Brusis T
Laryngol Rhinol Otol (Stuttg). 1978 Apr;57(4):331-45.
The expertise appraisal of noise deafness takes a great amount of experience for granted, since faulty interpretations are very numerous. Considering possible errors and false interpretations the following points will be discussed: anamnesis-elevation, interpretation of noise-measurements, audiometric examination including aggravation, execution of conversational speech hearing examination and its possible sources of error, tone audiogram, language audiogram and SISI-test, the coupling of the degree of deafness and the MdE (reduction of work capability), overassessment and underestimation, consideration of tinnitus and recruitment, separation of war-connected and skull-traumatic hearing loss, the "retroactive clause", substantial worsening as well as re-examination dates. Furthermore, some examples of typical faulty medical opinions will be reported upon.
噪声性耳聋的专业评估理所当然地需要大量经验，因为错误解读非常多。考虑到可能出现的错误和错误解读，将讨论以下几点：病史采集、噪声测量的解读、听力测试检查（包括病情加重情况）、对话言语听力检查的实施及其可能的误差来源、纯音听力图、语言听力图和短增量敏感指数测试、耳聋程度与劳动能力降低（MdE）的关联、高估和低估、耳鸣和重振的考量、区分战争相关和颅骨创伤性听力损失、“追溯条款”、病情严重恶化以及复查日期。此外，还将报告一些典型错误医学观点的例子。
