Table 1.

Expected Test Results for a Selection of Putative Locations of Common Hearing Deficits

Test results Middle ear Outer hair cells Inner hair cells Auditory nerve Brainstem
Air conductionAbAbAbambigN
 pure tone
 audiogram
BoneNAbAbambigN
 conduction
 pure tone
 audiogram
TympanometryAbNNNN
Middle earAbNambigAbAb
 muscle
 reflexes
OtoacousticAbAbambigNN
 emissions
AuditoryNNAbAbAb
 brainstem
 response

[i] (Ab) Absent or abnormal; (N) normal or generally unaffected in morphology if residual peripheral hearing is adequate; (ambig) ranges from normal to abnormal and thus does not contribute diagnostic information.