SERVICES, TREATMENT & CARE

We offer patient-friendly diagnosis and treatment of chronic or sudden onset symptoms and conditions such as dizziness, vertigo, unsteadiness, tinnitus and hearing loss. All services and treatments are delivered with the highest standards of patient-focused care.

It’s much more than three simple words. It’s our full-circle commitment to provide excellence at every contact point with you. We believe so strongly in this that it’s woven into every type of service and treatment we offer.

SERVICES, TREATMENT & CARE

Overview

Symptoms & Conditions Treated

Success Stories

What to Expect

Specialty Testing

Treatment Plans

OVERVIEW

Newport-Mesa Audiology Balance & Ear Institute is an all-inclusive setting designed to restore balance and quality hearing back to your life. We offer innovative solutions for all ages, including pediatric and newborn patients. Our patients are often referred here by their primary care doctor, general practitioner, neurologist, otolaryngologist (ENT), pediatrician – even internal medicine and family physician. We welcome patient and self-referrals as well.

We believe it’s possible to eliminate the many frustrations that come with seeing doctor after doctor –with no real relief. Dr. Mango and our doctors of audiology take an integrated approach to your care – providing diagnosis and treatment to eliminate the time-consuming challenges that come from traveling from specialist to specialist, or to different therapies. Together we’ll create an experience that provides solution and treatment options that are realistic, enjoyable, and feasible. Our unwavering commitment to our patients sets us apart in the medical community.

Our practice is built on the distinction of trust. We hope you’ll feel empowered and confident in your care at every step. We also believe in patient education. Our support and clinical staff are happy to provide care, resources and consultation that lead you to renewed emotional and physical well-being.

Dizziness, Vertigo & Balance Disorders

Reduce or eliminate challenges so you can live dizzy-free.
As one of the country’s most inclusive dizziness and balance facilities, our specialties include:

The distinction as the only facilities of its kind to offer comprehensive diagnostic and therapeutic resources within each Institute location, with specialty in difficult-to-diagnose cases
Comprehensive balance testing of all 6 vestibular canals and all 10 end organs of the inner ear vestibular system
Personalized results evaluation
Customized dizziness and balance treatment programs

Our full-service practice also provides audiological evaluation services and hearing loss solutions for adult, teen and children.

Hearing Health/Hearing Loss

Restore connections that positively impact every facet of daily living.

Hearing testing, including sound and frequency discrimination
Audiological evaluation and results
Custom hearing enhancement plan with device options (if applicable)
Personalized device selection, fittings and maintenance
Follow-up care utilizing computerized speech mapping that assesses speech and multi-dimensional hearing benefits
Sound protection

Tinnitus

Provide greater understanding to successfully anticipate, prevent or eliminate situations that can reduce the impact of sensation

Comprehensive exam and evaluation
Education
Device recommendation, selection or fitting
Management and treatment program to eliminate mask or reduce

SYMPTOMS & CONDITIONS TREATED

Symptoms and complaints treated include:

Dizziness, Vertigo and Balance Disorders
Disabling and severe unsteadiness
Suspected fall risk
Sudden or history of dizziness or vertigo leading to a fall
Sudden or ongoing (chronic) dizziness or vertigo that has been unresponsive to other forms of medical management
Instability, disequilibrium and frequent falls
Lightheadedness
Progressive rigidity or spasticity
Motion sickness
Head pressure, headaches and migraines
As well as symptoms following chemotherapy, aminoglycoside therapy or inner ear surgery

Hearing

Hearing difficulty
Inability to clearly understand words, or sounds

Tinnitus

Ringing in the ears

Conditions treated include:

Dizziness, Vertigo & Balance Disorders
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

Hearing

Sudden gradual or progressive hearing loss
Noise-induced and age-related hearing loss
Asymmetrical hearing loss
Ear infection and inflammation identification
Speech delay identification in children

Tinnitus

Preventative and tinnitus management strategies
Device selection

SUCCESS STORIES

Mark Cuban

Hi, my name is Mark Cuban. You might have seen me on Shark Tank, I’m the owner of the Dallas Mavericks and a few other things. On May 21st I woke up dizzy. I had no idea what was wrong, and like a lot of you I was scared.

And then I did what you did. What you’re probably doing now. I got online and searched for everything I could possibly find. Well, I got lucky. I happened to come across Dr. Mango’s site at dizziland.com. And happened to be in Southern California, so I went to visit Dr. Mango.

They put me through a battery of tests and found things that, had I not been here, had I not gone to a place like Dr. Mango’s that had all this equipment, they never would have found it.

After the first day of testing, then back the second day for rehab, I felt better. I felt like there was a light at the end of the tunnel. Not only was there a light at the end of the tunnel, I was at the end of the tunnel standing in the light. It really was an amazing comeback in my mind.

If you’ve gone through a battery of tests, nobody can find out what’s wrong with you. You feel dizzy, or not quite dizzy but off. You’ve done all the vertigo tests and you know it’s not vertigo. Everybody tells you it’s not vertigo and you know it’s not. Come and check out dizziland [Newport-Mesa Audiology Balance & Ear Institute]. Come and check out what Dr. Mango has to offer.

~ Mark C. /Dallas TX

Alisa Livingstone

I just wanted to give you an update on how the Kilimanjaro hike went…..AMAZING! It was so much easier to do this hike with good balance! I noticed I wasn’t as fatigued as all the other lesser hikes with having to struggle with the balance issue. I ended up raising close to $40k for the charities so that alone was a success.

If you ever have the chance, it is worth doing once (I summited with a lady who it was her 10th Kili summit). The mountain is very beautiful. There are five climate zones on the way up so there is always some new scenery. The goal (accomplished) was to summit by sunrise. We started at Midnight and as we reached the summit, the clouds below (it was like being in an airplane) turned orange and the sun finally came up above them. It was between 20 to 30 degrees right before the sunrise so there was ice crystals all over. When the sun touched those crystals, it was like millions of diamonds sparkling. Truly a beautiful prize for reaching the summit!

Dr. Mango, I want to thank you so much for helping me through this ordeal with my Migraine Associated Vertigo. It has been the biggest challenge I have had to face and I appreciate your sincere concern in helping me feel better. Out of all the 8 doctors I have seen in the past 11 months, you were the most understanding and caring. I feel I am finally on the road to recovery. Thank you for being there. My husband and I will always be grateful.

~ Alisa L.

Melinda S.

Excellent from start to finish. I could not be more pleased at the level of courtesy, professionalism and service that I received from EVERY single person there. Their front office staff is friendly and efficient. I never had to wait more than a few seconds when calling in, was always warmly greeted when I walked in, and never had to wait more than a few minutes for my appointment.

The testing and doctors were also very courteous and professional. They were able to diagnose my problem right away and therapy began immediately. I even “graduated” from therapy earlier than expected – I believe due to their expert diagnosis and treatment.

I put off taking care of my medical issue – partly out of laziness, partly out of fear of the unknown. This experience was so positive that I would encourage anyone “sitting on the fence” to “just do it”. I did – and I am very glad that I did!

~ Melinda S./Huntington Beach, CA

Thank you for the miracle you performed on me. I had been from doctor to doctor for a couple of years, trying to find relief from the terrible dizziness I had. Not until I met you did I feel a ray of hope. When you diagnosed my illness as BPPV, I was ecstatic to think that there may be some help for me. Within a couple of weeks all the anxiety and misery was gone. No more dizziness. Everyone at your institute was very kind and helpful”

~ CJ /Irvine, CA

April R.

My 80 year old mother used this balance and hearing clinic. In as little as eight weeks the entire family could not believe the difference in her balance. Her ability to walk had dramatically improved. As a family, we don’t have the fear of her falling like we did before the therapy. The doctors are awesome. The staff is very helpful and accommodating. They worked diligently to coordinate insurance coverage and provided a great financing package. Extremely impressed!

~ April R. /Yorba Linda, CA

WHAT TO EXPECT

Before your visit

For your ease and convenience, simply visit the Patients section of our site, where you’ll find helpful forms to download and bring with you. We also provide answers to many frequently asked questions there. You’ll also find tips on what to expect within our Resources section.

Our Patient Services staff will schedule your initial office appointment as well as any return visit. They can also attend to your needs following your visit, including arranging additional clinical care. If you have questions about your upcoming or recent visit, or need assistance with new-patient paperwork, please contact us.

At arrival

After check-in, we’ll ensure you comfort as quickly as possible and that necessary forms are completed. If you cannot access or complete forms prior to arrival, please allow additional arrival time to complete prior to your scheduled appointment.

Consultation, Exam & Testing

Prior to your examination, your doctor of audiology will sit down and discuss the reason for your visit, and review any symptoms you might be experiencing. You will also review what to expect during an exam and testing. All testing is directed by your doctor of audiology, utilizing the latest medical technology to confirm diagnostic accuracy. Your doctor will then look into your ear with a device known as an otoscope, and will likely take images of your ear canal and eardrum. All testing is non-invasive and essential to the assessment and overall evaluation of your ear health. Once your testing is complete, each component of testing is carefully analyzed and reviewed. This process to determine function is as important as each test conducted, and will be explained to you.

Next Steps

A detailed summary report will also be sent to your referring physician, if applicable, regarding our conclusions and recommendations.

Treatment is an important factor following diagnosis and a course of action. Success and outcome can be affected by your overall health, age, cognitive abilities, other related disorders, and compliance with program recommendations. Dizzy patients visit us once or twice a week for Advanced Vestibular Treatment^™ (AVT) for up to six weeks or until their balance has returned. And our hearing-related patients often receive intervention strategies, which may include medical referral, hearing devices or additional testing.

SPECIALTY TESTING

The Institute is fully-equipped to test thoroughly, utilizing the most comprehensive diagnostic technology available including audiometric booths, posturography, as well as Neuro Kinetics rotational and Epley Omniax® chairs to accurately diagnose and treat balance disorders caused by all six vestibular canals. Our combination of diagnostic and treatment resources under one roof makes Newport-Mesa Audiology Balance & Ear Institute one of the country’s most inclusive balance facilities.

Each doctor of audiology regularly participates in (and often presents or leads) training updates, so you can be confident they’re offering the most sophisticated diagnostic technology available today. If you have previously completed a neurological evaluation, ENG (electronystagmography) or VNG (videonystagmography) testing with other practitioners, yet continue to experience dizziness, there is hope. Our solutions are simply a visit, click or phone call away.

Specialty vestibular testing may include:

Balance Evaluation

Comprehensive balance testing of all 6 vestibular canals plus all 10 end organs of the inner ear.

VNG | Videonystagmography

Test monitors vestibular system through recorded eye movements that may signal abnormality. Patient wears infrared video goggles to record eye moments while in different positions.

CDP | Computerized Dynamic Posturography

Tests ability to maintain upright posture in different conditions, and looks at information provided by patient’s muscles, joints, eyes and inner ears. Involves standing on a platform with a safety harness.

VEMP | Vestibular Evoked Myogenic Potential

Test determines how specific areas of the inner ear, inferior division of vestibular nerve and central connections are intact and working normally. Patient wears electrodes while in a comfortably reclined position.

vHIT | Vestibular Head Impulse Test

Test uses small, quick movements of the head to evaluate reflex function and how well the eyes and ears work together. Eye movements are monitored. Part of comprehensive evaluation of inner ear vestibular system.

VAT | Vestibular Autorotation Testing

Involves the horizontal and vertical canals; provides high frequency horizontal and vertical vestibule-ocular reflex (VOR) information. Patient views select targets and moves head during auditory cues. Involves wearing non-invasive electrodes which pick up activity from facial muscles.

CDVAT | Computerized Dynamic Visual Acuity Test

Test further measures the clarity of vision during head movements in relation to a baseline measurement; doctor assesses and understands the specific impact of patient’s balance deficits.

Rotational Chair Testing

Tests ability to see objects clearly during routine head movement. Doctor assesses the Vestibular Ocular Reflex (VOR), the horizontal semicircular canal and superior division of the vestibular nerve. Patient wears goggles while the chair spins at slow and moderate speeds.

Epley Omniax® System

Supports precise diagnostic testing and treatment plans designed to reduce or eliminate feelings of dizziness and vertigo. Part of comprehensive evaluation of inner ear vestibular system. In treatment, aligns the semicircular ear canal with the gravitational pull of the earth to realign the canal.

Dynamic Visual Acuity Testing (DVA)

Computerized testing determines level of visual blurring induced by head movement in the horizontal or vertical planes. Indicates function and assists doctor of audiology to further assess the vestibulo-ocular reflex (VOR) in response to functional and rotational head movement stimuli.

Specialty hearing testing may include:

Audiological Evaluation

Has three components: Review/discussion of patient’s medical history; testing; followed by evaluation and findings review which may include treatment recommendations.

Audiogram

A graph depicting detailing hearing ability at different frequencies; described as a picture of your sense of hearing.

ABR Auditory Brainstem Response

Reveals hearing nerve function and measures how patient’s nervous system responds to sound. Used to evaluate the integrity of auditory nerve pathway between the hearing nerve and brainstem.

AEP Auditory Evoked Potentials

When a stimulus is presented during testing, the electrical activity with the body is measured and evaluated.

Behavioral Observation Audiometry (infants and young children)

Hearing test with participation; the doctor of audiology has a visible and voluntary response from the patient being evaluated.

Newborn hospital screening/evaluation

Providing follow-up services 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.

TREATMENT PLANS

goggles All dizziness and hearing rehabilitation plans are managed by your treating doctor of audiology at your choice of 2 easy-to-access locations. Your choice means there’s no needless travel. And no wasting your precious time.

Facing unresolved issues with dizziness or motion?

We help patients safely and successfully return to their daily activities and live dizzy-free.

Advanced Vestibular Treatment^™ (AVT)

Our Institute’s proprietary approach, known as AVT, is a proven, doctor of audiology-directed personalized plan that is frequently more effective in resolving symptoms caused by vestibular disorders than more traditional therapy options and medications. Select AVT programs may also involve a customized home-based exercise option (your treating doctor of audiology will determine if that’s the right option for you).

Epley Omniax® System for BPPV treatment

We are the only private practice with access to three chairs, among only 20 chairs in the U.S. The precise, multi-axial (360°) patient positioning system and nystagmus analysis provide exacting diagnosis and treatment. Rather than imprecise manual maneuvers, this advanced technology gives the Institute the unique ability to identify and rule out causes of vestibular disorders and provides highly precise treatment.

Yes, hearing devices and treatments now offer solutions unimagined even a few years ago.

Lyric™ Extended Wear Device
Opn™ Internet-capable Hearing Device
Hearing Aid evaluation and rehabilitation
Otoharmonics® Tinnitus Treatment
Neuromonics® Tinnitus Treatment
Custom Noise Protection

We’re excited to offer hearing enhancement and tinnitus management options that involve an extensive selection of software and hearing devices. Our doctors of audiology can recommend and select the best option device for your specific needs and lifestyle. These include Audéo V and Lyric™, which is discreetly placed within the ear canal. Plus Bluetooth-enabled and Internet-capable connected devices, like Opn™. To ensure each patient receives maximum benefit from their devices, we provide follow-up care. One such program assesses progress using computerized speech mapping. That way we can best determine and refine true speech benefits.