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A Rinne test should always be accompanied by a Weber test to also detect sensorineural hearing loss and thus confirm the nature of hearing loss. The Rinne test was named after German otologist Heinrich Adolf Rinne (1819–1868); [ 3 ] [ 4 ] the Weber test was named after Ernst Heinrich Weber (1795–1878).
The Weber test is administered by holding a vibrating tuning fork on top of the patient's head. The Weber test is a screening test for hearing performed with a tuning fork. [1] [2] It can detect unilateral (one-sided) conductive hearing loss (middle ear hearing loss) and unilateral sensorineural hearing loss (inner ear hearing loss). [3]
Visual reinforcement audiometry (VRA) is a key behavioural test for evaluating hearing in young children. [1] [2] First introduced by Liden and Kankkunen in 1969, VRA is a good indicator of how responsive a child is to sound and speech and whether the child is developing awareness to sound as expected.
An audiogram is the result of a hearing test. The most common type of hearing test is pure tone audiometry (PTA). It charts the thresholds of hearing sensitivity at a selection of standard frequencies between 250 and 8000 Hz. There is also high frequency pure tone audiometry which tests frequencies from 8000 to 20,000 Hz.
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 pure tone audiometry hearing test is the gold standard for evaluation of hearing loss or disability. [medical citation needed] Other types of hearing tests also generate graphs or tables of results that may be loosely called 'audiograms', but the term is universally used to refer to the result of a pure tone audiometry hearing test.