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Pure-tone audiometry is a subjective, behavioural measurement of a hearing threshold, as it relies on patient responses to pure tone stimuli. [3] Therefore, pure-tone audiometry is only used on adults and children old enough to cooperate with the test procedure.
"Conventional" pure tone audiometry (testing frequencies up to 8 kHz) is the basic measure of hearing status. [6] For research purposes, or early diagnosis of age-related hearing loss, ultra-high frequency audiograms (up to 20 kHz), requiring special audiometer calibration and headphones, can be measured. [7]
The standard and most common type of hearing test is pure tone audiometry, which measures the air and bone conduction thresholds for each ear in a set of 8 standard frequencies from 250Hz to 8000Hz. The test is conducted in a sound booth using either a pair of foam inserts or supraural headphones connected to an external audiometer.
Normal or subnormal hearing: average tone loss is equal or below 20 dB HL; Mild hearing loss: average tone loss between 21 and 40 dB HL; Moderate hearing loss First degree: average tone loss between 41 and 55 dB HL; Second degree: average tone loss between 56 and 70 dB HL; Severe hearing loss First degree: average tone loss between 71 and 80 dB HL
Similar symptoms are also associated with other kinds of hearing loss; audiometry or other diagnostic tests are necessary to distinguish sensorineural hearing loss. Identification of sensorineural hearing loss is usually made by performing a pure tone audiometry (an audiogram) in which bone conduction thresholds are measured.
The absolute threshold of hearing (ATH), also known as the absolute hearing threshold or auditory threshold, is the minimum sound level of a pure tone that an average human ear with normal hearing can hear with no other sound present. The absolute threshold relates to the sound that can just be heard by the organism.
A pure tone audiometry hearing test is the gold standard for evaluation of hearing loss or disability. [medical citation needed] Other types of hearing tests also generate graphs or tables of results that may be loosely called 'audiograms', but the term is universally used to refer to the result of a pure tone audiometry hearing test.
An individual with true hearing loss should continue to hear the sound on the better hearing side. Alternatively, this test can be performed more accurately using a two-channel audiometer using pure tone signals. [3] In this procedure, a tone is presented to the "good ear" at 10 to 20 dB SL (above the threshold level).