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:
Precise hearing thresholds.
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.
Accurate records which can be
Rubin W. Electronystagmography. Arch Otolaryngol. 1969;89(1):19–21. doi:10.1001/archotol.1969.00770020021003
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