Treatment Using An Audiometer And Other Techniques 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.

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.

Damage to the eardrum also known as the ossicle is also associated with hearing loss. Malfunction of a part of the hearing system known as vestibulocochlear nerve has been associated with sensorineural hearing loss. You might occasional experience a buzzing sound known as tinnitus. Mismanagement of some conditions like Vertigo can also result in 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.

To test babies, the audiologist uses an otoacoustic emission test. This test is fast, simple and the child does not feel any pain. A tiny earpiece which contains a microphone and a small loudspeaker is securely placed in the ear. The loudspeaker produces clicking sound inside the ear which is passed to the cochlea. A well functioning cochlea responds by resending the sound to the ear canal which is heard by the microphone.

If no sound is heard, other factors have to be considered before a conclusion is reached. A noisy child would make it hard for the audiologist to pick the sound. A confirmatory test would be necessary to be sure. A more sensitive test called automated auditory brainstem response can be used to confirm the findings.

Reinforcement audiometry is the technique recommended for testing young children. Using speakers, sound is relayed to the testing room and the child is expected to respond by turning towards the direction of sound. The audiologist rewards the child to motivate him as he performs the test repeatedly. The frequencies are altered at different levels to establish if the child can pick even the lowest sound. Testing older children and adult is different as a pure tone audiometry technique is employed. This includes the use of an audiometer to transmit sounds through a headphone in varied pitches and levels.




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