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Masking in Audiometry: A Clinical Evaluation of Three Methods

Masking in Audiometry: A Clinical Evaluation of Three Methods Abstract The Problem One of the major problems in audiometry is that of determining thresholds in monaural and asymetrical binaural hearing losses. The clinician confronted with a patient whose two ears differ in acuity may have serious difficulty in obtaining accurate measures of hearing for the poorer ear. Under such circumstances, the clinician may arrive at estimates of hearing for the poorer ear that are better than the actual thresholds in that ear. Such erroneous results may even lead to attempted middle ear surgery on an ear having a profound sensorineural hearing loss.When the two ears differ sufficiently in acuity, the intensity of the tone presented to the poorer ear may be raised to such a level that it is heard in the better ear, either across the head by air conduction or through the head by bone conduction. A number of investigators10,12-14,22 have shown that pure tones may References 1. Bilger, R. C., and Hirsh, I. J.: Masking of Tones by Bands of Noise , J Acoust Soc Amer 28:623-630, 1956.Crossref 2. Carhart, R.: Assessment of Sensorineural Response in Otosclerosis , Arch Otolaryng 71:141-149, 1960.Crossref 3. Dirks, D. D.: Factors Related to Reliability of Bone Conduction, PhD Dissertation, Northwestern University, 1963. 4. Egan, J. P., and Hake, H. W.: On Masking Pattern of Simple Auditory Stimulus , J Acoust Soc Amer 22:622-630, 1950.Crossref 5. Feldman, G. S.: Problems in Measurement of Bone Conduction , J Speech Hearing Dis 26:39-44, 1961. 6. Fletcher, H.: Auditory Patterns , Rev Mod Physics 12:47-65, 1940.Crossref 7. Fletcher, H., and Munson, W. A.: Relation Between Loudness and Masking , J Acoust Soc Amer 9:1-10, 1937.Crossref 8. Garner, W. R.: Hearing , Ann Rev Psychol 3:85-104, 1952.Crossref 9. Hawkins, J. E., Jr., and Stevens, S. S.: Masking of Pure Tones and of Speech by White Noise , J Acoust Soc Amer 22:6-13, 1950.Crossref 10. Hood, J. D.: Principles and Practice of Bone Conduction Audiometry , Laryngoscope 70:1211-1228, 1960.Crossref 11. Jerger, J. F.; Tillman, T. W.; and Peterson, J. L.: Masking by Octave Bands of Noise in Normal and Impaired Ears , J Acoust Soc Amer 32:385-390, 1960.Crossref 12. Liden, G.: Speech Audiometry , Acta Otolaryng (Stockholm) , (suppl 114) , pp 72-76, 1954. 13. Liden, G.; Nilsson, G.; and Anderson, H.: Masking in Clinical Audiometry , Acta Otolaryng (Stockholm) 50:125-136, 1959.Crossref 14. Liden, G.; Nilsson, G.; and Anderson, H.: Narrow Band Masking With White Noise , Acta Otolaryng (Stockholm) 50:116-124, 1959.Crossref 15. Naunton, R. R.: Masking Dilemma in Bilateral Conduction Deafness , Arch Otolaryng 72:753-757, 1962.Crossref 16. Palva, T.: Masking in Audiometry , Acta Otolaryng (Stockholm) , (suppl 118) , pp 156-172, 1954. 17. Palva, T.: Masking in Audiometry: Further Studies , Acta Otolaryng (Stockholm) 49:229-239, 1958.Crossref 18. Palva, T., and Palva, A.: Masking in Audiometry , Acta Otolaryng (Stockholm) 54:521-531, 1962.Crossref 19. Schafer, T. H., et al: Frequency Selectivity of Ear as Determined by Masking Experiments , J Acoust Soc Amer 22:490-496, 1950.Crossref 20. Studebaker, G. F.: On Masking in Bone Conduction Testing , J Speech Hearing Res 5:215-227, 1962. 21. Wegel, R. L., and Lane, C. E.: Auditory Masking of One Pure Tone by Another and Its Probable Relation to Dynamics of Inner Ear , Physic Rev 23:266-285, 1924.Crossref 22. Zwislocki, J.: Acoustic Attenuation Between Ears , J Acoust Soc Amer 25:752-759, 1953.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Masking in Audiometry: A Clinical Evaluation of Three Methods

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References (22)

Publisher
American Medical Association
Copyright
Copyright © 1964 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1964.00750040555008
Publisher site
See Article on Publisher Site

Abstract

Abstract The Problem One of the major problems in audiometry is that of determining thresholds in monaural and asymetrical binaural hearing losses. The clinician confronted with a patient whose two ears differ in acuity may have serious difficulty in obtaining accurate measures of hearing for the poorer ear. Under such circumstances, the clinician may arrive at estimates of hearing for the poorer ear that are better than the actual thresholds in that ear. Such erroneous results may even lead to attempted middle ear surgery on an ear having a profound sensorineural hearing loss.When the two ears differ sufficiently in acuity, the intensity of the tone presented to the poorer ear may be raised to such a level that it is heard in the better ear, either across the head by air conduction or through the head by bone conduction. A number of investigators10,12-14,22 have shown that pure tones may References 1. Bilger, R. C., and Hirsh, I. J.: Masking of Tones by Bands of Noise , J Acoust Soc Amer 28:623-630, 1956.Crossref 2. Carhart, R.: Assessment of Sensorineural Response in Otosclerosis , Arch Otolaryng 71:141-149, 1960.Crossref 3. Dirks, D. D.: Factors Related to Reliability of Bone Conduction, PhD Dissertation, Northwestern University, 1963. 4. Egan, J. P., and Hake, H. W.: On Masking Pattern of Simple Auditory Stimulus , J Acoust Soc Amer 22:622-630, 1950.Crossref 5. Feldman, G. S.: Problems in Measurement of Bone Conduction , J Speech Hearing Dis 26:39-44, 1961. 6. Fletcher, H.: Auditory Patterns , Rev Mod Physics 12:47-65, 1940.Crossref 7. Fletcher, H., and Munson, W. A.: Relation Between Loudness and Masking , J Acoust Soc Amer 9:1-10, 1937.Crossref 8. Garner, W. R.: Hearing , Ann Rev Psychol 3:85-104, 1952.Crossref 9. Hawkins, J. E., Jr., and Stevens, S. S.: Masking of Pure Tones and of Speech by White Noise , J Acoust Soc Amer 22:6-13, 1950.Crossref 10. Hood, J. D.: Principles and Practice of Bone Conduction Audiometry , Laryngoscope 70:1211-1228, 1960.Crossref 11. Jerger, J. F.; Tillman, T. W.; and Peterson, J. L.: Masking by Octave Bands of Noise in Normal and Impaired Ears , J Acoust Soc Amer 32:385-390, 1960.Crossref 12. Liden, G.: Speech Audiometry , Acta Otolaryng (Stockholm) , (suppl 114) , pp 72-76, 1954. 13. Liden, G.; Nilsson, G.; and Anderson, H.: Masking in Clinical Audiometry , Acta Otolaryng (Stockholm) 50:125-136, 1959.Crossref 14. Liden, G.; Nilsson, G.; and Anderson, H.: Narrow Band Masking With White Noise , Acta Otolaryng (Stockholm) 50:116-124, 1959.Crossref 15. Naunton, R. R.: Masking Dilemma in Bilateral Conduction Deafness , Arch Otolaryng 72:753-757, 1962.Crossref 16. Palva, T.: Masking in Audiometry , Acta Otolaryng (Stockholm) , (suppl 118) , pp 156-172, 1954. 17. Palva, T.: Masking in Audiometry: Further Studies , Acta Otolaryng (Stockholm) 49:229-239, 1958.Crossref 18. Palva, T., and Palva, A.: Masking in Audiometry , Acta Otolaryng (Stockholm) 54:521-531, 1962.Crossref 19. Schafer, T. H., et al: Frequency Selectivity of Ear as Determined by Masking Experiments , J Acoust Soc Amer 22:490-496, 1950.Crossref 20. Studebaker, G. F.: On Masking in Bone Conduction Testing , J Speech Hearing Res 5:215-227, 1962. 21. Wegel, R. L., and Lane, C. E.: Auditory Masking of One Pure Tone by Another and Its Probable Relation to Dynamics of Inner Ear , Physic Rev 23:266-285, 1924.Crossref 22. Zwislocki, J.: Acoustic Attenuation Between Ears , J Acoust Soc Amer 25:752-759, 1953.Crossref

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Nov 1, 1964

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