BASIC AUDIOMETRY

PTA
SPEECH AUDIOMETRY
Interpretation:
1. Degree of Hearing/ Hearing Loss SRT
2. Type of hearing loss - Spondees
3. Configuration - Give 3 words and ask to REPEAT
- Do modified Hughson Westlake
o 0-1 correct words: up 5
o 2-3 correct words: down 10

SRT Interpretation
SAT: should be within 2-3 dB of PTA
SRT: should be within 8dB (8-12dB) of the PTA

COMPARISON WITH PTA

<8db Within 8 db >8db
MALINGERE COCHLEAR/ RETROCOHCLEAR
R CONDUCTIVE
Normal

SDS
- PB words
- Give 25 words and ask to repeat
MASKING - 4% for every correctly repeated word

BONE CONDUCTION AIR CONDUCTION Word Recognition General Word Recognition Ability
AC and BC of test ear AC test ear and AC nontest ear Score
>15dB >40dB 90-100 Normal limits
BC test ear and BC AC test ear and BC nontest ear 75-90 Slight difficulty
nontest ear >40dB 60-75 Moderate difficulty
>10dB 50-60 Poor recognition
<50 Very poor recognition
INITIAL MASKING LEVEL
SDS correlation
 BC MASKING PTA (3FPTA) SDS
AC THRESHOLD NTE + OCCLUSION EFFECT + 10DB 0 100
5 96
OCCLUSION HEADPHONES INSERT 10 96
EFFECT EARPHONES 15 92
250 Hz 30 dB 10 dB 20 88
25 80
500 Hz 20 dB 10 dB
30 76
1000 Hz 10 dB 0 dB 35 68
40 64
 AC MASKING 45 56
AC THRESHOLD NTE + 10DB 50 48
55 44
MAXIMUM MASKING LEVEL 60 36
Mmax = BC TEST EAR + IA -5dB 65 32
70 28
Interpretation:
Normal or Retrocochlear SDS interpretation
Sensorineural or Cochlear or Retrocochlear 1. NORMAL/CONDUCTIVE: Correlated and High SDS
2. COCHLEAR: Correlated but Poor SDS
3. RETROCOCHLEAR: Not Correlated and Poor SDS
MCL
- NV: 40-55 dB above SRT for normal hearing

MCL Interpretation
< 40-55 dB WITHIN 40-55 dB > 40-55 dB
above SRT above SRT above SRT
Cochlear Normal /Retrocochlear Conductive

UCL
- NV: 90- 100 dB

UCL Interpretation
< 90dB WITHIN 90-100dB > 100 dB
Cochlear Normal /Retrocochlear Conductive

IMMITTANCE AUDIOMETRY

Tympanometry
1. Type
2. Volume
3. Immittance
4. ME pressure
5. Gradient and width

Type A: Normal or Cochlear or Retrocochlear

Type B: Cochlear Conductive
Type C: Cochlear Conductive

Acoustic Reflex Test

- NV: 60-100dB

Correlation with PTA

- If thresholds are 60 and below, ART should be
normal
- For thresholds 65 and above, ART may be
elevated or absent