Behind the Audiogram: A Guide to Understanding Your Hearing Test Outcomes

An audiogram is essentially a graph that charts the thresholds of our hearing sensitivity across various frequencies and intensities.

Behind the Audiogram: A Guide to Understanding Your Hearing Test Outcomes

by Dr. Kevin Ivory

Understanding an audiogram is crucial to grasp the detailed aspects of our hearing health. An audiogram is essentially a graph that charts the thresholds of our hearing sensitivity across various frequencies and intensities

Understanding an audiogram is crucial to grasp the detailed aspects of our hearing health. An audiogram is essentially a graph that charts the thresholds of our hearing sensitivity across various frequencies and intensities. When we undertake hearing tests, the results are plotted on this graph, providing us a visual representation of our hearing capabilities. These results can indicate the softest sounds we are able to hear at each pitch, from the low frequency to the high-frequency ranges.

Interpreting these results can seem daunting, but with a bit of knowledge, we can decode the symbols and numbers to understand the state of our hearing. The information gleaned from an audiogram is instrumental in diagnosing the type and degree of hearing loss we may have. This could range from slight to profound levels, impacting the low, mid, or high frequencies. Recognizing the patterns in these tests also helps us in making informed decisions about potential treatments or hearing aids.

Here, we help you make sense of the plotted data on an audiogram but also to understand what these results mean for us in our daily lives. For example, how might our ability to hear high-pitched sounds affect our ability to understand speech, especially in noisy environments? By learning to interpret these results, we empower ourselves with knowledge that can lead to better management of our auditory health and improve our overall quality of life.

Understanding Audiograms

In this section, we'll explore the critical elements of an audiogram, helping us to understand the specifics of hearing test results. An audiogram is a key tool for identifying hearing thresholds across various frequencies and intensities.

Key Components of an Audiogram

An audiogram is a chart that outlines the softest sounds a person can hear at various frequencies. The vertical axis represents intensity or how loud a sound is, measured in decibels (dB), with quieter sounds at the top and louder sounds at the bottom. The horizontal axis reflects frequency, or the pitch of the sound, ranging from low to high in hertz (Hz). The test results are typically plotted with "X" marking the left ear's thresholds and "O" for the right ear's thresholds, providing a visual representation of hearing ability.

The Hearing Threshold

The hearing threshold is defined as the softest sound a person can detect at least 50% of the time. These thresholds are the points where the symbols (X and O) are plotted on the audiogram. A threshold of 0 dB is considered a perfect hearing ability. Thresholds greater than 20 dB could indicate potential hearing loss, with higher values corresponding to more severe loss. Each ear is tested individually, providing separate data for both ears.

Frequency vs. Intensity

When analyzing an audiogram, it's essential to distinguish between frequency and intensity:

  • Frequency refers to the pitch of a sound and is measured in hertz (Hz). It's displayed from left to right on the audiogram, with lower pitched sounds (bass) on the left and higher pitched sounds (treble) moving to the right.
  • Intensity, on the other hand, concerns the loudness of a sound measured in decibels (dB). It runs from top to bottom, with softer sounds at the top of the chart and louder sounds at the bottom.

Types of Hearing Loss Revealed by Audiograms

When we interpret audiograms, we're looking to identify the type of hearing loss a person has. This determination is crucial for developing an effective treatment plan.

Sensorineural Hearing Loss

Sensorineural hearing loss (SNHL) arises from damage to the inner ear (cochlea) or the nerve pathways from the cochlea to the brain. On an audiogram, SNHL is indicated by a decrease in the ability to hear faint sounds, even though louder sounds may still be clear. We often see this pattern across multiple frequencies, which signifies a difficulty with sound clarity.

Conductive Hearing Loss

With conductive hearing loss, sound is not efficiently conducted through the outer ear canal to the eardrum and the ossicles of the middle ear. Audiograms reveal this type of loss by showing a gap between the air conduction and bone conduction thresholds, with bone conduction being better than air conduction. This typically reflects issues such as earwax buildup, fluid in the middle ear, or damage to the eardrum.

Mixed Hearing Loss

Mixed hearing loss combines elements of both sensorineural and conductive hearing loss. An audiogram will typically show a decreased hearing response similar to SNHL in addition to air-bone gaps that point to a conductive component. This suggests that there’s not only a problem with the conduction of sound but also with the nerve or hair cells in the cochlea.

Implications and Next Steps

After conducting a hearing test, it's our responsibility to understand the audiogram's indications for health and lifestyle changes. Here at Glendora Hearing, our audiologist will review your audiogram with you and will discuss the treatment options available, as well as the importance of routine monitoring and follow-up.

Interpreting Results and Counseling

An audiogram provides us with a visual representation of hearing ability across various frequencies and intensities. By examining this graph, we can determine not only the degree of hearing loss but also its type—whether it's sensorineural, conductive, or mixed. Using interpretable patterns from the audiogram, we discuss with our patients the potential causes of their hearing loss and what specific frequencies are most affected, guiding them through the implications for daily communication and health.

Treatment Options

Based on the audiogram results, we may recommend several treatment paths. For those with mild to moderate hearing loss, hearing aids might suffice. In more severe cases, devices such as cochlear implants could be considered. Treatment may also include therapeutic approaches, such as speech therapy, or lifestyle changes, like avoiding exposure to loud noises. Each recommendation is tailored to the individual's unique audiogram, which reflects their specific hearing challenges as understood from resources like how to interpret an audiogram.

Schedule Your Hearing Test Today!

Continuous monitoring is crucial in managing hearing health. If you have experienced changes in your hearing, a hearing test is the best way to explore options available. If you already are a regular hearing aid user, schedule regular follow-up appointments to assess any changes in hearing and adapt treatment plans accordingly. Monitoring ensures timely identification of alterations in hearing patterns, allowing for prompt adjustments to treatments or counseling strategies. Our team at Glendora Hearing is here to help. Contact us today to schedule your hearing test!

Written by
Reviewed by
Dr. Kevin H. Ivory
Audiologist & University Instructor
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Dr. Kevin Ivory, Au.D., CCC-A received his Bachelor of Arts (Psychology) Degree from the University of Wisconsin-Madison. He then went on to earn his Doctor of Audiology degree from Rush University Medical Center in Chicago, one of the top 10 audiology residential programs in the country.

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