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Tuning Fork Tests - Ears

Tuning fork tests measure hearing by air conduction (AC) or by bone conduction (BC).

AB
Bone Conduction Conduction of sound by which sound vibrates through the cranial bones to the inner ear
Air Conduction Conduction of sound by which sound is transmitted through the ear canal and middle ear. (Normally this is the most sensitive route.)
Weber Test Measures bone conduction by placing tuning fork at top of head midline to see if sound is heard equally in both ears.
Rinne Test Compares air conduction and bone conduction - place tuning fork on mastoid and then at entrance to ear canal.
Normal Rinne Test AC > BC (a normal finding) Also known as a Positive Rinne Test
Abnormal Rinne Test BC > AC or BC = AC (indicates that the sound is not heard longer by air conduction than by bone conduction)
Normal Weber Test Sound is equally loud in both ears.
Abnormal Weber Test Indicating Conductive Loss Sound is heard best (lateralizes) in ear that has the poorest air conduction.
Abnormal Weber Test Indicting Sensorineural Loss Sound is heard best in the ear that is unaffected (i.e. sound lateralizes to the ear that does not have nerve loss.)


Jackie Burchum

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