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Pure-tone audiometry is the main hearing test used to identify hearing threshold levels of an individual, enabling determination of the degree, type and configuration of a hearing loss [1] [2] and thus providing a basis for diagnosis and management.
A tone at the frequency of 4000 Hz is presented for 60 seconds at an intensity of 5 decibels above the patient's absolute threshold of hearing. If the patient stops hearing the tone before 60 seconds, the intensity level is increased by another 5 decibels with the procedure repeated until the tone can be heard for the full 60 seconds or until no decibel level can be found where the tone can be ...
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.
"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]
Secondarily, as the tone may be absent (catch trial), "yes" is not always the correct answer. Finally, catch trials help to detect the amount of a listener's guessing. The main disadvantage lies in the large number of trials needed to obtain the data, and therefore time required to complete the test. [4] Method of adjustment
An audiologist conducting an audiometric hearing test in a sound-proof testing booth. Identification of a hearing loss is usually conducted by a general practitioner medical doctor, otolaryngologist, certified and licensed audiologist, school or industrial audiometrist, or other audiometric technician.
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 most common type of audiometer generates pure tones, or transmits parts of speech. Another kind of audiometer is the Bekesy audiometer, in which the subject follows a tone of increasing and decreasing amplitude as the tone is swept through the frequency range by depressing a button when the tone is heard and releasing it when it cannot be ...