Eliachar I
Otolaryngol Clin North Am. 1978 Oct;11(3):769-76.
The pathologic processes that affect the middle ear transmission mechanisms in otitis media are dynamically variable and may cause different degrees of severity and changing pure tone configurations. By the same token, different disease conditions may yield similar audiometric curves. The air-bone gap is the chief indicator of middle ear abnormality but rarely provides a quantifying measure or a means of differential diagnosis. The clinician and audiologist must concern themselves singularly and together in achieving a correct diagnosis especially when there is concomitant neurosensory hearing loss. They must apply all the facilities at their disposal in order to correlate the otoscopic clinical findings with the magnitude and type of hearing loss.
影响中耳炎中耳传导机制的病理过程是动态变化的，可能导致不同程度的严重程度和纯音配置的改变。同样，不同的疾病状况可能产生相似的听力图曲线。气骨导差是中耳异常的主要指标，但很少能提供量化测量或鉴别诊断方法。临床医生和听力学家必须单独并共同关注以做出正确诊断，尤其是在伴有感音神经性听力损失的情况下。他们必须运用所有可用的手段，以便将耳镜检查的临床发现与听力损失的程度和类型联系起来。
