The degree of deafness as determined by the audiometer, does not give even an approximate idea of the difficulty the patient may have in hearing the voice. It is the handicap for the voice that really counts. (Shambaugh Sr.)
After all, what we and the patient are interested in, is not the patient's ability to hear a tone reproduced through a telephone receiver, but his ability to hear the spoken voice. It is common knowledge that some patients' appreciation of the spoken voice is better than the audiometer record would lead us to believe, and that other patients' hearing for spoken voice is actually worse than the audiometer would lead us to believe. It is my opinion therefore that his audiometer tests leave the practical otologist dissatisfied. (Wishart.)
It must be remembered that the audiogram which is a guide to the threshold for sounds at various frequencies is no indication
SPEECH HEARING AND SPEECH INTERPRETATION TESTING. Arch Otolaryngol. 1940;31(3):517–528. doi:10.1001/archotol.1940.00660010521013
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