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SPEECH HEARING IN OTOSCLEROSIS
MATTHEW S. ERSNER, M.D.;
MAURICE SALTZMAN, M.D.
Arch Otolaryngol. 1947;46(6):753-761.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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IN OTOSCLEROSIS we noted a characteristic pattern of response to word-hearing tests. This statement concerns only those cases in which there is little involvement of the inner ear, and no aphasia. The striking feature in these cases is the greater proportionate speech-hearing loss, which is more marked for words of the low frequency range. While the air conduction audiograms of 3 different patients may show equal degrees of pure tone deafness, the word-hearing test will help in making a differential diagnosis between otosclerosis, on one hand, and nerve deafness and chronic adhesive otitis media, on the other. Horizontal bargraphs, which are most helpful in depicting these points, are employed by us in recording word-hearing tests.
Essentially, the ability to hear speech indicates that at the level of 30 to 50 decibels of intensity above threshold the auditory mechanism functions satisfactorily. Pure tone audiometry, on the other hand, delineates only threshold
. . . [Full Text PDF of this Article]
Author Affiliations
PHILADELPHIA
From the Department of Otorhinology, Temple University School of Medicine.
Footnotes
Read at the Seminar on Rhino-otology, Temple University School of Medicine, April 25, 1946.
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