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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.
Each episode of acoustic trauma results in permanent damage within the inner ear, even though the majority of patients, the symptoms will disappear and an audiogram will show normal hearing within a few hours to a few days. In some cases, the changes seen in the audiogram will only partially improve or remain permanent.
An audiogram is a graph that shows the audible threshold for standardized frequencies as measured by an audiometer. The Y axis represents intensity measured in decibels (dB) and the X axis represents frequency measured in hertz (Hz). [ 1 ]
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 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 symptoms of cochlear hydrops fluctuate, and the condition may stabilize or go away on its own after several years. However, because the organ of Corti undergoes stress during the hydrops episodes, long-term hearing loss, tinnitus, or hyperacusis is possible. It is considered by some that cochlear hydrops is an early form of Meniere's disease.
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.
When testing the auditory system, there is no characteristic presentation on the audiogram. When diagnosing a patient with auditory neuropathy, there is no characteristic level of functioning either. Patients can present with relatively little dysfunction other than problems of hearing speech in noise, or can present as completely deaf and ...
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