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Bone conduction is the conduction of sound to the inner ear primarily through the bones of the skull, allowing the hearer to perceive audio content even if the ear canal is blocked. Bone conduction transmission occurs constantly as sound waves vibrate bone, specifically the bones in the skull, although it is hard for the average individual to ...
However, with bone conduction (performed by placing a vibrator on the mastoid bone behind the ear), both cochleas are stimulated. IA for bone conduction ranges from 0-20 dB (See Figure 2). Therefore, conventional audiometry is ear specific, with regards to both air and bone conduction audiometry, when masking is applied.
Air conduction should be greater than bone conduction, so the patient should be able to hear the tuning fork next to the pinna (outer ear) after they can no longer hear it when held against the mastoid. This normal result is paradoxically called a positive Rinne test (as a positive medical test usually indicates an abnormality).
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.
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.
Tympanometry is an acoustic evaluation of the condition of the middle ear [1] eardrum (tympanic membrane) and the conduction bones by creating variations of air pressure in the ear canal. Tympanometry is an objective test of middle-ear function. It is not a hearing test, but rather a measure of energy transmission through the middle ear. It is ...
Bing test; Rinne test; Schwabach test, a variant of the Rinne test; 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 ...
Results of bone conduction audiometry (in which signals are presented using a vibrator which creates vibrations in the temporal bones of the head in order to bypass the outer and middle ear and test the inner ear and auditory nerve alone) are reporting using brackets.