Uses Of An Audiometer As A Diagnostic Tool In Audiometry

By Marissa Velazquez


Hear loss and other disorders related to the sense of hearing are usually monitored using an instrument called an audiometer. It is calibrated with standardized units of measure to obtain the accurate results concerning the disorder. The test requires to be done in a room that is quite and is fitted with soundproof material. The patient is usually given a set of headphones to put on the ears. He is then expected to remain seated and be calm.

The headphones are then attached to a device that produces tones at varied frequencies and different intensity. The audiologist then waits to see the patient raise a hand in acknowledgement of sound heard. To specify the ear that picks the sound, you are expected to raise the corresponding hand to the ear, which is either left or right hand respectively. There is also the provision of buttons to confirm hearing by the patient. The results are then studied and recorded on an audiogram.

For a person to lose his ability to hear, he could be suffering from some conditions and in rare cases some people are born with this problem. Acoustic nauroma is presented in form of a tumor that grows slowly in the cranial nerve. This nerve is very sensitive for hearing and providing balance. When this condition occurs it can also cause facial paralysis.

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 most preferred to test babies. This is because the test is simple to carryout, takes a very short time and the child feels no pain. It involves the placing in the childs ear a tiny earpiece attached to a microphone and a loudspeaker. A clicking sound is then produced by the speaker, which is transmitted to the cochlea. If the cochlea is functioning properly, the sound will be sent back to the ear canal and picked by the microphone.

A case where no sound is heard could mean an hearing problem though other factors have to be ruled out. These factors can be an unsettled child, a noisy room or even the presence of some fluid in the ear after birth. The test has to be done several times and if not satisfactory another more sensitive test called automated auditory brainstem response is done. Both tests have to be done when the child is asleep to avoid interruption.

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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