![]() ![]() ![]() Rinne: Place the tuning fork in front of the ear and over the mastoid and determine in which position it is heard louder.Unilateral sensorineural hearing loss: lateralize to contralateral ear. Unilateral conductive hearing loss: lateralize to affected ear. Normal: heard equally loud in both ears (also equal in symmetric bilateral hearing loss). Weber: Place the tuning fork in the midline and determine which ear its heard louder.Conductive loss can be assessed with the Rinne and Weber test.Bone conduction refers to soudn vibration transmitted to the inner ear through the skull. Air conduction refers to conduction through the entire outer ear mechanism: including auricle, external ear canal, tympanic membrane and ossicles/middle ear.Conductive hearing losses are more likely to be correctable with surgical intervention than sensorineural losses.A conductive hearing loss occurs when sound from the environment is unable to be ‘conducted’ to the structures of the inner ear.A combination of conductive and sensorineural hearing loss is referred to as a “mixed hearing loss.”.Conductive and sensorineural hearing losses can occur alone or in combination. ![]()
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