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January 1969


Author Affiliations

New Orleans
From the Department of Otolaryngology, Tulane University School of Medicine, New Orleans.

Arch Otolaryngol. 1969;89(1):19-21. doi:10.1001/archotol.1969.00770020021003

WHY BOTHER with electronystagmography (ENG)? Can I learn anything through the use of this technique that I could not learn otherwise? These are the questions that many ask. I would answer these questions with yet another question. Would any of you discard your audiometers (whatever the vintage) and be limited to the use of tuning forks when faced with a hearing problem? I will concede that you could with understanding, careful testing, and perseverance evaluate your patient's hearing and arrive at a clinically practical deduction with only tuning forks. I am just as certain, however, that none of you would be willing to give up these audiometric advantages:

  1. Precise hearing thresholds.

  2. Sophisticated testing procedures which make possible the differentiation of:

    • Conductive losses from sensorineural involvement.

    • Cochlear from retrocochlear involvement, and even in some instances localization of central nervous system lesions.

  3. Accurate records which can be

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