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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).
The result of the test is an audiogram diagram which plots a person's hearing sensitivity at the tested frequencies. On an audiogram an "x" plot represents the softest threshold heard at each specific frequency in the left ear, and an "o" plot represents the softest threshold heard at each specific frequency in the right ear.
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.
Here's how to read an audiogram and a doctor's explanation of the most common results including sloping hearing loss, notched hearing loss, cookie-bite hearing loss and reverse-sloping hearing loss.
Pure tone audiometry is a standardized hearing test in which air conduction hearing thresholds in decibels (db) for a set of fixed frequencies between 250 Hz and 8,000 Hz are plotted on an audiogram for each ear independently. A separate set of measurements is made for bone conduction.
Since the inner ear is not directly accessible to instruments, identification is by patient report of the symptoms and audiometric testing. Of those who present to their doctor with sensorineural hearing loss, 90% report having diminished hearing, 57% report having a plugged feeling in ear, and 49% report having ringing in ear ().
Audiograms are unable to measure hidden hearing loss, [15] [16] which is the inability to distinguish between sounds in loud environments such as restaurants. Hidden hearing loss is caused by synaptopathy in the cochlea, [17] as opposed to sensorineural hearing loss caused by hair cell dysfunction. Audiograms are designed to "estimate the ...
Mixed hearing loss is a combination of conductive and sensorineural hearing loss. Chronic ear infection (a fairly common diagnosis) can cause a defective ear drum or middle-ear ossicle damages, or both. In addition to the conductive loss, a sensory component may be present. Central auditory processing disorder