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The Work Of An Audiometer And Techniques In Audiometry

By Marissa Velazquez


Hear loss is determined using an audiometer. This equipment has calibrations which help in attaining optimal results. During an examination, the patient is ushered into a quiet room which is supposed to be soundproof. The audiologist places headphones on the patients ears to relay sound from the machine to the patient. Any interruptions like movement by the patient, can affect the results negatively.

Sound relayed from the machine to the patient is done at different frequencies and intensities. The patient is required to respond whenever he hears the sound by either raising his hand or pressing a button. The hand raised has to correspond with the side of the ear that has heard the sound. This is repeated until the sound is very faint. The reading is then examined for any abnormality then recorded on an audiogram.

There are many conditions that have contributed to people losing their hearing ability. One of such condition is called acoustic neuroma. This is a slow growing tumor on the cranial nerve, which has the responsibility of the sense of hearing and balance. In addition to the loss of hearing ability, it can also cause paralysis of the face.

A damaged eardrum or ossicle can cause conductive hearing loss. Damaged vestibulocochlear nerve can result to Sensorineural hearing loss. Sometimes a person can experience buzzing sounds which are also called tinnitus. Vertigo is another condition if not managed properly can result to hearing loss.

Hearing ability can be established through a number of tests. The test is always dictated by the type of patient and the reason for the test. You may encounter patients who are newborns, young children or even adults. Because children may not tell or even realize when they have hearing problems, the audiologist is then expected to use a suitable method of diagnosis. The test principle is the same for children and adults but the process may vary to get accurate results.

An otoacoustic emission test is used to check for hear loss on babies. It is a simple test that is not painful and is very fast. It comprises of a small earpiece which has a microphone and a tiny loudspeaker. The earpiece is placed in the ear. Clicking Sound is produced by the loudspeaker and relayed to the cochlea which in turn sends it to the ear canal to be heard through the microphone.

If the sound is not heard, there could be a problem with the ear though the audiologist has to rule out other factors. If the child was not steady, he could have interrupted the process of testing and also a noisy room can also affect the results. If the test is repeated and no change is seen then an automated auditory brainstem response test is done to give accurate results.

A technique called reinforcement audiometry is used to test young children. This test uses speakers as the sound outlet. The child is required to respond by confirming the location of the speaker when he hears the sound. This is done repeatedly at different frequencies. Adults and much grown children are tested using a technique called pure tone audiometry where an audiometer is used to produce sound which is relayed to the headphones at varied intensities and frequencies.




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