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Tympanometry is an objective test of middle-ear function. It is not a hearing test, but rather a measure of energy transmission through the middle ear. It is not a measure of eardrum or middle ear mobility. It is an acoustic measure, measured by a microphone, as part of the ear canal probe, inserted into the ear canal.
Real ear measurement is the measurement of sound pressure level in a patient's ear canal developed when a hearing aid is worn. It is measured with the use of a silicone probe tube inserted in the canal connected to a microphone outside the ear and is done to verify that the hearing aid is providing suitable amplification for a patient's hearing loss. [2]
Audiogram showing a typical "noise notch" in the left ear (normal hearing in the right ear) "Conventional" pure tone audiometry (testing frequencies up to 8 kHz) is the basic measure of hearing status. [6]
The ear canal volume indicates whether a perforation in the eardrum (tympanic membrane) may be present. The middle ear pressure indicates whether any fluid is present in the middle ear space (also called "glue ear" or "otitis media with effusion"). Compliance measurement indicates how well the eardrum and ossicles (the three ear bones) are moving.
Electronystagmography (ENG) uses skin electrodes and an electronic recording device to measure nystagmus evoked by procedures such as caloric stimulation of the ear Acoustic immittance audiometry - Immittance audiometry is an objective technique which evaluates middle ear function by three procedures: static immittance, tympanometry, and the ...
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By measuring this minimum intensity for testing tones of various frequencies, a frequency-dependent absolute threshold of hearing (ATH) curve may be derived. Typically, the ear shows a peak of sensitivity (i.e., its lowest ATH) between 1–5 kHz, though the threshold changes with age, with older ears showing decreased sensitivity above 2 kHz. [9]
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