Reker U
Laryngol Rhinol Otol (Stuttg). 1975 Nov;54(11):909-12.
Feldmann described a recruitment with conductive deafness using simultaneous tones for loudness-balancing. On 20 patients with unilateral conductive deafness a loudness-balance-test was performed in 4 different ways. The results were strongly method-influenced: 1 There was a substantial hysteresis between ascending and descending loudness-balancing. 2 The choice of the reference ear, i.e. the ear on which the intensity steps are fixed, appeared to be very important. Different results were obtained when the intensity steps were fixed on the good ear (and thus adapting for equal loudness on the bad ear) compared to the results when the intensity steps were fixed on the other ear.- With continuous tones, and when fixing the intensities on the good ear, a recruitment can be measured with conductive deafness, but it is only method-depending. For a reliable recruitment-diagnosis with the Fowler-test strictly defined test-conditions, considering method-depending influences, are necessary.
费尔德曼描述了一种针对传导性耳聋患者的响度平衡测试方法,即使用同时发出的音调进行测试。对20例单侧传导性耳聋患者,以4种不同方式进行了响度平衡测试。结果受测试方法的影响很大:1. 升调与降调响度平衡之间存在显著的滞后现象。2. 参考耳的选择,即强度级固定的那只耳朵,似乎非常重要。当强度级固定在健耳上(从而使患耳适应等响度)时,与强度级固定在另一只耳朵上时相比,会得到不同的结果。——使用连续音调,且将强度固定在健耳上时,可检测到传导性耳聋患者存在重振现象,但这仅取决于测试方法。要通过福勒测试进行可靠的重振诊断,必须严格定义测试条件,并考虑测试方法相关的影响。