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Bekesy comfortable loudness: supportive case studies

D J Orchik, D C Dunckel, M C Culbertson

    The Journal of Speech and Hearing Disorders
    |February 1, 1977
    PubMed
    Summary
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    Two cases of acoustic neurinoma showed mild hearing loss. The Bekesy comfortable loudness procedure revealed significant auditory adaptation, aiding diagnosis.

    Area of Science:

    • Audiology
    • Neurology
    • Otolaryngology

    Background:

    • Acoustic neurinomas are benign tumors affecting the auditory nerve.
    • Early diagnosis is crucial for effective management and preserving hearing function.

    Observation:

    • Two patients with confirmed acoustic neurinoma presented with mild, unilateral sensorineural hearing loss.
    • Standard threshold Bekesy audiometry yielded negative results in both cases.

    Findings:

    • The Bekesy comfortable loudness (BCL) procedure demonstrated significant auditory adaptation in both patients.
    • This suggests BCL may be a sensitive indicator for acoustic neurinoma, even with normal threshold audiometry.

    Implications:

    • The BCL procedure could be a valuable tool in the diagnostic workup of suspected acoustic neurinoma.

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  • Identifying auditory adaptation may lead to earlier detection and intervention for these tumors.