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Utilizing True Wireless Stereo Earbuds in Automated Pure-Tone Audiometry
Zhenyu Guo1,2, Guangzheng Yu2, Huali Zhou2
1School of Architecture, 26467South China University of Technology, Guangzhou, China.
Trends in Hearing
|November 19, 2021
Summary
This study shows that true wireless stereo (TWS) earbuds can accurately perform automated pure-tone audiometry. The developed system provides a feasible and accessible method for hearing level estimation.
Area of Science:
- Audiology
- Biomedical Engineering
- Wearable Technology
Background:
- True wireless stereo (TWS) earbuds are increasingly prevalent.
- Existing automated audiometry apps often require specialized earphones.
- Accessibility to hearing testing is limited by the need for specific equipment.
Purpose of the Study:
- To investigate the accuracy of automated pure-tone audiometry using commercially available TWS earbuds (Honor FlyPods).
- To develop and report a procedure for creating an automated audiometer on portable devices.
- To assess the feasibility and precision of TWS earbuds for hearing threshold measurements.
Main Methods:
- Developed an automated pure-tone audiometer application for TWS earbuds.
- Calibrated the TWS earbuds using electroacoustic measurements and corrected reference equivalent threshold sound pressure levels.
- Compared the developed system with a clinical audiometer on 20 hearing-impaired participants.
Main Results:
- The average signed deviation between TWS and clinical audiometers was 3.1 dB, and the absolute deviation was 6.7 dB.
- The system achieved an 81% accuracy rate in identifying the presence or absence of hearing loss.
- Demonstrated the feasibility of using TWS earbuds for automated air-conduction audiometry.
Conclusions:
- Automated pure-tone audiometry using TWS earbuds is a viable approach.
- The developed calibration framework enables accurate hearing level estimation.
- This technology offers a more accessible solution for hearing screening.

