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Audiometry Test Results

This document outlines the results of various clinical and audiometry tests used to diagnose different types of hearing loss. It lists the typical findings for tests of a patient's voice, effect of noise, Rinne and Weber tests, bone conduction tests, pure tone audiometry, speech audiometry, Bekesy audiometry, tone decay tests, and evoked oto-acoustic emissions for patients with normal hearing, conductive hearing loss, cochlear hearing loss, or retrocochlear hearing loss. The tests are designed to distinguish between these four categories of hearing impairment.

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Raman Prasad Sharma
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81 views1 page

Audiometry Test Results

This document outlines the results of various clinical and audiometry tests used to diagnose different types of hearing loss. It lists the typical findings for tests of a patient's voice, effect of noise, Rinne and Weber tests, bone conduction tests, pure tone audiometry, speech audiometry, Bekesy audiometry, tone decay tests, and evoked oto-acoustic emissions for patients with normal hearing, conductive hearing loss, cochlear hearing loss, or retrocochlear hearing loss. The tests are designed to distinguish between these four categories of hearing impairment.

Uploaded by

Raman Prasad Sharma
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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CLINICAL & AUDIOMETRY TESTS RESULTS

Normal Conductive Cochlear Retro-cochlear


Patient’s voice Normal Low tone Loud Loud
Effect of noise Hearing worsens Hearing improves Hearing worsens Hearing worsens
Rinne Positive Negative Low Positive Low Positive
Weber Central Þ deafer ear Þ better ear Þ better ear
Absolute Bone Equal Equal Shortened Shortened
Conduction
Schwabach Equal Lengthened Shortened Shortened
Pure Tone A.C. < 25 dB A.C. > 25 dB but A.C. > 25 dB & may be > 60 dB, air
Audiometry < 60 dB, air bone bone gap absent, high frequency loss is
gap present, low more
frequency loss is
more
Speech audiometry
* Discomfort Normal Normal Decreased Increased
threshold
Sensation Level
* Optimum 100 % even at 100 % only at 50-80 % even at < 50 % even at high
Discrimination low intensity high intensity high intensity intensity
Score
* Recruitment Absent Absent Present Absent
* Roll over Absent Absent Absent Present
Bekesy audiometry Type I Type I Type II Type III or IV
Alternate Binaural Parallel Parallel Converging Diverging
Loudness Balance
(Laddergram)
Short Increment < 20 % < 20 % > 70 % < 20 %
Sensitivity Index
Tone Decay Test 0-5 dB 0-5 dB 10-25 dB > 25 dB
Stapedial reflex
* Reflex threshold Normal Normal Decreased Increased
Sensation Level
* Reflex decay Absent Absent Absent Present
(> 50 % over 10 sec)
Evoked Oto- Present Absent Absent Present in pure
acoustic emissions retrocochlear lesion
B.E.R.A.
* Wave morphology Preserved Preserved Preserved Distorted
* Reproducibility Present Present Present Absent
* Absolute latencies Normal Normal Normal or Prolonged
of each wave decreased
* Interwave Latency < 4.2 msec < 4.2 msec < 4.2 msec > 4.2 msec
* Interwave Latency < 0.3 msec < 0.3 msec < 0.3 msec > 0.3 msec
Difference
* Latency-Intensity Normal Parallel with Converging Diverging
function curve separation

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