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Relationships of Frontal and Mastoid Measurements in Conductive Hypacusis

Victor Goodhill, MD; Donald Dirks, PhD; Carolyn Malmquist, MA

Arch Otolaryngol. 1970;91(3):250-256.

Abstract
Bone-conduction thresholds were obtained at the mastoid process and frontal bone on normal listeners and on cases with surgically confirmed middle ear lesions. The results suggest that serious consideration be given to the use of unoccluded frontal bone-conduction measurements as a clinical testing procedure, especially in diagnostically challenging cases with mixed loss. It must be understood that the appropriate calibration procedures be utilized for such tests. It is further suggested that measurements of absolute and relative acoustic impedance and tests for the occlusion effect be employed in conjunction with the measurements at the mastoid and frontal bone when the conductive component is small and where the question of surgical exploration demands extensive audiological information.

Author Affiliations
Los Angeles

From the Division of Head and Neck Surgery, University of California School of Medicine, Los Angeles.

Footnotes
Accepted for publication Sept 4, 1969.

Reprint requests to 32-41 Rehabilitation Center, University of California, Los Angeles 90024 (Dr. Goodhill).

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