![]() ![]() Place the vibrating tuning fork (512 Hz) on the mastoid process. ![]() All physicians who perform the Rinne test must pay attention to the orientation of the tines of the tuning fork with respect to the long axis of the external auditory canal when testing for air conduction. The orientation of the tuning fork and its exact placement vary from individual to individual. The other important fact about the Rinne test is that the technique is not uniform. In any situation where there is a question about the Rinne test, the patient must be referred to an ear, nose, and throat (ENT) surgeon for formal audiometry. False negatives are common in such situations. The Rinne test is not sensitive in differentiating conductive and sensorineural loss causes of total sensorineural or severe unilateral hearing loss. In addition, the validity of the Rinne test as a screening test is often questioned. It is important to note that the Weber and Rinne tests are screening tests and do not replace formal audiometry. A Rinne test should be done with a Weber test to detect a sensorineural hearing loss and thus confirm the nature of hearing loss 2. The Rinne test differentiates sounds transmitted by air conduction from those transmitted through the mastoid by bone conduction. Thus, one can quickly suspect conductive hearing loss. Rinne test compares perception of sounds, as transmitted by air or by sound conduction through the mastoid. Rinne test is a hearing test used to evaluate the conductive hearing loss in one ear 1. Symmetrical conductive hearing loss Rinne test ![]()
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