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A Rinne test should always be accompanied by a Weber test to also detect sensorineural hearing loss and thus confirm the nature of hearing loss. The Rinne test was named after German otologist Heinrich Adolf Rinne (1819–1868); [3] [4] the Weber test was named after Ernst Heinrich Weber (1795–1878).
If the Weber-lateralized ear has a positive Rinne test (AC>BC), that generally means the absence of conduction loss in that ear, and the reason sound had been perceived as louder on that side is because a sensorineural loss is present contralaterally; an ipsilateral negative Rinne test (BC>AC), on the other hand, would confirm ipsilateral ...
The Weber test also uses a tuning fork to differentiate between conductive versus sensorineural hearing loss. In this test, the tuning fork is placed at the top of the skull, and the sound of the tuning fork reaches both inner ears by travelling through bone. In a healthy patient, the sound would appear equally loud in both ears.
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.
Weber test: Sound localizes to normal ear Sound localizes to affected ear (ear with conductive loss) Rinne test: Positive Rinne; air conduction - bone conduction (both air and bone conduction are decreased equally, but the difference between them is unchanged). Negative Rinne; bone conduction - air conduction (bone/air gap)
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differential testing – the Weber, Rinne, Bing and Schwabach tests are simple manual tests of auditory function conducted with a low frequency (usually 512 Hz) tuning fork that can provide a quick indication of type of hearing loss: unilateral/bilateral, conductive, or other
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.
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