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Audiometer For Accurate Hearing Loss Evaluations

By Helene Norris


An audiometer is a machine used by ENT (ear, nose and throat) clinics and audiology centers to measure hearing loss. Audiometers are typically part of the equipment used during an audiometry test. There are both software and hardware-based audiometers available in the market.

The hardware-based version is a simple piece of equipment that generates a pure tone at varying intensities that can be controlled. The subject hears the tones in one ear at a time through headphones. Every time a tone is heard, the subject pushes a feedback button.

The device can be a standalone machine or hooked up to a computer that controls the output and records all the feedback. These machines are made using different kinds of technologies, depending on the intended usage. Some are portable, others handhelds, and still others may be full-fledged systems that are meant to be used in one place. All of them are either bone-conduction or air-conduction audiometers.

Software-based audiometers produce the same tones, and subjects respond in exactly the same way. The main difference is that the software has a stored database of sounds. The tones are simply piped into the headphone through the system's sound card.

The hardware audiometers that are used by hospitals, audiology centers and researchers are expensive, but incredibly accurate and reliable. It's important to make sure these machines are calibrated regularly so that the tone heard by the subject matches the level displayed on the machine. Calibration requirements also ensure standardized testing and results regardless of where the machine is being used.

Audiometry software may be used as an alternative to a whole new machine. It will be cheaper and can be used by anyone at home and without assistance. However, calibration of the software is much more difficult and accuracy harder to obtain. People can still use it for regular testing, and only seek expert medical opinion if they discover any hearing loss.

The point of all this, whether it is a software or hardware-based system, is to find out exactly when the subject stops hearing the tone. This helps physicians diagnose hearing problems and provide treatment. It usually involves at least a bit of ear cleaning and perhaps some ear drops, if not a hearing aid or even surgery.

Audiometers may also be used for industrial audiometric testing. The procedure followed is essentially the same as described above. The difference is in the fact that the subject or patient doesn't come to the clinic. Instead, a full-fledged mobile audiometry testing lab and technician are brought to the industrial facility to test the hearing levels of noise-exposed workers.

The results are not only used to evaluate hearing loss, but also to decide whether the facility needs to implement noise muffling mechanisms. Such regular on-site checkups may also be required in group health plans in order to protect workers from any further loss in their hearing ability. An audiometer used in such applications must be extremely accurate, calibrated to within fractions of a decibel.




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