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Comparing the diagnostic accuracy of audiometric Weber test and tuning fork Weber test in patients with conductive hearing loss
OBJECTIVES: Weber test is typically conducted using tuning forks, but an audiometer can also be used for a similar purpose. Compared to the tuning fork Weber (TFW) test, performing the audiometric Weber (AW) test offers many advantages. Nevertheless, AW and TFW tests' performance compared to pu...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons, Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9008182/ https://www.ncbi.nlm.nih.gov/pubmed/35434338 http://dx.doi.org/10.1002/lio2.747 |
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author | Abdullah, Siti Nazira Zakaria, Mohd Normani Salim, Rosdan Md Daud, Mohd Khairi Nik Othman, Nik Adilah |
author_facet | Abdullah, Siti Nazira Zakaria, Mohd Normani Salim, Rosdan Md Daud, Mohd Khairi Nik Othman, Nik Adilah |
author_sort | Abdullah, Siti Nazira |
collection | PubMed |
description | OBJECTIVES: Weber test is typically conducted using tuning forks, but an audiometer can also be used for a similar purpose. Compared to the tuning fork Weber (TFW) test, performing the audiometric Weber (AW) test offers many advantages. Nevertheless, AW and TFW tests' performance compared to pure‐tone audiometry (PTA) has yet to be studied. The present study aimed to determine the accuracy and agreement between the AW and TFW tests compared to PTA. METHODS: In this observational cross‐sectional study, 74 participants (aged 12‐67 years) with unilateral conductive hearing loss (CHL) or bilateral asymmetrical CHL were enrolled. The TFW test was performed according to the established protocol at 256 and 512 Hz. For the AW test, the bone vibrator was placed in the middle of the forehead, where 250 and 500 Hz frequencies were tested. TF and AW test results were then compared with the expected lateralization from the respective PTA results. RESULTS: At 256 Hz (or 250 Hz), the overall accuracy values of TFW and AW tests were 81.1% and 86.5%, respectively. At 512 Hz (or 500 Hz), the overall accuracy results of TFW and AW tests were 85.1% and 82.4%, respectively. In addition, the kappa statistics revealed substantial agreements between the two tests and PTA (k = .63‐.72). CONCLUSION: Both AW and TFW tests are reasonably accurate in assessing patients with CHL. It is recommended for audiologists to perform the simple AW test to verify incomplete or questionable audiograms that are commonly encountered in clinical practice. LEVEL OF EVIDENCE: Level 3b. |
format | Online Article Text |
id | pubmed-9008182 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley & Sons, Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-90081822022-04-15 Comparing the diagnostic accuracy of audiometric Weber test and tuning fork Weber test in patients with conductive hearing loss Abdullah, Siti Nazira Zakaria, Mohd Normani Salim, Rosdan Md Daud, Mohd Khairi Nik Othman, Nik Adilah Laryngoscope Investig Otolaryngol Otology, Neurotology, and Neuroscience OBJECTIVES: Weber test is typically conducted using tuning forks, but an audiometer can also be used for a similar purpose. Compared to the tuning fork Weber (TFW) test, performing the audiometric Weber (AW) test offers many advantages. Nevertheless, AW and TFW tests' performance compared to pure‐tone audiometry (PTA) has yet to be studied. The present study aimed to determine the accuracy and agreement between the AW and TFW tests compared to PTA. METHODS: In this observational cross‐sectional study, 74 participants (aged 12‐67 years) with unilateral conductive hearing loss (CHL) or bilateral asymmetrical CHL were enrolled. The TFW test was performed according to the established protocol at 256 and 512 Hz. For the AW test, the bone vibrator was placed in the middle of the forehead, where 250 and 500 Hz frequencies were tested. TF and AW test results were then compared with the expected lateralization from the respective PTA results. RESULTS: At 256 Hz (or 250 Hz), the overall accuracy values of TFW and AW tests were 81.1% and 86.5%, respectively. At 512 Hz (or 500 Hz), the overall accuracy results of TFW and AW tests were 85.1% and 82.4%, respectively. In addition, the kappa statistics revealed substantial agreements between the two tests and PTA (k = .63‐.72). CONCLUSION: Both AW and TFW tests are reasonably accurate in assessing patients with CHL. It is recommended for audiologists to perform the simple AW test to verify incomplete or questionable audiograms that are commonly encountered in clinical practice. LEVEL OF EVIDENCE: Level 3b. John Wiley & Sons, Inc. 2022-01-27 /pmc/articles/PMC9008182/ /pubmed/35434338 http://dx.doi.org/10.1002/lio2.747 Text en © 2022 The Authors. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals LLC on behalf of The Triological Society. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Otology, Neurotology, and Neuroscience Abdullah, Siti Nazira Zakaria, Mohd Normani Salim, Rosdan Md Daud, Mohd Khairi Nik Othman, Nik Adilah Comparing the diagnostic accuracy of audiometric Weber test and tuning fork Weber test in patients with conductive hearing loss |
title | Comparing the diagnostic accuracy of audiometric Weber test and tuning fork Weber test in patients with conductive hearing loss |
title_full | Comparing the diagnostic accuracy of audiometric Weber test and tuning fork Weber test in patients with conductive hearing loss |
title_fullStr | Comparing the diagnostic accuracy of audiometric Weber test and tuning fork Weber test in patients with conductive hearing loss |
title_full_unstemmed | Comparing the diagnostic accuracy of audiometric Weber test and tuning fork Weber test in patients with conductive hearing loss |
title_short | Comparing the diagnostic accuracy of audiometric Weber test and tuning fork Weber test in patients with conductive hearing loss |
title_sort | comparing the diagnostic accuracy of audiometric weber test and tuning fork weber test in patients with conductive hearing loss |
topic | Otology, Neurotology, and Neuroscience |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9008182/ https://www.ncbi.nlm.nih.gov/pubmed/35434338 http://dx.doi.org/10.1002/lio2.747 |
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