Hearing Associates in January 2002.
    Basic Hearing Test

    A basic hearing test begins with an air conduction test. You will be seated in a soundproof booth and single-use, foam earphones will be inserted into your ear canals. The Audiologist will ask you to push a button or raise your hand when you barely hear a series of beeps (tones) presented at various frequencies (pitches) to obtain your air conduction thresholds.

    To determine whether your hearing loss is a conductive (mechanical) loss, sensorineural (permanent) loss or combination of the two, we perform a bone conduction test.  

    For this test, a head band is place on the bone behind one of the ears to obtain your bone conduction thresholds. This process provides a different form of sound transmission using vibration, which bypasses the eardrum and the middle ear bones and directly stimulates the auditory nerve. When you hear the beeps/tones, you will push a button or raise your hand.

    If bone conduction thresholds are better than air conduction thresholds (through the foam inserts), you have a conductive hearing loss. This suggests a problem with the mechanical structures (moving parts) of the ears.

    Conductive hearing loss is often a medically treatable condition for which we will provide you with a referral to an Ear, Nose and Throat (ENT) physician. However, if bone and air conduction thresholds match, it indicates a sensorineural hearing loss (permanent), and the treatment will likely involve hearing aids.



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    The All-Inclusive treatment plan offers long-term value for your on-the-go lifestyle, providing everything you need to connect with family and friends for years to come.


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    • Same day diagnosis and in-office repair during weekdays for devices dropped off before 3:00 p.m.

    • 5-Year full-service repair warranty

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