Jahnke K, Solzbacher D
Universitäts-Hals-Nasen-Ohren-Klinik Essen.
Laryngorhinootologie. 2005 Jul;84(7):511-5. doi: 10.1055/s-2005-861416.
The simulation of deafness rarely occurs in the course of medical expertise. However, it is a problem that needs to be recognized and demonstrated by proving methods of investigation. For this purpose, a number of subjective and objective hearing tests exist which can provide evidence for the simulation of uni- or bilateral hearing loss. These methods include the measurement of oto-acoustic emissions, brainstem-evoked response audiometry and the determination of the stapedius reflex threshold as well as subjective methods such as Stenger- and Lee-test. Among the expertise carried out in our department during the past few years, we found 5 cases of simulation of deafness. In these cases -- as opposed to simulated traffic accidents -- there was no criminal prosecution regarding insurance fraud.
耳聋伪装在医学鉴定过程中很少发生。然而，这是一个需要通过可靠的调查方法来识别和证实的问题。为此，有许多主观和客观听力测试方法，可用于为单侧或双侧听力损失伪装提供证据。这些方法包括耳声发射测量、脑干诱发电位听力测定、镫骨肌反射阈值测定，以及诸如施滕格测试和李氏测试等主观方法。在我们科室过去几年进行的鉴定中，我们发现了5例耳聋伪装的案例。与伪装交通事故不同，在这些案例中，没有涉及保险欺诈的刑事诉讼。
