Providing Comprehensive Diagnostics and Compassionate Care

Integrated care matters. So does building rapport and lasting results. Whether addressing an acute episode or chronic issue involving dizziness, vertigo or hearing, patients of all ages benefit from the inclusive medically-directed care provided by Newport-Mesa Audiology Balance & Ear Institute. We strive to enhance and complement each physician’s individualized care, not replace it.

Providing Comprehensive Diagnostics and Compassionate Care

Integrated care matters. So does building rapport and lasting results. Whether addressing an acute episode or chronic issue involving dizziness, vertigo or hearing, patients of all ages benefit from the inclusive medically-directed care provided by Newport-Mesa Audiology Balance & Ear Institute. We strive to enhance and complement each physician’s individualized care, not replace it.

Symptoms & Conditions Treated

Protocol Testing & Rehabilitation/Published Research & Studies

Why Advanced Vestibular Treatment

Patient Referral Forms

Physician Liaison

Symptoms and Conditions Treated

Newport-Mesa Audiology Balance & Ear Institute is an established and renowned authority in the research, diagnosis, treatment and rehabilitation of dizziness, vertigo and balance disorders.

Our doctors are highly-trained vestibular audiologists, specializing in the sensory organs for hearing and balance: the inner ear. To our knowledge, we are the only practice of its kind capable of isolating and testing all ten end organs of the inner ear. Utilizing leading-edge technologies, techniques and treatments, we partner with referring physicians to quickly provide a differential diagnosis and individualized treatment program to resolve patient symptoms and complaints.

Additionally, we are among the most distinguished and well-equipped audiological facilities in the U.S., providing hearing loss testing and treatment solutions for adult and pediatric populations. In fact, our Institute is fully-equipped to conduct ASSR (Auditory Steady State Response) testing in children. We are among the 10% of practices that can do so with clinical expertise.


Patients experiencing dizziness, vertigo and balance problems?

Symptoms Checklist:

  • Unsteadiness without obvious explanation
  • Suspected fall risk
  • Acute or chronic dizziness or vertigo resulting in a fall
  • Acute or chronic dizziness or vertigo that is unresponsive to physical therapy, occupational therapy or medications
  • Frequent falls with history of instability or disequilibrium
  • Lightheadedness
  • Normal electronystagmography (ENG) or videonystagmography (VNG) testing with continuing dizziness and imbalance
  • Progressive rigidity or spasticity
  • Motion sickness
  • Head pressure, headaches and migraines
  • Persistent symptoms following chemotherapy, aminoglycoside therapy or inner ear surgery

We treat dizziness, vertigo and balance conditions including:

  • BPPV | Benign paroxysmal positional vertigo
  • BPV | Benign paroxysmal vertigo of childhood Labyrinthitis
  • MAW | Migraine-associated vertigo Migraine Syndrome
  • MdDS | Mal de Debarquement Syndrome
  • Ménière’s Disease
  • Motion sensitivity and motion intolerance
  • Gait or balance disorders previously identified during neurologic evaluation
  • Vestibular neuritis

Patients experiencing hearing problems or hearing loss?

Symptoms checklist:

  • Hearing difficulty
  • Inability to clearly understand words, or sounds
  • Ringing in the ears

We treat hearing and hearing loss-related conditions including:

  • Conductive hearing loss
  • Sensorineural hearing loss
  • Mixed hearing loss
  • Noise-induced hearing loss
  • Age-related hearing loss
  • Identifying ear infection and inflammation
  • Tinnitus, including prevention and management strategies

 

PROTOCOLS, TESTING & REHABILITATION

 

Our doctors of audiology direct programs based on comprehensive diagnostics, treatment and care. Our programs are designed to compassionately and sensitively meet the individual needs of your patient.

Protocols

The Institute employs proven methodologies and protocols designed to support precise diagnosis and clinically-appropriate treatment. Exam, diagnostic testing, and evaluation results are promptly provided to referring physicians. After successfully completing treatment, patients are immediately returned to their referring doctor, along with a detailed report of treatment and therapies provided. All clinical outcomes are demonstrated and measurable.

Comprehensive Diagnostic Audiological Evaluation includes

  • Video otoscopy
  • Tympanometry
  • Acoustic reflexes with ipsilateral and contralateral stimulation
  • Otoacoustic emissions (OAEs)
  • Pure tone audiometry
  • Speech recognition thresholds
  • Word recognition thresholds

Vestibular Testing

This test provides critical information regarding the integrity of the saccule and inferior vestibular nerve. The saccule is very close to the middle ear and thus is sensitive to high-intensity sound.

  • When sound stimulates the saccule, a response travels through the inferior vestibular nerve to the vestibular nucleus in the brainstem.
  • Neural impulses are then relayed through the vestibulospinal tract to the neck muscles.
  • The sternocleidomastoid is the most accessible muscle from which we record the VEMP.
Provides information about the high frequency horizontal and vertical vestibulo-ocular reflex (VOR). It tests the horizontal and vertical canals. The primary function of the VOR is to stabilize the eyes to allow clear vision during motion, including normal daily life activities such as walking, bending and turning. The sensation of disequilibrium or dizziness can occur if the VOR does not function properly. The first portion of the test evaluates the smooth pursuit system. The second portion of the test measures the responses of the inner ear (gain, phase and asymmetry).

  • Patients perform natural everyday motions by shaking their heads in the ‘yes and no’ positions. The patient is asked to move their head side to side or up and down to a computer generated tone.
  • Electrodes record eye movements and two micro sensors record the head motion.
6-cdvat

Provides additional data regarding the VOR function in the horizontal and vertical planes.

2-cdp

This is a unique assessment technique used to objectively quantify and differentiate the wide variety of possible vestibular, sensory, motor, and central adaptive impairments of balance control. CDP can identify and distinguish functional impairments associated with certain pathological processes. CDP also allows the audiologist to determine which senses the patient is using to maintain an upright stance.

1-VNGThis three-part evaluation assesses the inner ear and central functions of the motor system.

  • The oculomotor exam assesses the patient’s eye movements as they follow a moving target.
  • Next, the patient’s response to various head positions is tested.
  • The caloric test independently evaluates the horizontal semicircular canals and the vestibular nerves.
3-notcThe advanced Neuro Kinetics rotational chair is the gold standard for quantifying bilateral vestibular system weakness, independent utricle function and allows the audiologist to thoroughly assess vestibular compensation. The otolith system consists of the utricles and saccules, which are the sensory organs in the inner ear that convert linear acceleration into an electrical code the brain can use. The utricle is responsible for sensing horizontal acceleration. Following stimulation of one of the utricles, the patient perceives that the environment is tilting. This is assessed utilizing unilateral centrifugation (UC) and off axis vertical rotation (OVAR) testing.

The rotational chair also enables us to identify central vestibular system disorders in the presence of a normal caloric testing and when used in conjunction with the VEMP allows an entire assessment of the otolith system.

This is also the vestibular examination of choice for children, since they find it more tolerable than caloric testing.

8-champThis is a modification of the standard auditory brainstem response (ABR) test. CHAMP is used to identify cochlear hydrops or Meniere’s disease. The standard ABR is measured with a click stimulus that activates the entire cochlea. With CHAMP, the click stimulus is mixed with increasing amounts of highpass masking noise. Resulting waveforms provide detailed information on basilar membrane response, aiding in accurate differential diagnosis.
Is a computerized method of determining the level of visual blurring induced by head movement in the horizontal or vertical planes. Unlike VAT testing, dynamic visual acuity is a method of evaluating the functional, rather physiologic integrity of the vestibulo-ocular reflex. The disadvantage of DVA testing is that the left or right inner ears cannot be isolated during testing. Like the VAT, the DVA cannot distinguish between posterior and superior canal function.

Hearing Testing

This measures the softest sounds audible for tones at different frequencies and the patient’s ability to discriminate different words. Our doctor of audiology will measure the range of frequencies necessary to understand speech and common sounds, typically between 250 Hz to 8000 Hz.

  • During the test, the patient is instructed to press a button every time they hear a soft tone.
Provides detailed examination and documentation of ear canal and tympanic membrane.
This computerized, pure tone audiometry is performed in a comfortable soundproof room to precisely measure hearing acuity, speech-recognition thresholds and word-recognition thresholds.
Accurately assesses the status of the tympanic membrane, Eustachian tube and middle ear ossicles.
Evaluates the patient’s cochlear outer hair-cell function.
Predicts auditory thresholds in infants who cannot be evaluated through conventional audiometry
Designed for infants and young children. Using a combination of visual reinforcement and conditioned play, our doctors of audiology engage the child through various activities, monitor and assess hearing and sound localization.
The Institute also serves as the follow up facility for newborns who fail routine hospital screenings. Dr. Mango and his senior staff personally handle all infant cases and report findings directly back to referring pediatricians.

Rehabilitation

Returning your patients to normal activities is our priority. As a leader in the diagnosis, treatment and rehabilitation of dizziness, vertigo and balance disorders, we feature leading-edge breakthrough technologies. All non-invasive.

Our protocols include:

  • Advanced Vestibular Therapy (AVT)
  • Epley Omniax® Chairs for BPPV treatment
    • The only private practice in the U.S. with 3 chairs, and among only 20 practices worldwide that features this proven technology.
    • Advanced and unduplicated technology successfully treats all six semi-circular canals of the inner ear using 360° rotation.
  • Neuromonics™ Tinnitus Treatment
  • Lyric™ Extended Wear Device
  • Opn™ Internet-capable Hearing Device
  • Hearing aid evaluation and rehabilitation
  • Custom Noise Protection

WHY ADVANCED VESTIBULAR TREATMENT?

treatment-002We are vestibular diagnostic, treatment and rehabilitation experts. We specialize in successful treatment programs designed to return your patients to maximum activity levels as quickly and comfortably as possible.

Dr. Mango and his team have successfully treated more than 30,000 patients for dizziness, vertigo, balance and inner-ear disorders using proprietary, medically-advanced technology and techniques, including Advanced Vestibular Treatment (AVT).

To date more than 93% of all Institute patients have demonstrated measurable, clinical improvement following our personalized dizziness therapy with a treatment approach far superior to traditional vestibular rehabilitation therapy (VRT).

AVT is our highly effective, customized therapeutic approach that treats those patients with vestibular balance system disorders. AVT is designed as a clinic-directed therapy approach. It may be complemented with an accompanying customized home-based exercise program that is patient-motivated.

Why does AVT work? AVT involves teaching the brain to correct itself. It takes full advantage of the brain’s natural plasticity and ability to restore symmetry and increase sensitivity. Our goal is to improve patients’ overall stability and motor control by enhancing the vestibulo-ocular reflex (VOR) – a reflexive eye movement that stabilizes images on the retina during head movement. Studies show that individualized treatment is significantly more effective in resolving symptoms than commonplace treatments, such as medication or general balance exercises.

Successful treatment returns patients to maximum activity levels as quickly and comfortably as possible.

Research serves an integral role in Newport-Mesa Audiology Balance & Ear Institute’s history. It validates our ability to consistently achieve a true differential diagnosis. And new research findings, once affirmed, continue to raise our bar higher. The result? Providing the most clinically appropriate treatment possible.

Additional innovative research studies are currently underway.

Please check back again soon.


Institute Research

  • Lyric™ Extended Wear Hearing Device Study
  • Evaluation of vestibular evoked myogenic potentials (VEMPs) in a clinical setting
  • Different vestibular therapy approaches using the NeuroKinetic Ocular Therapy Chair (NOTC)

Industry Research

  • Coming soon

 

Case Studies

  • Coming soon

PATIENT REFERRAL FORMS

Simply provide our convenient form to referral patients in preparation of their visit with us. We’ll take care of the rest.

Download Patient Referral Form

PHYSICIAN LIAISON


Our goal is to return patients to their optimal level of activity using the most effective methods available. To do so successfully, we encourage an alliance involving patient, family and referring physician. Maintaining and nurturing an open line of communication is crucial to build, support and serve your patient needs. We are here to assist you, and we welcome your feedback.

If you have questions about our clinical services, prefer to arrange a chat with our doctors, or desire a visit from our liaison, please contact us.

Download our Institute Brochure

As a referring physician or referring physician staff professional, please be our guest for personalized clinical tour of our Newport Beach location. To arrange, please contact Bee Yang @ (949) 432-5215 or Bee@dizziland.com

We are located in 2 easy-to-access locations in Orange County, California.

NEWPORT BEACH
500 Old Newport Blvd, Suite 101
Newport Beach, CA 92663


LADERA RANCH
777 Corporate Drive
Ladera Ranch, CA 92694