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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]
This test is usually abnormal with conductive hearing loss. A type B tympanogram reveals a flat response, due to fluid in the middle ear (otitis media), or an eardrum perforation. [ 5 ] A type C tympanogram indicates negative middle ear pressure, which is commonly seen in eustachian tube dysfunction. [ 5 ]
The BSA-recommended procedures provide a "best practice" test protocol for professionals to follow, increasing validity and allowing standardisation of results across Britain. [ 8 ] In the United States, the American Speech–Language–Hearing Association (ASHA) published Guidelines for Manual Pure-Tone Threshold Audiometry in 2005.
Other method for quantifying hearing loss is a hearing test using a mobile application or hearing aid application, which includes a hearing test. [1] [2] Hearing diagnosis using mobile application is similar to the audiometry procedure. As a result of hearing test, hearing thresholds at different frequencies are determined.
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.
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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.