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Audiometer For Accurate Hearing Loss Evaluations

By Helene Norris


The audiometer is used by audiology centers and ear, nose and throat (ENT) specialists for measuring hearing loss. It is usually one of the methods performed as part of an audiometry test. Both hardware and software-based audiometers are now available from various providers.

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.

Audiometers may be standalone machines or can be integrated with a computer that controls it and offers a full suite of software tools and functionality. These devices come in many different types and use varying technologies. For example, some are bone-conduction systems while others are air-conduction based. It may be handheld, portable or a full-fledged machine intended for use in a single location.

Software-based systems function in pretty much the same way, sending out a tone to the subject on a headphone and collecting feedback through a button. The difference is in the way the tone is generated. In this case, the software merely sends out stored tones to the computer's sound card.

Hardware audiometers used by professional audiology centers, hospitals and research centers are more expensive, but also highly accurate and more reliable. These machines must be calibrated regularly to ensure that the intensity of the tone heard by subjects accurately reflects the level shown on the device display. Calibration also ensures standardized testing and consistent results no matter where the machine is used.

Audiometry software is much more affordable by comparison, and can be used by anyone even at home. Calibration is not so easy for the software, which means there will be some accuracy loss. It's still quite useful for regular self-testing, and will let the subject know if any further checkups and medical treatment are needed.

Regardless of whether it is software or hardware, the aim here is to determine at what point the subject fails to hear the tone. Physicians use this device as a useful aid for diagnosing hearing problems and treating them. The suggested course of action may vary, but usually includes a thorough cleaning of the ears to remove obstructions, followed by ear drops and maybe even a hearing aid and/or surgery if the problem is more serious.

Industrial audiometric testing also needs the same audiometers, and the process followed is about the same as described above. However, subjects are not required to go the clinic or audiology center. Rather, a mobile lab packed with all the equipment and technicians is dispatched to the industrial facility to evaluate how workers are being affected by the onsite noise.

The results obtained in these industrial tests are not simply meant to evaluate the hearing ability of workers from a health point of view. It is also used to find out whether the facility requires additional noise-muffling systems. Sometimes, these checkups are provided under group health plans. In any case, an audiometer used for industrial applications must be calibrated perfectly to within a small fraction of a decibel.




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