临床听力概述（Clinical audiology）.docVIP

临床听力概述（Clinical audiology） This focuses on my contact cochlear this project since 08, 10 years to the Chinese university of Hong Kong otology audiology, to drip daily clinical practice experience, focus on clinical audiology, hope to be of help. The text can be very rough, mainly small talk, not academic paper, hope to forgive! In other words, some of the knowledge is reminiscent and there is no further reference to the textbook, so it may go wrong, please criticize the correction. a Clinical hearing overview As an ear, nose and throat doctor, many people start with the idea that the otology is the most difficult to understand, an anatomy difficult, two hearing difficulties, three difficult to see, four surgery entry difficult. If you want to learn well, you should contact more patients and consult the textbook. In clinical work, is the most important hearing check I think it should be electricity listening (pure tone hearing threshold determination, PTA), in Hong Kong, the hearing test they most often do is PTA, rarely do ABR electrophysiology, such as listening. I think the main reason is that the PTA covers all the common frequencies of 250Hz to 8000Hz, and determines the corresponding listening threshold for each frequency, which can reflect the hearing of a hearing impaired person. So PTA is the most direct, economical and effective listening test. How to read PTA? Here are a few things: 1. The air conduction (AC) listening threshold is always higher than the BC threshold. 2, judgment, conductive deafness (normal AC anomaly, BC), sensorineural deafness (AC and BC), mixed deafness (AC and BC is not normal, but both between bones guide poor (ABG)). 3. The highest acoustic stimulation sound is only 60-65 db, so the bone conduction threshold is 60-65 db. 4. The commonly used hearing threshold is the average listening threshold of 500, 1000, and 2000Hz, and the Hong Kong routine only does the threshold of 500, 1000, 2000, and 4000Hz. If the air guide is normal (less