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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).
The Rinne test, in which a patient is asked to say whether a vibrating tuning fork is heard more loudly adjacent to the ear canal (air conduction) or touching the bone behind the ear (bone conduction), is negative indicating that bone conduction is more effective that air conduction. A normal, or positive, result, is when air conduction is more ...
A complete hearing evaluation involves several other tests as well. [5] In order to determine what kind of hearing loss is present, a bone conduction hearing test is administered. In this test, a vibrating tuning fork is placed behind the ear, on the mastoid process. When the patient can no longer feel/hear the vibration, the tuning fork is ...
Bone-conduction auditory brainstem response (BCABR) are similar to air conduction auditory brainstem responses, with the main difference being that the signal is transmitted via bone-conduction instead of air. The goal of bone ABR is to estimate cochlear function and to help identify the type of hearing loss present. [2]
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. absolute bone conduction (ABC) test. Table 1. A table comparing sensorineural to conductive hearing loss
Rinne test considerations Although there is no replacement for formal audiometry, a quick screening test can be made by complementing the Weber test with the Rinne test. The Rinne test is used in cases of unilateral hearing loss and establishes which ear has the greater bone conduction.