DION. Re D5 fistalo Lests ETHIE on pressing bees | 7 pressure in €ac 4 PE hovtng vestibular Synptows, Fistula 4 No Symptony Fistula 404 Fistula beit Folse ve % no sym ekoms Negative 00 erplovalion — Qistula present * Dead lobyvioth + @xtensive chole ckeloma Folke 4Ve 2 Symptoms pre sent Hennerbest © erplowtion — No bistule agave : ‘ a + Filrows bands me] TE —which Lranamits pressure Lmerier’ discos) . Fry pes rodbile osiclep. L * Lengenital syehis) Scorn emia a ey eer en Srensity 2 Volume = 4B]9 « independent properties of cour Q0- 90,600 HA QoQ 19981 Receptors, Qo0olgfits = fodls B06 HQ AHA — GodB looe Ka aang — sdg ood HA Speech hryequencies agoce Soovg — SAB Jeco Ha — 1588 acco Ha —_yodB ce, @®) thverhol 2548 { Audiomelsc Bese) aodB WHO clossi fication pS Ae ® 26— Yoda — wild Yl— cede — Moderate él 8048 — severe reodg — protound Deafness: ret vecpondiig to sound — Deng lobysinth — Disection og VAIN D Resgending beyond asdB — Deol €ow Turnor = POKIAL Unwanted ear Non- speci\c sound Barary noise bok fF fe LEPE SoH) 000/200 HZ Mosting = Gn wonked Lax = Non~specigjc sound = Bosamy Hse toe Nesyou band wide bang white band 20—a HA 22 — Soota “hive” T —s— cochleas Retro @ fet phate “evar hale loss @ acoota (Carahts notch) shod be seen in AC’ but Te is exceptionally seen ig BCs beame owicle Themselves are berrywm votere g have some BC cormporent which \g dominated in OF + corht’s notch only SEM @ WOVNe because yesnance grequency of ossides 4s QOCONA Ossicles —S oHHeT Minimum Fesisiance, Mar Resistance —> OS Resoneunce & complaince Resistance = impedance yoso fron hearing loss @ yoo ta, \/ eis Indeed Lrawma outer hair cell douagss AC EBC Acowstic dip Belles etch WHO ssdo i. voy Cin industries} vi a peckory oct —a0dB gh, sine D Ww s Normal city libe — mex ysde 6 = a0 50 pt—1— ® pen a sloping ote Low Frey uency High grequency Hearing loss, Neacirg an + Miers distose + presby curs Co high oge = High fuequency) utc \) * Cengeriital deafness” “Cagtornegate virus? @Audiomerry Subjective objective 6 x Bee + impedence audiometny oc =costry + elect ve cochleegaaphy + pure Lene audiomery * BERA + igh drequency audiome (orerertic dr = speech audiometey + Tunivg boxe test + ResonMance Ie quency Concha — Yooo —Ge0o Hg ERC = gc00 — 3000 43 Tm! — g00- |booHg ossicles — S00 — go00 43 enadle eax — SooN> PVRS EDs Bese 2000 Ht Soo \o00 ] oe kewic Mwy s: outer herr calif Bost of cochlea AOOGOKR [ik [iste (Be hrequency aediometer : BK — act speech ovdhomely taco | words fowosds WB ~ 807 “2 goed lowerls—Sdp—sor - 3 ABx “J+ of aepeated words Jo words — lod —T0O% - 1 + @® on speech audiometry Y Sabsect ill be considered ag normal : We be manoge to sepeat (oot of words by Se asdp,RE shipt = dleag ness : col O- conductive be Sensory 08 Ce Newral BSA do yo so bol! Highes high = more deat ness “3H any Nese Siber ig dormoged 0 corkinucs stivmlation nese giber Show the phe nomerpn ob “hobigue] . ex huuted Sub novmat™ +90 Neural deabness On Continues efawabion py recs pares B8B —buk con met sustain 1k fast aon “soll over phenomenon” Decoy best “Tene Thaceshal A Neural deafness = Red eves = decany test + Yow —1tdB — lof —\w + low — sda —- oy — aw * low — lod@ - sot — Sw SAT — speech seception threshold — 48 aciB = Bole v SDS—speech Aiseriimination score h Pescentoge of works re peated @ a0-BedB above sat ‘s tla ss. 2 ae 50} 240+} 50 2 554% coma ck Sensory Neeresl aces coe speos sys ° Very peor 60S Wignes the deabness jess wi be the Incwease Wesel ASP UK = Falig = vel eves = Decay bet = VET pow cos+ Tuning donk test? Mase Wa— Best Bele = CNS SIA Hg — Best heared = ENT \oa4y HQ — 9 Rinne’s Eesk best \ C- 2 7 Be + Amplipication © ©) © Rione’s Boy Ac ® © Amp + Nos mad , 9 Rinne ©) + mewet deakness Be da te Bc 7AC a Se RO SNYC WN + Toans coaned Lvancm sion sound + Lock of mosiing False else megative sinnig = BETA = Trans Ceinial lack of Evans’ von Souenel mostirs Weber test = Centsaliged SWNL = n] Bere lakenaliged to AG Armes . BO7 AC Weber — lakevaliced to disse in CD WETS BIL co s Write posibitity of wobes and mute out one with help ey an + Rinne Cesk equal or Negative a tov as6HQ but positive fO0 TIQHR indrcokes als bone gap of a0-3edB Rinne ese Megatv hoy ASOHS GE SHA but indicates — aiy bone gop Posikive ger jong HQ O& 30-UsdB > Rinne id tote CNT Nn tonic vacates AIT bone gop of Us—eod 5TA PVEAicKION Of ait bone goer can be mode VS Ceanieg hoo¥s of a56 W2, SIA HA g \OaytA aye used Ge De OO ara icn > Pe Lenges afgxa! ee = TM Gow mismatch ow = ‘| Ampli{etion 1g Limes MBS = [eee (lems edna, Middle ear) Joo I tea ™ essiclor = ena S-loda Alosclute pene conduction Lest, Bone conduckion 36 @ Meawure + PE with etamines Swalads Eest saverege heating less seen in Aigesent (ecions eb conductive appmahyy 2 Compete obstruction of cow canal sodR, Pesporation of Lympanic membrane Jo-YodB CVE veries cng Ve divectly Proportional Lo the Sac o& perforation} OSS\ COT Ageesraphon T intack cham Sana es Q OSSicalay intersuction T perforation 4.48 20 =Re shjecive oudomany: CD = Aix conduction ABN oD fess €+m so 2) Ty : NO = 3 Laptep 2p 20 Csobt wore) Tywpnomel ny —__-_-_-=-,;,-,,,,,,___ koken 08 a geliable martes ef ac etn)“we oppreciaFe movement of TM — by Creokirg Segokive Pressure WW EAC € Compotiryy Ik oth negative presure o8 ET iB presseve is on Higher Side Tm wit not vibrote | moug while Metimam wlorakion Cam be ceed if Ap= o ET Electsede N\spfuo Glevote 7 EGF AP Et 7 clectrede ®O- a ® — Air conduction + yee ck ALN Tymeanogram = DD of conductive deatness aaegner/ / AA ie + Hypermodile Tym panogsam Thin] ossicular damege We re 06), As { © bilovasig Ts . Moypormebie greph > pertovaked TM = R B Tym pansgian eee — i Tdenkic ape ve - Bluid [que = [Flak “vympanogram A *&T dysfunction = € & [C—Taympano gram] — idedicd te ©) LA + skopedial sepler? + Skapediod seglee js protective contrackion of Gapediud muyce te Jound sound rods} s since it Aegends og Ac}c [Revro cf sf Ske cannot be taken of Toc gd CD bak Can be combine T —TVympanometyy to improve sensitivity ob LestTM + SR impedence audcometyy 4O-lpomsS & in ympanometyy — sao HS ap sP =e HN Koc=$D Logher INVOSIVE “roan Lympanic youte BSE ay ae equivocal — Repeal test &Y5 AON elect cochleographys a is a pweeduse to yeard the potenial: Fenaatal Try the cockea g Auditory N- Brain stem CyoKe Tesponse audometays (BERA) = ce se gé Non —ivekive Eighth Newe LT Ct Cochear nucle, W olivery . Ww 4 ala aww “Lakerel Laminises 32 vee y Interwor colliculus > TL = NO largest wave rn Median Bemeulet © body \ Y Auditory Comper a Comical evoke sec pense crctiometay Mosk sensive voove — wove largest wave wove 7