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Published on: March 3, 2018
The otologist's tuning fork examination--are you striking it correctly?
Jayne R Stevens1, Travis J Pfannenstiel2
1Department of Otolaryngology-Head and Neck Surgery, Brooke Army Medical Center, San Antonio, Texas, USA jayne.r.stevens@gmail.com.
Objective:
To determine if the manner in which a tuning fork is activated affects its vibrational response.
Study Design:
Diagnostic test assessment.
Setting:
Hearing Center of Excellence laboratory.
Subjects And Methods:
A Polytec OFV-5000 scanning vibrometer was used to measure the vibrational response of 256-Hz, 512-Hz, and 1024-Hz tuning forks after activation. The tuning forks were activated to varying intensities by striking 4 unique surfaces: the head, palm, a metal surface, and a wood table.
Results:
The fundamental frequency of the individual tuning fork was the dominant observed frequency in all testing scenarios. Additional nonharmonic frequencies were noted when the 256-Hz and 512-Hz tuning forks were struck off metal and wooden surfaces.
Conclusions:
Additional nonfundamental sound frequencies produced secondary to striking a tuning fork off a metal object or a wooden table could affect clinical tuning fork examination and complicate decisions regarding surgical candidacy.
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