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非器質性聽力喪失-病例報告

Non-organic Hearing Loss - Case Report

摘要


傳統的純音聽力檢查是種主觀性的聽力檢查,需受測者高度合作。若受測者不合作,則不易測得其真正聽力货閾值。本病例是位40歲男性,服務於某鐵工廠,因意外傷及左臉部,主訴左耳聽力漸漸變差來本科做聽力鑑定,以申請聽覺障礙賠償。經本科以純音聽力檢查、鼓室圖、鐙骨肌反射及聽性腦幹反應等檢查,鑑定為非氣質性聽力喪失(即詐聾者)。

並列摘要


Some convential audiological tests, e.g. pure tone audiometry (PTA), are subjective hearing tests and what have their limitation. Completion of the tests need subject’s cooperation to get an exact hearing threshold. In this report, we present a non-organic hearing loss (NOHL) case by use of PTA in combination with other objective hearing tests such as tympanogram, acoustic reflex and auditory brainstem response. This testing protocol for differential diagnosis of NOHL is quite effective and reliable. There is no single hearing test that can consistently infer the presence of NOHL. For a malingerer, the result of a single hearing test is unreliable and unconsistent. Therefore, hearing evalution in a NOHL case should include subjective and objective tests.

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