Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
1995-1-13
pubmed:abstractText
Tuning fork tests are subjective and response bias must be accounted for when determining their validity as diagnostic tools. A significant proportion of patients who present for otologic evaluation have mixed hearing loss and it is important to know how this group responds to tuning fork testing. The need for masking in audiometry is indisputable but its role in tuning fork testing has never been established. The purpose of this study was to determine the sensitivity of tuning fork tests. The Weber, unmasked and masked Rinne, and Bing tests were administered in a prospective, random, and blind manner to 68 patients referred for audiologic assessment. Patients found to have normal hearing served as the control group. Signal Detection Theory was used to compare the results to pure-tone air- and bone-conduction audiometry. Overall the Rinne is an unbiased test with a sensitivity of 0.84 regardless of the type, severity, or frequency of hearing loss. This is not improved by masking. There is no role for either the Weber or Bing as independent tests. Mixed hearing loss behaves as conductive hearing loss. The Rinne without masking should be administered to patients suspected of having a hearing loss.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0381-6605
pubmed:author
pubmed:issnType
Print
pubmed:volume
23
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
254-9
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
1994
pubmed:articleTitle
The validity of tuning fork tests in diagnosing hearing loss.
pubmed:affiliation
Department of Otolaryngology, University of Manitoba Health Sciences Centre, Faculty of Medicine, Winnipeg.
pubmed:publicationType
Journal Article, Clinical Trial, Randomized Controlled Trial