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Sudden Hearing Loss

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8 Diagnosis Table 3. Recommended Technique for Weber and Rinne Testing Weber test Rinne test 1. Vibrate the tuning fork by striking it on your (covered) elbow or knee, not on a hard metallic or wooden surface. 1. Vibrate the tuning fork by striking it on your (covered) elbow or knee, not on a hard metallic or wooden surface. 2. Place vibrating tuning fork (256 or 512 Hz) at midline of forehead or on maxillary teeth (not false teeth) 2. Place vibrating tuning fork (256 or 512 Hz) over the mastoid bone of one ear, then move the tuning fork to the entrance of the ear canal (not touching the ear) with the tines directed toward the ear. 3. Ask where the sound is heard; it is normal to hear at the midline or 'everywhere' 3. e sound should be heard better via air conduction (at the entrance to the ear canal) 4. If the sound lateralizes to one ear, then: a. ere is CHL in that ear, or b. ere is SNHL in the opposite ear. 4. If the sound is heard better by bone conduction in the same ear, then there is CHL in that ear. 5. If the sound is heard better by bone conduction but in the opposite ear, there is SNHL in the test ear. 6. Repeat for the other ear.

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