AAO-HNSF Certificate Program for Otolaryngology Personnel

Descending vs. Ascending Approach • Descending approach (example) is most commonly used • Ascending approach used when testing malingerers or people with functional hearing loss • Start below threshold and increase sound until patient responds

AAO-HNS/F

Certificate Program for Otolaryngology Personnel Workshop

16

Headphone Placement

• Remove hats/caps • Remove hearing aids • Might have to remove glasses and/or earrings • Place TDH 40 headphones over ears

• RED—patient’s right ear • BLUE—patient’s left ear • Should have snug fit directly over the opening of the ear canal

AAO-HNS/F

Certificate Program for Otolaryngology Personnel Workshop

17

Insert Placement

• Select small or large size • Remove hearing aids • Pinch between fingers and hold ear "out" to open canal and insert • Can typically leave on glasses, hats, earrings

• Less masking needed • RED—patient’s right ear • BLUE—patient’s left ear

AAO-HNS/F

Certificate Program for Otolaryngology Personnel Workshop

18