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Reading an Audiogram Air vs. Bone Conduction A/C Via TDH-50P headphones Placed on Pinna B/C Bone vibrator Placed on Mastoid Process Checks the validity of entire ear system Tests the validity of only the inner ear Tests that ipsilateral ear Tests better cochlea Things to know about an Audiogram Lo to Hi Frequency (abscissa) 125 Hertz to 8000 Hertz Octave and half-octaves Lo to Hi dB (ordinate) -10 dB HL to 120 dB HL Each 20 dB is equal to one octave It is a Legal document The Legend Ranges of Hearing Loss -10 – 25 dB HL = Normal range 26 – 40 dB HL = Mild hearing loss 41 – 55 dB HL = Moderate 56 – 70 dB HL = Moderately Severe 71 – 90 dB HL= Severe Greater than 90 dB HL = Profound Normal Hearing Conductive Hearing Loss Sensorineural Hearing Loss Mixed Hearing Loss Other “Hearing” Tests Tympanometry Acoustic Reflexes Speech Audiometry Speech Reception Threshold (SRT) Speech Discrimination (SD) ABR ECOCHG (Electrocochleography) OAE What about Hearing Aids Minimal hearing loss Probably no/little benefit Moderate hearing loss and usually sensorineural hearing loss are good candidates Profound hearing loss? Could for environmental & safety reasons Cochlear Implant