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Updated: Jul 29, 2026
10:17
The Tail Suspension Test
Published on: January 29, 2012
[The Stenger Test--its use and variations]
1Odeljenje za uho, grlo i nos, Opsta bolnica, Zdravstveni centar, Subotica.
Medicinski Pregled
|July 4, 2001
Summary
This case study details how the Stenger test detected a patient simulating hearing loss after a missile explosion. The test revealed the patient
Area of Science:
- Otolaryngology
- Audiology
- Trauma Medicine
Background:
- Hearing loss simulation and aggravation can involve unilateral or bilateral deficits.
- Detection tests for hearing loss are categorized as unilateral or bilateral.
Observation:
- A 29-year-old patient presented with hearing impairment and blast injury after a missile detonation.
- Initial audiometry suggested aggravation, with the left ear showing no response.
- Subsequent Stenger testing revealed the patient was simulating hearing loss.
Findings:
- The patient's audiogram results changed significantly with repeated Stenger tests, indicating intentional malingering.
- The Stenger test, when used carefully, can detect malingering of hearing loss.
- The patient ultimately cooperated, revealing the true extent of sensorineural hearing loss.
Implications:
- This case underscores the importance of specialized audiological testing in identifying malingering in patients with hearing loss.
- Accurate diagnosis through tests like the Stenger test is crucial for appropriate therapeutic intervention.
- Blast injuries can cause significant hearing impairment, necessitating thorough audiological evaluation.
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