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Accurate Calibrated Audiometer For 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 version is a simple machine that produces pure tones at controlled intensities. During hearing loss evaluations, the machine's output is heard by the subject in one ear at a time through a pair of headphones. The subject has a feedback button that enables them to respond when they hear the tone.

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 installed on desktops or laptops can be used at home by anyone, and it is relatively affordable. It is more difficult to calibrate the software, which also means that accuracy is hard to achieve. It is, however, still good enough to allow a subject to self-test and determine if their hearing is normal or needs medical treatment.

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 tests performed on industrial workers are not just for evaluating their personal hearing loss. The results allow the company to identify trends and add more noise-muffling technology if a lot of workers are showing signs of weakened hearing ability. It may also be required under group health plans. Either way, an audiometer used in an industrial environment must be calibrated to a high degree of precision, which means it must be accurate to within a few fractions of a decibel.




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