Pure Tone Audiometry

Basic Principles of Sound The Audiometer Test Environment Patients Role Clinicians Role

Air Conduction Audiometry

Bone Conduction Audiometry Audiogram Interpretation

Masking

Basics of Sound

Sound Waves and Propagation of

Sound

Frequency (Hz) Resonance Intensity (The Decibel or dB)

Audiometer

Generic Audiometer

Audiometer

Clinical and Portable Audiometer

Audiometer

Earphones

Audiometer

Insert Earphone

Audiometer

Bone Conduction Vibrator

Audiometer

Computerized Audiometer

Test Environment

Sound Treated Booth

Test Environment

Circumaural Enclosures

Test Environment

Quiet Room

Patients Role

Hand Raising Signal Button Verbal Response False Positives and False Negatives

Clinicians Role

Instructions Patients Position Placement of Earphones Test Procedures for Screening Test Procedures for Pure Tone
Thresholds

Clinicians Role

Instructions

What are they listening for How to respond Verify they understand instructions

Clinicians Role

Position of Client - Adults and Children Earphone Placement

Clinicians Role

Screening Test Procedures (adults)

Instructions Test Frequencies Disposition of Failures

Clinicians Role

Pure Tone Threshold Procedures

Self-test Place earphones on patient

Test better ear first

Order of test frequencies Test other ear

Use ASHA protocol for threshold testing.

Clinicians Role

Pure Tone Average (PTA)

Three tone average Two tone average Other methods

Clinicians Role

Degree of Hearing Loss based on PTA

None Slight Mild Moderate

Moderately Severe
Severe Profound

Clinicians Role

Role of Bone Conduction

Purpose Mastoid Placement Forehead Placement

Audiograms

Basic Audiogram

Audiograms

Symbols

Audiograms

Type Degree Configuration

Audiograms

Type of Loss - Conductive

Audiograms

Type of Loss - Sensorineural

Audiograms

Type of Loss - Mixed

Audiograms

Configuration of Loss - Flat

Audiograms

Configuration of Loss - Sloping (falling)

Audiograms

Configuration of Loss - Rising

Audiograms

Configuration of Loss - Tent

Audiograms

Configuration of Loss - Mid-frequency or

Cookie-bite

Masking

Cross Hearing and Interaural

Attenutation

Masking Defined Rules Types of Masking Noise

Masking

Cross Hearing Interaural Attenuation

Definition Variables

transducers frequency

individual variability

Masking

Definition

Introduction of noise in NTE for the purpose of eliminating cross-hearing.

Masking

Rule

Apply masking to NTE whenever the AC of the TE exceeds the BC for the NT cochlea by the amount of the minimum IA values.

Minimum IA values

Supraaural phones = 40 dB
Insert phones = 70 dB Bone conduction = 0 dB

Masking

Types of Masking Noise

White Noise
Narrow Band Noise

Summary