AAO-HNSF Certificate Program for Otolaryngology Personnel

Insert Phones • Used when canal collapse is suspected • Mostly seen in older adults with soft ear cartilage • Must use correction factor • Change in interaural attenuation from TDH 39s • Less masking needed

AAO-HNS/F

Certificate Program for Otolaryngology Personnel Workshop

7

Pitfalls of Testing • Examiner may be seen or heard by listener • Body movements by tester may cue the listener into tone presentation • Body movements by listener may impede accurate listening • Tinnitus is sometimes exacerbated by headphones

AAO-HNS/F

Certificate Program for Otolaryngology Personnel Workshop

8

Pitfalls of Testing (Continued) • Avoid rhythmic presentation of tones or pattern in presentation • Collapsing canals—need insert phones • Pure tones are the last part of the audiogram to indicate a change due to pathology

AAO-HNS/F

Certificate Program for Otolaryngology Personnel Workshop

9