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難聽患者의 純音聽力에 對한 臨床的 考察

Clinical Observation on Pure Tone Audiometry made by Hard of Hearing Subjects

咸泰英, 金基憲,
소속 상세정보
咸泰英 (  ) - 가톨릭醫科大學 耳鼻咽喉科敎室
金基憲 (  ) - 가톨릭醫科大學 耳鼻咽喉科敎室

Abstract


The results of pure tone audiometry were observed with 241 ears of 168 hard of hearing ´subjects who came to our department during the period of January to October 1962.
Classifications of conductive, mixed and perceptive deafness were made on the basis of otological examination, clinical history, air and bone conduction thresholds.
Form of hearing acuity was analyzed by the slope of the air conduction threshold curve.
1) The cases of ear with conductive loss occur most frequently in chronic otitis media, and showing 45% of horizontal form and 44% of ascending form.
2) The etiology observed in the perceptive deafness cases reveals as follows.
The audiometry curves of descending, horizontal and abrupt forms are in 71 % of the total perceptive deaf cases.
3) Mixed deafness is most commonly seen in the cases of long-standing middle ear disease and shows horizontal form most frequently.
4) Ascending forms are found chiefly in the cases of middle ear disease and shown in head trauma or inner ear diseases in some cases.
Descending forms are shown more frequently in inner ear diseases than middle and external ear diseases.
Abrupt and Dip forms am presented in drug intoxication, presbycusis, acoustic trauma etc. but horizontal form occurs in every type of deafness.
5) Averages of air conduction threshids for the speech frequencies are as follows;
In 69, ears (923 b) of 75 conductive deaf cases, the pure tone loss are . less than 60 db and 64 ears (60 %) of 107 perceptive deaf cases fall. within 0 to 40 db, while 41 ears (70 %) of 59 mixed deafness have hearing loss greater than 4Cdb.

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