临床听力概述（Clinical hearing overview）.docVIP

临床听力概述（Clinical hearing overview） This post is mainly about I started this project from cochlear for 08 years, 10 years to study in Chinese University Hong Kong otology audiology, the experience into daily clinical work, emphasis on clinical audiology, we hope to help. The text may be rough, mainly for small talk, not for academic papers! In addition, some of the knowledge is memory, and no further access to teaching materials, so it may go wrong, please criticize and correct. One Clinical hearing overview As an otolaryngology doctor, a lot of people think is the entry of ear to understand, a dissection difficult, two hearing difficult, three doctor, four entry difficult operation. If you want to learn, you must contact more patients, more on the problem of access to teaching materials. In clinical work, the most important of the hearing examination I think audiometry (pure tone audiometry, PTA), in Hongkong, they most often do listening test is PTA, ABR, rarely do electrophysiology audiometry. I think the main reason is: PTA covers all the commonly used frequency of 250Hz to 8000Hz, and the corresponding threshold determination for each frequency, can well reflect the situation of a hearing impaired hearing. So PTA is the most direct and cost-effective hearing test. How do you read PTA? There are several points: 1, air conduction (AC) threshold is always higher than the bone conduction threshold (BC). 2, to judge conductive deafness (abnormal AC, BC normal), sensorineural deafness (AC and BC fall together), mixed deafness (AC and BC are not normal, but there is a difference between air and bone conduction (ABG)). 3, the highest bone conduction stimuli only 60-65dB, so the bone conduction threshold to 60-65dB will not go up. 4, the decision threshold is commonly used in clinical 500, 2000Hz 1000, the average hearing threshold, Hongkong only 500 and 1000, the conventional 2000 4000Hz, if the air conduction threshold, normal (less than 20dB) will not have measured the