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The Rinne test (/ ˈ r ɪ n ə / RIN-ə) is used primarily to evaluate loss of hearing in one ear. [1] It compares perception of sounds transmitted by air conduction to those transmitted by bone conduction through the mastoid. Thus, one can quickly screen for the presence of conductive hearing loss. [2]
If air conduction is intact on both sides (therefore no CHL), the patient will report a quieter sound in the ear with the sensorineuronal hearing loss. This is because the ear with the sensorineuronal hearing loss is not converting input from either the air or bone conduction, and the sound is perceived as louder in the normal ear. [10]
However, with bone conduction (performed by placing a vibrator on the mastoid bone behind the ear), both cochleas are stimulated. IA for bone conduction ranges from 0-20 dB (See Figure 2). Therefore, conventional audiometry is ear specific, with regards to both air and bone conduction audiometry, when masking is applied.
Weber test, in which a tuning fork is touched to the midline of the forehead, localizes to the normal ear in people with unilateral sensorineural hearing loss. Rinne test, which tests air conduction vs. bone conduction is positive, because both bone and air conduction are reduced equally. less common Bing and Schwabach variants of the Rinne test.
The Rinne test, in which a patient is asked to say whether a vibrating tuning fork is heard more loudly adjacent to the ear canal (air conduction) or touching the bone behind the ear (bone conduction), is negative indicating that bone conduction is more effective that air conduction. A normal, or positive, result, is when air conduction is more ...
Bone-conduction auditory brainstem response (BCABR) are similar to air conduction auditory brainstem responses, with the main difference being that the signal is transmitted via bone-conduction instead of air. The goal of bone ABR is to estimate cochlear function and to help identify the type of hearing loss present. [2]
Bone conduction is one reason why a person's voice sounds different to them when it is recorded and played back. Because the skull conducts lower frequencies better than air, people perceive their own voices to be lower and fuller than others do, and a recording of one's own voice frequently sounds higher than one expects (see voice confrontation).
Rinne's test involves Rinne's Right and Left Test, since auditory acuity is equal in both ears. If bone conduction (BC) is more than air conduction (AC) (BC>AC) indicates Rinne Test is negative or abnormal. If AC>BC Rinne test is normal or positive. If BC>AC and Weber's test lateralizes to abnormal side then it is Conductive hearing loss.