Audiogram and Other Hearing Test Results

Discussion in 'Support' started by Tinnitus Talk, Jan 5, 2015.

    1. Syb
      Pensive

      Syb Member

      Location:
      Montreal
      Tinnitus Since:
      1990, 2020
      Cause of Tinnitus:
      Hearing loss & possibly a neck / C spine issue?
      Hi!

      I don't know if anyone could help clarify something for me please. I'm little confused about my new audiogram, specifically the little Ls at the bottom.

      wf9gIcR.jpg

      We did a LDL test to verify whether I had hyperacusis or not (my tinnitus is somewhat reactive and I hear some distortions). Is this what it is?

      The report also says I have slight recruitment... but I feel like she possibly forgot to explain how this applies to my situation. Does that refer to the fact that I'm easily startled by louder sounds?

      Any feedback would be appreciated. Thanks!
       
    2. HeavyMantra
      Bugridden

      HeavyMantra Member Benefactor

      Tinnitus Since:
      Steadily worsening since 2018
      Cause of Tinnitus:
      Unknown
      Hi again,

      Have you found out anything more? Do you have a confirmed ETD diagnosis?
       
    3. corza000

      corza000 Member

      Tinnitus Since:
      2019
      Cause of Tinnitus:
      Noise
      I’m sorry to bring this up again. Since discovering I possibly have conductive hearing loss as well as SNHL my stress has spiralled. It’s taken over my life. At least before I put my faith into regenerative medicine such as FX-322 and forgot about it (at least to some extent). Now that there is the possibility of conductive hearing loss I feel I no longer have that luxury.

      I went to the ENT and he is suggesting a septoplasty because I have some deviation in my left septum. I feel like this is going down the wrong track. I don’t see much link between tinnitus and deviated septum. He said it would at least help my sleep as I grind my teeth and wake up exhausted.

      My next ENT visit isn’t for a month.

      I know that a large part of my hearing loss is noise induced. I was so stupid with earphones. I always wore them at full volume. After I bought some noise cancelling headphones to replace my Apple earphones my tinnitus started a few weeks after.

      @FGG, @GregCA or anyone else that can help, please let me know. Thanks.
       
    4. FGG
      No Mood

      FGG Member Hall of Fame

      Tinnitus Since:
      01/2019
      Cause of Tinnitus:
      Multi-factorial
      I would honestly at least get a second opinion from an otologist (ENT sub-specialist focused just on ears, your ENT can refer you) before reaching for septoplasty. Better sleep would be nice but I'm not sure it's your core issue, personally.

      And maybe they can address your audiogram findings better, too.
       
      • Like Like x 1
    5. corza000

      corza000 Member

      Tinnitus Since:
      2019
      Cause of Tinnitus:
      Noise
      Thanks FGG. This is my second ENT opinion. The first otolaryngologist said for the tinnitus get a hearing aid or deal with it. He also suggested a septoplasty but that was more for sleep. He didn’t know about hearing regeneration. He said there probably won’t be any hearing regeneration medicine in our lifetime. I’m 32!

      The second ENT wants to start with the nose and work back from there. Whenever I mentioned ears he said no you are jumping too far ahead. He is known for giving out septoplasties like candy.

      I just feel I am wasting time and money. These ENTs are so expensive. They are quite dismissive and they are leaving more questions than answers.

      I don’t believe my hearing has got any worse over the last couple of years but my tinnitus and stress has. These appointments are adding to my stress.

      I’ll look into an otologist but I’d have to travel for it.

      Any other thoughts would be much appreciated.
       
    6. FGG
      No Mood

      FGG Member Hall of Fame

      Tinnitus Since:
      01/2019
      Cause of Tinnitus:
      Multi-factorial
      Imo, a lot of ENTs concentrate on sinuses because they understand it better. I personally think it's worth the time and money to see an otologist to try to get a better diagnosis. Even mid sized cities should have at least one Otologist. Are you in a very rural area?
       
    7. corza000

      corza000 Member

      Tinnitus Since:
      2019
      Cause of Tinnitus:
      Noise
      Yes fairly rural but I could travel. The closest large city with otologists is a couple of hours away so I could make the trip. I appreciate the support.

      I’m hopeful that the air bone gap was just the error that you referred to in previous posts. And the added tinnitus is stress and blood pressure related. A self fulfilling issue. I really need to break this stress cycle.
       
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    8. Pelham

      Pelham Member

      Tinnitus Since:
      4 months
      Cause of Tinnitus:
      Possible ETD
      I'm still waiting to see an ENT unfortunately. I have been told by an Audiologist that the negative pressure in the middle ear points to ETD but no solid diagnosis.

      Have you had a chance to mention it in your class at all?
       
    9. HeavyMantra
      Bugridden

      HeavyMantra Member Benefactor

      Tinnitus Since:
      Steadily worsening since 2018
      Cause of Tinnitus:
      Unknown
      Yes, negative pressure would indicate ETD.

      The audiogram you took is pretty lacking, I don't know why they didn't measure bone conduction in both ears since if we had that info, it would be much easier to draw conclusions about what causes your hearing loss.

      If you have hearing loss because of ETD, it's usually caused by fluid buildup (the ET drains the middle ear of fluids when functioning normally). If left untreated for a long time, these fluids can become infected and cause more serious problems in some cases. Don't wait to see an ENT if you can help it. But don't be too alarmed either.
       
    10. Ylva
      Doh

      Ylva Member Benefactor

      Location:
      Netherlands
      Tinnitus Since:
      1999
      Cause of Tinnitus:
      Ear infections + stress + drugs
      I have this as well, but they say they cannot treat ETD, except for the nasal spray they described. Is there any information I can look up about this?
       
    11. HeavyMantra
      Bugridden

      HeavyMantra Member Benefactor

      Tinnitus Since:
      Steadily worsening since 2018
      Cause of Tinnitus:
      Unknown
      I only have basic knowledge but the Eustachian Tube is usually blocked from inflammation caused by allergies, viruses, chronic sinusitis or gunk from these conditions. Very rarely do people have a dysfunction in the muscles that open the Eustachian Tube, but chronic inflammation/dysfunction is possible. I unfortunately don't know what can be done about it, but I personally would not accept "nothing can be done" for an answer. I do know of a procedure which forces the Eustachian Tube open with a balloon-type instrument inserted through the nose, but I don't know in which situations this procedure is considered.
       
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      • Informative Informative x 1
    12. ColoredCat

      ColoredCat Member

      Tinnitus Since:
      24 February 2021
      Cause of Tinnitus:
      Hit on the face while wearing earphones (maybe TMJ?)
      Here is mine (as a reference, I am 21 years old and my tinnitus occurred after getting assaulted). My tinnitus is constant and seems to be around 14-16 kHz (from my own testing) in my left ear only (blue graph).

      MVIMG_20210304_175432.jpg
       
    13. Eyyooo

      Eyyooo Member

      Tinnitus Since:
      12/2020
      Cause of Tinnitus:
      Noise induced / rave
      Right ear:
      125 Hz: 15 dB
      250 Hz: 15 dB
      500 Hz: 10 dB
      1000 Hz: 10 dB
      1500 Hz: 0 dB
      2000 Hz: 10 dB
      3000 Hz: 0 dB
      4000 Hz: 0 dB
      6000 Hz: 15 dB
      8000 Hz: 15 dB

      Left ear:
      125 Hz: 20 dB
      250 Hz: 15 dB
      500 Hz: 10 dB
      1000 Hz: 10 dB
      1500 Hz: 0 dB
      2000 Hz: 10 dB
      3000 Hz: 0 dB
      4000 Hz: -10 dB
      6000 Hz: 30 dB (I think my tinnitus is around this tone, in this ear)
      8000 Hz: 10 dB

      So what do you think?

      I don't like the dips down to 15/20 dB I have to say. It feels like I can't lose more hearing, before it really starts to become a problem. I think I also hear speech a little worse after the acoustic trauma, but that could be my imagination.
       
    14. Ylva
      Doh

      Ylva Member Benefactor

      Location:
      Netherlands
      Tinnitus Since:
      1999
      Cause of Tinnitus:
      Ear infections + stress + drugs
      audiogram.png

      About the same audiogram as 5 years ago when I was 20. My ENT said the right eardrum was collapsed inward a bit (decreased pressure). Does that explain the air-bone gap?

      Also, I guess my tinnitus got worse (7 weeks in now) from increased hidden hearing loss?

      I'm still trying to find an explanation, even though I know I won't really find one.
       
      • Like Like x 1
    15. Jim Vasilakis

      Jim Vasilakis Member

      Tinnitus Since:
      2020
      Cause of Tinnitus:
      Loud Noise
      Hello everyone. I just got my latest audiogram and it showed a -5 dB drop in the 4 kHz in the left ear. The thing that troubles me is that I did an audiogram at a different doctor two months ago and it showed no hearing loss in the 4 kHz range. My latest doctor believes my tinnitus is due to that 5 dB drop. He also says there is no point in doing an extended audiogram since my 8 kHz range doesn't show any drop so it's unlikely there will be drops in the upper frequencies. What's your opinion?

      Here are the audiograms:

      Audiogram January 2021.jpeg
      Audiogram March 2021.jpeg
       
      • Funny Funny x 1
    16. Street Novelist
      Depressed

      Street Novelist Member

      Location:
      Bay Area
      Tinnitus Since:
      February 2018
      Cause of Tinnitus:
      Listening to loud music through headphones
      @Diesel, @Contrast, and others:

      Could someone tell me if I have any conductive hearing loss? And is my loss mild or moderate?

      Scan_0001.jpg

      Thanks.
       
    17. guenguer

      guenguer Member

      Location:
      Germany
      Tinnitus Since:
      2004
      Cause of Tinnitus:
      Sudden hearing loss 2004/12/14/15
      Looks like mine in both ears, but I'm 20 years younger :)

      And yes, I would kill for most of the audiograms here too.
       
    18. HeavyMantra
      Bugridden

      HeavyMantra Member Benefactor

      Tinnitus Since:
      Steadily worsening since 2018
      Cause of Tinnitus:
      Unknown
      Your audiologist should be able to tell you this, but if the bone conduction thresholds and air conduction thresholds line up, that points to sensorineural hearing loss, not conductive.
       
    19. Brian Newman

      Brian Newman Member

      Tinnitus Since:
      12/2016
      Cause of Tinnitus:
      Shooting/loud noise
      I just want to put this up here that audiograms are not 100% accurate. Anybody who’s curious to see how bad I am read my story. Severe noxacusis and pretty bad tinnitus with distortions and a perilymph fistula. Yet audiograms say I’m ok! Check it out. If anybody can beat this, I’ll give you $100.

      76EA6531-A880-4E03-B152-459CB5EA2579.jpeg

      8E73112B-B85C-4859-B656-46E28645A54D.jpeg

      306934BF-8428-4CB8-86E8-D19325A99A55.jpeg
       
      • Hug Hug x 1
    20. kingsfan
      Mellow

      kingsfan Member Benefactor Hall of Fame

      Location:
      Southern California
      Tinnitus Since:
      9-17-20 / 10-20-20 / 3-31-21 / 5-23-21
      Cause of Tinnitus:
      turning everything up to 11
      Maybe your hearing is so good that it's bad. Like the stack overflow issue with Ghandi in the game Civilization where he becomes so good that he turns aggressively evil.
       
      • Funny Funny x 2
    21. Brian Newman

      Brian Newman Member

      Tinnitus Since:
      12/2016
      Cause of Tinnitus:
      Shooting/loud noise
      Lmao yeah pretty much. Before all the damage my hearing was between 10 and 20 dB loss. Everything reversed. Pretty crazy.
       
    22. Thomas_83

      Thomas_83 Member

      Tinnitus Since:
      10/2021
      Cause of Tinnitus:
      Loud noise
      Over 40 years old and a DJ for many years. And tinnitus in ears/head.

      This is my new hearing test. I can hear up to 17 kHz to if i play a tone tone on lowest vol on my phone. So weird that I got tinnitus.

      FC8A3C5D-3C99-4F2D-873F-B619CD352B78.jpeg
       
    23. Juan

      Juan Member Hall of Fame

      Tinnitus Since:
      08/2014
      Cause of Tinnitus:
      Several causes
      Very good audiogram considering your background as a DJ.
       
      • Agree Agree x 1
    24. InfiniteLoop
      Relaxed

      InfiniteLoop Member Benefactor

      Location:
      Redwood City, California
      Tinnitus Since:
      01/21/2014
      Cause of Tinnitus:
      High frequency hearing loss in left ear from head trauma (?)
      One of the main metrics is the tinnitus frequency. This is an obvious indication of the hearing loss or damage location. However, surprisingly almost no one talks about that important clue.

      I have tinnitus only in my left ear. The tinnitus frequency is ~10 kHz. My left ear high frequency audiogram is asymmetric compared to the right ear, and my hearing loss is worse than 25 dB beyond 7 kHz in the left ear.

      At the time of tinnitus onset 8 years ago, my audiogram was normal in both ears up to 8 kHz, but I already had the asymmetry and dip in the very high frequencies for my left ear.

      In my case, I have no doubt that the left ear damage and the tinnitus are related.
       
    25. Donata

      Donata Member

      Tinnitus Since:
      2009
      Cause of Tinnitus:
      Noise exposure + stress
      Hi everyone,

      Can you help me interpret / read my audiogram? I wonder if I've got noise-induced hearing damage?

      My ENT says it's not noise-induced but that it's ETD. He's talking about an air bone gap, and the difference between bone conduction and air conduction. He also says my eardrums are retracted and something in my nose is inflamed.

      Just want to make sure we're not overlooking any noise-induced damage, as I can see a dip at 4 kHz for the air conduction? Also, the bone conduction slightly dips after 6 kHz? Could this still be damage from noise?

      My tinnitus is matched at 6700 Hz 5 dB.

      Looking forward to hearing what you make of this audiogram. Thanks so much! :)

      Hoortest augustus.jpg
       
    26. AnthonyMcDonald
      Confused

      AnthonyMcDonald Member

      Location:
      Russia
      Tinnitus Since:
      06/2021
      Cause of Tinnitus:
      Noise induced
      Wait so your tinnitus is 5 dB? Lol.
       
    27. Juan

      Juan Member Hall of Fame

      Tinnitus Since:
      08/2014
      Cause of Tinnitus:
      Several causes
      Perfect audiogram, and there is no air bone gap there... Your ENT probably got his title on the lottery haha.
       
    28. Donata

      Donata Member

      Tinnitus Since:
      2009
      Cause of Tinnitus:
      Noise exposure + stress
      Thanks @Juan. Lol. But if there's no air bone gap then why is there a difference of 15 dB - 20 dB for bone and air conduction between my middle ear and inner ear at 4 kHz? This difference also increased with 15 dB for my left ear. Below my audiogram from 2 months ago, where the air conduction is 15 dB higher at 4 kHz than two months later. But bone conduction stays the same. How can this be possible?

      hoortest juni.jpg
      Yes according to the audiologist it is. What do you mean by that? It's not loud if that's what you mean, but it's still annoying
       
      • Hug Hug x 1
    29. Juan

      Juan Member Hall of Fame

      Tinnitus Since:
      08/2014
      Cause of Tinnitus:
      Several causes
      Those differences are negligible. The decibel scale is logarithmic so there is a small difference between 5 dB and 20 dB but there is a huge difference between 100 dB and 102 dB.

      A difference of up to 20 - 25 dB between audiograms (or between the ear and bone readings of audiograms) can be attributed to a blocked nose, a blocked throat, a cramp on the neck... to a number of things that make our hearing not exactly the same every day.

      Actually just an otitis can alter hearing up to 30 dB for 2 months... so there is nothing in your audiogram that is abnormal or suggest damage. And if you look at the highest frequencies (8 kHz) they are at 10 or over 10 dB. It's very good hearing.
       
    30. GregCA
      Jaded

      GregCA Member Benefactor Hall of Fame

      Tinnitus Since:
      03/2016
      Cause of Tinnitus:
      Otosclerosis
      I'm afraid that is not quite correct for the metric that matters. A 10 dB (or any dB) difference is perceived the same (in this case "twice as loud" for 10 dB) whether it is between 10 dB and 20 dB or 100 dB and 110 dB.

      CDC: What Noises Cause Hearing Loss?

      The raw power difference is indeed greater between 100 dB and 110 dB, but that is not what our perception cares about, because for our hearing... "it's all relative" (hence the logarithmic scale).

      Now back to @Donata:

      The audiogram does show a small ABG (Air-Bone-Gap) but it could be from a variety of reasons, perhaps unrelated to your body too. If I were in your shoes I'd do a hearing test somewhere else to rule out equipment bias. I would then do a trending to see if it persists across multiple months and whether it changes over time. Work with your doctor(s) to figure out a strategy here.

      I suspect your doctor is unconvinced about noise damage because noise-induced losses generally show as sensorineural losses (Noise-Induced Hearing Loss Clinical Presentation)
       
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