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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 10(4); 1967 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1967;10(4): 83-6.
Sensori-neural Acuity Level (SAL)
Chan Il Park, MD, Hyun Joon Lim, MD, and Kwan Taek Noh, MD
Department of Otolaryngology, College of Medicine, Seoul National University, Korea
Sensori-neural Acuity Level (SAL)에 關한 考察
朴贊日 · 林顯埈 · 盧寬澤
서울大學校 醫科大學 耳鼻咽喉科學敎室
ABSTRACT

The classical method for the measurement of sensori-neural hearing loss, bone conduction audiometry, presents serious problems both at the clinical and theoretical levels. So, Rainville had attempted to improve these problems by approaching the measurement of sensori-neural loss with an entirely new procedure. And then, Jerger and Tillman reported a modification of Rainville's technique in which thermal noise of fixed intensity was presented to the skull through a standard bone-conduction oscillator mounted at the center of the forehead. And the amount by which this noise shifted the pure-tone air conduction threshold in a particular patient was compared with the shift had been produced by the same noise level in normal ears in order to determine the degree to which the patient's sensori-neural mechanism was impaired and the index, so computed, was called the sensori-neural acuity level(SAL). They had been proved that the result was more valid and accurate than the conventional bone-conduction audiometry. Jerger and Tillman had been used Grason-Stadler, Model 901, as a thermal noise generator, however Robert C. Cody has been proved that the result was same as in using the Grason-Stadler, Model 162, speech audiometer as a white noise source, in 1966. We, hereby, report the result of our study of SAL in normal hearers, conductives and sensori-neural hearing losses measured by Beltone 15 C audiometer (for obtaining pure-tone threshold measurement) and Grason-Stadler, Model 162, speech audiometer for noise source.

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