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The Weber test is administered by holding a vibrating tuning fork on top of the patient's head. The Weber test is a screening test for hearing performed with a tuning fork. [1] [2] It can detect unilateral (one-sided) conductive hearing loss (middle ear hearing loss) and unilateral sensorineural hearing loss (inner ear hearing loss). [3]
The shape of the audiogram resulting from pure-tone audiometry gives an indication of the type of hearing loss as well as possible causes. Conductive hearing loss due to disorders of the middle ear shows as a flat increase in thresholds across the frequency range. Sensorineural hearing loss will have a contoured shape depending on the cause.
A hearing test provides an evaluation of the sensitivity of a person's sense of hearing and is most often performed by an audiologist using an audiometer. An audiometer is used to determine a person's hearing sensitivity at different frequencies. There are other hearing tests as well, e.g., Weber test and Rinne test.
This test and its complement, the Weber test, are quick screening tests and are not a replacement for formal audiometry. Recently, its value as a screening test has been questioned. [6] The Rinne test is not reliable in distinguishing sensorineural and conductive loss cases of severe unilateral or total sensorineural loss.
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.
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Hearing loss can be ranked differently according to different organisations; and so, in different countries different systems are in use. Hearing loss may be ranked as slight, mild, moderate, moderately severe, severe or profound as defined below: [medical citation needed] Slight: between 16 and 25 dB HL; Mild: for adults: between 26 and 40 dB HL
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.
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