Can bone conduction be worse than air conduction?

Category: medical health ear nose and throat conditions
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In summary, bone conduction thresholds can be worse or better –by 10 dB and rarely 15 dB- than air conduction in the absence of conductive impairment. The air conduction results are more accurate, having greater reliability and validity, than bone conduction results in these cases of sensorineural hearing loss.



Also, which is better air or bone conduction?

Normal individuals will hear the tone better by air conduction. In conductive hearing loss, bone conduction is greater than air conduction, because bone conduction bypasses problems in the external or middle ear. In sensorineural hearing loss, the tone is louder on the normal side.

Furthermore, what causes air bone gap? Causes include a buildup of ear wax, a foreign body in the ear canal, otosclerosis, tympanosclerosis (as shown above), superior canal dehiscence (which can also cause a conductive hyperacusis), external or middle ear infections (otitis externa or media), allergy with serous otitis media (fluid in middle ear), trauma to

Likewise, what is the difference between bone conduction and air conduction?

A Rinne test evaluates hearing loss by comparing air conduction to bone conduction. Air conduction hearing occurs through air near the ear, and it involves the ear canal and eardrum. Bone conduction hearing occurs through vibrations picked up by the ear's specialized nervous system.

Are bone conduction headphones safe?

Yes. Bone conduction headphones are safe to wear. The technology has been used by audiologists in the development of hearing aid devices since the 1970s. Bone conduction headphones may be considered unsafe if you were to listen through them at high volumes, but this is also true of regular headphones and earbuds.

37 Related Question Answers Found

Can you hear through your teeth?

When you use Sound Bite if you bite down on the metal rod you hear music playing through your teeth. This works because a speaker is attached to the rods and is playing music. When you bite the rod the sound waves travel through the rod and through your teeth and skull to the bones of your ears.

What is positive Rinne test?

Positive or negative in this case means that a certain parameter that was evaluated was present or not. In this case, that parameter is whether air conduction (AC) is better than bone conduction (BC). Thus, a "positive" result indicates the healthy state, in contrast to many other medical tests.

What is the purpose of bone conduction testing?

The oscillator vibrates and sends the pure-tone sound directly into the cochlea, bypassing the outer and middle ear. This test is important in helping to determine if there is a problem with the outer ear, such as the ear canal, or the middle ear, such as the eardrum or the bones of the middle ear.

Why is air conduction more sensitive than bone conduction?

The air conduction is usually shortened in time, or a louder fork is needed to allow the patient to perceive air conduction in sensorineural loss. Therefore air conduction is greater than bone conduction if the air conduction is loud enough to overcome the patient's hearing loss (threshold of hearing).

What is a normal audiogram?


Audiograms are set out with frequency in hertz (Hz) on the horizontal axis, most commonly on a logarithmic scale, and a linear dBHL scale on the vertical axis. For humans, normal hearing is between −10 dB(HL) and 15 dB(HL), although 0 dB from 250 Hz to 8 kHz is deemed to be 'average' normal hearing.

How is sensorineural hearing loss diagnosed?

The term "sensorineural" is used to indicate that there is either a cochlear or an eighth nerve lesion. The diagnosis of a sensorineural pattern hearing loss is made through audiometry, which shows a significant hearing loss without the "air-bone gap" that is characteristic of conductive hearing disturbances.

What does bone conduction measure?

[Air conduction threshold (dB)] – [Bone conduction threshold (dB)] = Air-bone gap (dB). A bone conduction system bypasses the conductive structures of the outer and middle ear, so it can send sound vibrations directly to the cochlea.

Can bone conduction headphones help deaf?

Yes, the bone conducting headset help the deaf to hear. Bone conduction is discovered by Ludwig van Beethoven in the 18th century. Bone conduction transfers sound waves directly to the cochlea without using the eardrum which is why people with a bad eardrum may find it useful.

What is the bone conduction pathway?

Hearing through the Bone-Conduction Pathway. An alternate mode of hearing is through the bone-conduction pathway, where vibrations of the skull cause the cochlear fluids to be stimulated directly. The bone-conduction hearing pathway is finding increasing applications in modern technologies.

What does bone conduction testing assess?


Bone conduction
This technique assesses sensitivity when the signal is transmitted through the bones of the skull to the cochlea and then through the auditory pathways of the brain. This type of testing bypasses the outer and middle ear. A small oscillator is placed on the forehead or more commonly, the mastoid bone.

What is bone conduction audiometry?

Bone Conduction audiometry is conducted by placing a bone oscillator behind the ear instead of using headphones. The bone oscillator transmits sound through bone vibration to the cochlea or inner ear, bypassing the middle and outer ear.

What is a bone mic?

The Ear-Bone Microphone combines a bone conduction microphone and in-ear speaker into a single earpiece that fits comfortably in your ear. The bone conduction microphone converts sound waves from your ear-bone into a clear audio transmission.

What is an air bone gap?

The difference between the results of air conduction and bone conduction tests is known as the air-bone gap. An air-bone gap may mean a problem in the outer or middle ear. If there is no gap between air and bone conduction this may indicate a problem in the inner ear (cochlea).

How can you distinguish between conductive and sensorineural hearing loss?

Conductive hearing loss is, for the most part, treatable, and therefore, temporary. In many cases, something is physically blocking (plugging) the ear canal, which prevents you from hearing well. As with sensorineural hearing loss, there are many causes of conductive hearing loss: Ear infections and head colds.

How do we hear?


How do we hear? Sound waves travel into the ear canal until they reach the eardrum. The eardrum passes the vibrations through the middle ear bones or ossicles into the inner ear. The inner ear is shaped like a snail and is also called the cochlea.

Why would a person with conductive hearing loss hear the tuning fork through bone conduction longer?

Normally, one will have greater air conduction than bone conduction and therefore hear the vibration longer with the fork in the air. If the bone conduction is the same or greater than the air conduction, there is a conductive hearing impairment on that side.

What is an air conduction hearing aid?

Conventional hearing aids can be divided into two types: air conduction and bone conduction. All air conduction hearing aids deliver the hearing aid output into the listener's ear canal. However, some people are unable to wear air conduction hearing aids as a result of chronic ear infections or malformed ear canals.