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Speech audiometry also provides information regarding discomfort or tolerance to speech stimuli and information on word recognition abilities. In addition, information gained by speech audiometry can help determine proper gain and maximum output of hearing aids and other amplifying devices for patients with significant hearing losses and help ...
Otosclerosis results in an audiogram with significant loss at all frequencies, often of around 40 dB(HL). [12] A deficiency particularly around 2 kHz (termed a Carhart notch in the audiogram) is characteristic of either otosclerosis or a congenital ossicular anomaly. [13] Ménière's disease results in a severe loss at low frequencies. [14]
understanding speech in the presence of background noise. In quiet conditions, speech discrimination is approximately the same for normal hearing and those with unilateral deafness; however, in noisy environments speech discrimination varies individually and ranges from mild to severe.
However, for some individuals this is not the case; the results of pure-tone audiometry only, should not be used to ascertain an individual's hearing disability. [18] [19] Figure 10: Speech recognition threshold (SRT) with noise. To aid explanation of this concept the CHL and the SNHL have the same magnitude of hearing loss (50 dBHL).
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.
Portable audiometer Maico, circa 1960s. An audiometer typically transmits recorded sounds such as pure tones or speech to the headphones of the test subject at varying frequencies and intensities, and records the subject's responses to produce an audiogram of threshold sensitivity, or speech understanding profile.
Bone conduction thresholds can differentiate sensorineural hearing loss from conductive hearing loss. Other tests, such as oto-acoustic emissions, acoustic stapedial reflexes, speech audiometry and evoked response audiometry are needed to distinguish sensory, neural and auditory processing hearing impairments.
Graph showing a typical Auditory Brainstem Response. The auditory brainstem response (ABR), also called brainstem evoked response audiometry (BERA) or brainstem auditory evoked potentials (BAEPs) or brainstem auditory evoked responses (BAERs) [1] [2] is an auditory evoked potential extracted from ongoing electrical activity in the brain and recorded via electrodes placed on the scalp.