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Uses Of An Audiometer As A Diagnostic Tool In Audiometry

By Marissa Velazquez


Hear loss is determined using an audiometer. This equipment has calibrations which help in attaining optimal results. During an examination, the patient is ushered into a quiet room which is supposed to be soundproof. The audiologist places headphones on the patients ears to relay sound from the machine to the patient. Any interruptions like movement by the patient, can affect the results negatively.

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.

Sporting activities or accidents can damage the eardrum which in turn causes hear loss. Vestibulocochlear nerve is also very sensitive and when damaged can affect the ability to hear. Conditions like tinnitus and vertigo can also result to hear loss if care is not taken.

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 the sound is not heard, there could be a problem with the ear though the audiologist has to rule out other factors. If the child was not steady, he could have interrupted the process of testing and also a noisy room can also affect the results. If the test is repeated and no change is seen then an automated auditory brainstem response test is done to give accurate results.

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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