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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 36(5); 1993 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1993;36(5): 890-897.
Pure tone and speech audiometry before and after surgery of chronic otitis media.
Byung Hoon Jun, Chin Soon Chang, Seung Gon Kim
만성 중이염 수술 전후의 순음 및 어음청력검사에 관한 연구
전병훈 · 장진순 · 김승곤
인제대학교 의과대학 서울백병원 이비인후과학교실
ABSTRACT

The common verdict on hearing improvement after surgery of chronic otitis media is pure tone audiometry especially, Pure Tone Average(PTAs). Speech audiometry is not frequently used as pure tone audiometry for evaluation of hearing improvement after surgery. The reason for this common ignorance arised from the assumption that the speech audiometry could be predicted from pure tone averages. This is because the frequency range of pure tone averages correlates with the speech range. However, there are many reasons that suggest that speech audiometry reflects the hearing improvement more accurately and is suitable for the assessment of the hearing gain. So, the authors of this study tried to reevaluate the clinical usefulness of pure tone and speech audiometry as an indicator for hearing improvement after surgery. Furthermore an attempt was made to determine the exact correlation of pure tone audiometry with speech audiometry. The results of our findings are as follows. 1) Pure tone averages does not always correlate with the results of speech audiometry and low, mid, high pure tone audiometry may correlate with speech audiometry. 2) It is inadequate to speculate the results of speech audiometry only from those of pure tone averages. 3) It is advisable to perform both pure tone and speech audiometry for a verdict on hearing improvement after surgery of chronic otitis media.

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