gms | German Medical Science

83. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

16.05. - 20.05.2012, Mainz

Correlation of pure tone thresholds and hearing loss for numbers for plausibility checking in expertise

Meeting Abstract

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 83rd Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Mainz, 16.-20.05.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12hno30

DOI: 10.3205/12hno30, URN: urn:nbn:de:0183-12hno309

Veröffentlicht: 23. Juli 2012

© 2012 Dochtermann et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Background: The literature describes different calculation variations for plausibility checking in expertise by comparison of mean hearing loss in pure tone threshold audiometry and hearing loss for numbers in speech audiometry. This study compares three calculation variations: A (250, 500 and 1000 Hz), B (500 and 1000 Hz) and C (500, 1000 and 2000 Hz).

Methods: Audiograms of 80 normal hearing patients, 106 patients with hearing loss and 135 expertise patients were analyzed in a retrospective manner. Differences between mean pure tone audiometry thresholds and hearing loss for numbers were calculated and statistically compared.

Results: We found calculation variation A to be the best combination of frequencies, since it yielded the smallest standard deviations while being statistically different to calculation variations B and C. The one- and 2,58-fold standard deviation (representing 68.3% and 99.0% of all values in a normal distribution) was ±4.6 and ±11.8 dB at maximum for calculation variation A, respectively.

Conclusions: For plausibility checking in expertise, the mean threshold from the frequencies 250, 500 and 1000 Hz should be compared with the hearing loss for numbers. The common recommendation to doubt plausibility when the difference of these values exceeds ±5 dB is too strict as shown by this study.