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September 1969

Automatic Audiometry for Detecting Malingering

Author Affiliations

New Orleans
From the Department of Otolaryngology, Tulane University School of Medicine, (Dr. Istre). and the Department of Audiology and Speech Pathology, Veterans Administration Regional Hospital (Dr. Burton), New Orleans.

Arch Otolaryngol. 1969;90(3):326-332. doi:10.1001/archotol.1969.00770030328013

AUTOMATIC audiometry, or Bekesy audiometry, is among the more significant, versatile tools available to the practitioner. Its value is evidenced both by its diagnostic capability and by the unique self-recording method employed in determining threshold values.

Historically, one finds the introduction of Bekesy audiometry in 19471 and at present at least two different commercial models are available. Both employ the same self-recording technique, but are dissimilar in their modes of frequency presentation. One instrument utilized fixed-frequency presentation and the other permits sweep-frequency tracings as well as having fixed-frequency capabilities.

The diagnostic value of automatic audiometry stems from several research investigations.2 The practicing otolaryngologist, however, is perhaps more familiar with the contributions of Jerger.3 After audiometrically testing clinical patients with middle ear, cochlear, and retrocochlear pathology, Jerger described specific tracing "types" as being characteristic for the disorder in question. One finds it of value to note that Jerger's

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