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The limited accuracy of bone-conduction audiometry: its significance in medicolegal assessments

Published online by Cambridge University Press:  29 June 2007

R. R. A. Coles*
Affiliation:
MRC Institute of Hearing Research, University Park, Nottingham, NG7 2RD.
M. E. Lutman
Affiliation:
MRC Institute of Hearing Research, University Park, Nottingham, NG7 2RD.
D. W. Robinson
Affiliation:
Institute of Sound and Vibration Research, University of Southampton SO9 5NH.
*
Dr. R. R. A. Coles, M.B., F.R.C.P.Ed., D.L.O., MRC Institute of Hearing Research, University Park, Nottingham NG7 2RD.

Abstract

Accurate bone-conduction testing with masking is always difficult, but for clinical purposes limited accuracy suffices. However, when assessing claimants for compensation, extreme care is needed since even small apparent air-bone gaps are sometimes translated into financial abatement. This paper sets out the stringent test conditions required to achieve adequate precision. It also indicates the inaccuracies inherent in such tests, and recommends procedures for interpreting the significance of bone-conduction thresholds.

Keywords

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1991

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References

Anon (1981) Recommended procedures for pure-tone audiometry using a manually operated instrument. British Journal of Audiology, 15: 213216.Google Scholar
Anon (1981) Recommended procedures for pure-tone audiometry using a manually operated instrument. Also Journal of Laryngology and Otology, 95: 757761.Google Scholar
Anon, (1986) Recommendations for masking in pure-tone audiometry. British Journal of Audiology, 20: 307314.Google Scholar
Berry, B. F. (1973) Ambient noise limits for audiometry. Tcddington: National Physical Laboratory, Report Ac 60.Google Scholar
British Association of Otolaryngologists/British Society of Audiology (1983) Method of assessment of hearing disability. British Journal of Audiology, 17: 203212.Google Scholar
British Standards Institution (1972) A reference zero for the calibration of pure-tone audiometers. Part 4 (1972): Normal threshold of hearing for pure tones by bone conduction. BS2497: 1972.Google Scholar
British Standards Institution (1980) Specification for audiometers: BS5966: 1980.Google Scholar
British Standards Institution (1986): Pure tone air conduction threshold audiometry for hearing conservation purposes. BS 6655: 1986.Google Scholar
British Standards Institution (1988) A standard reference zero for the calibration of pure tone bone conduction audiometers. BS 6950: 1988.Google Scholar
Browning, G. G., Gatehouse, S. (1989) Hearing in chronic suppurative otitis media. Annals of Otology, Rhinology and Laryngology, 98: 245250.CrossRefGoogle ScholarPubMed
DHSS (1979) Notes on occupational deafness. Booklet N.D.I/Sept 79. London: Department of Health and Social Security.Google Scholar
International Organization for Standardization (1989) Acoustics—Audiometric test methods—Basic pure-tone air- and bone-conduction threshold audiometry. ISO 8253–1: 1989.Google Scholar
Robinson, D. W., Shipton, M. S. (1982) A standard determination of paired air- and bone-conduction thresholds under different masking noise conditions. Audiology, 21: 6162. [Also reported, in more detail, by Shipton and Robinson (1981) in National Physical Laboratory Report Ac 100].Google Scholar
Shipton, M. S., Robinson, D. W. (1975) Ambient noise limits for industrial audiometry. Teddington: National Physical Laboratory. Report Ac 69.Google Scholar
Walby, A. P., Barrera, A., Schuknecht, H. F. (1983) Cochlear pathology in chronic suppurative otitis media. Annals of Otology, Rhinology and Laryngology, Supplement 103.Google Scholar