Pure Tone
Pure Tone
Pure Tone
AUDIOMETRY
PURE TONE SOUND
▪ An object vibrates in fixed single frequency, the
sound waves presents as a sinusoidal wave pattern
known as sine-wave.
Bone
Masking keep one ear “busy” while testing the opposite side
AUDIOMETRIC SYMBOLS
Key to symbols
UNMASKED MASKED
AIR O X X
CONDUCTION
BONE < > [ ]
CONDUCTION
PROCEDURE OF P.T.A.
▪ AIR CONDUCTION TESTS
❑ Air conduction – checked at 1000 Hz,2000 Hz, 4000 Hz, 8000 Hz, 250
Hz then 500 Hz
❑ Bone conduction – checked at 1000 Hz,2000 Hz, 4000 Hz, 250 Hz then
500 Hz
PROCEDURE OF P.T.A.
▪ BONE CONDUCTION TESTS
▪ Sensorineural
▪ Bone Conduction equal to Air Conduction
▪ Mixed
▪ Some amount of Air and Bone Conduction loss
▪ Conductive HL- results from external and middle ear
problems
▪ Bone conductions was normal but air conduction was
affected.
▪ Sensorineural HL -result from disorders in the cochlea or auditory nerve
- both air conduction and bone conduction sensitivity are reduced equally (10
dB and less)
▪ Mixed HL -both a conductive and a sensorineural component affected.
▪ Gap between air and bone more than 10 dB
PTA OF CONDUCTIVE
DEAFNESS
PTA OF SENSORINEURAL
DEAFNESS
PTA OF MIXED DEAFNESS
CONDUCTIVE DEAFNESS
▪AC threshold>30dB.
▪BC threshold<20 dB.
▪A-B gap>25 dB.
SENSORINEURAL DEAFNESS
▪Sloping
▪Rising
MIDDLE EAR EFFUSION
MENIERE’S DISEASE
NOISE INDUCED HEARING
LOSS
PREBYCUSIS
4.DIFFERENTIATE EACH EAR
PROBLEMS
Provides a measure of inter-aural
symmetry or the extent to which hearing
sensitivity is the same in both ears or better
in one than the other.
NORMAL HEARING
LOW FREQUENCY
LOSS
CONDUCTIVE HEARING
LOSS
HIGH FREQUENCY
SENSORINEURAL
HEARING LOSS
MIXED HEARING LOSS
CONDUCTIVE DEAFNESS IN
OSSICULAR DISCONTINUITY
PRESBYACUSIS(S.N.D.)
ACOUSTIC TRAUMA
LIMITATIONS OF P.T.A.
▪ 1.AUDIOGRAMS ARE VERY OFTEN INACCURATE.
▪ a)Improper technique- masking, placement.
▪ b)Improper test condition
▪ c)Improper test instrument- calibration.
▪ d)Improper examiner.