Accurate Hearing Loss Evaluations With An Audiometer

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.

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.

The software-based device generates the same tone that is heard and responded to subjects in pretty much the same way. The only difference is that the tones in this case are prerecorded sounds stored in the computer. The audio output from the computer's sound card is sent to the headphones.

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 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.

The purpose of this arrangement, regardless of whether it is software or a physical device, is to pinpoint the exact audio level at which the subject stops responding. This allows the physician to diagnose the problem, if any, and provide treatment. Apart from actual ear cleaning to clear obstructions, the subject may also need to take ear drops. If the problem is more serious, a hearing-aid or surgery (or both) may be needed.

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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