Best Raleigh Audiologist

ENT & Audiology Associates Raleigh’s Top Ear Nose & Throat Specialists

Did you know that 65% of people with hearing loss are under the age of 65?  In fact, it is estimated that over 30 million Americans suffer from hearing impairment and communication problems. Hearing loss can have a deep impact on your overall well being. It can wear you down emotionally and physically, as people with hearing loss are more likely to be depressed and withdrawn from social activities. The audiologists at ENT & Audiology Associates in Raleigh can diagnose the hearing impairment, and propose a customized solution to improve your quality of life.

At ENT & Audiology Associates, we test hearing across the lifespan. Accurate diagnosis of type, degree, and configuration of a hearing loss is essential to determining the best treatment method.  We use a comprehensive test battery to thoroughly evaluate your auditory system. Dr. Holmes will determine your specific testing profile and our team of audiologists to best fit your or your child’s needs.


An evaluation to examine the status of your middle ear by measuring pressure and eardrum movement.

Audiometric Pure Tone Evaluation

Measures hearing thresholds at different frequencies. Depending on the age of the patient, this is performed in a variety of different ways.

Speech Testing

Measures ability to recognize conversational words at different volumes.

Otoacoustic Emissions

Assess outer hair cell function in the cochlea.

Auditory Brainstem Response

Evaluates how sound travels from the ear to the lower brainstem, specifically looking at the auditory nerve.

There are several different kinds of dizziness, including medical, neurological, psychiatric, and otologic.  We utilize a comprehensive evaluation of the vestibular system to determine if something in the ears is causing the dizzy symptoms.  The vestibular evaluation in conjunction with Dr. Holmes’ medical evaluation collectively & effectively diagnose & treat our dizzy patients.

Electronystamography (ENG)

The ENG is a series of tests used to evaluate the vestibular system in the inner ear.  These tests are performed by recording and measuring eye movements in response to various stimulations.  This includes following some lights with your eyes, lying in different positions, and having some warm and cool air put into the ears.  These tests enable us to electronically determine the responses of the balance mechanisms of the vestibular system.

What is Tinnitus?

The medical condition in which persistent noises in one or both ears that can only the individual can hear, in Tinnitus.  It can take the form of ringing, buzzing, hissing, whooshing, or pulsing in the ear.  It can occur periodically or constantly, and the effects range from slight annoyance to severe disruptions of daily life.

What causes Tinnitus?

While the exact physiological cause of tinnitus is unknown, there are several likely sources which can trigger tinnitus.

Including but not limited to:

  • hearing loss
  • noise exposure
  • head and neck trauma
  • certain types of tumors
  • cardiovascular disease
  • ototoxicity
  • hypo- or hyperthyroidism
  • high or low blood pressure
  • and more…

How do you evaluate Tinnitus?

We perform comprehensive tinnitus evaluations that include pitch matching, minimum masking levels, loudness discomfort levels, and residual inhibition.  This, in conjunction with the hearing evaluation, supplemental testing, and medical evaluation by Dr. Holmes, helps determine the best plan of action to maximize relief.

How do you treat Tinnitus?

Due to the personal and unique nature of tinnitus, treatment is on a case by case basis.  Although there isn’t a single cure for tinnitus, our team works with you to determine the best course of action to maximize your outcomes.  Additionally, Dr. Holmes will work with you on any relevant medical treatments. Lastly, our audiology team offers a variety of tinnitus management solutions also.  If you or someone you know is suffering from tinnitus, make an appointment with Raleigh’s best ENT & Audiology Associates today.