Ask the patient in which of the positions they were able to hear the note the loudest in.Leave it there again for a few seconds before taking the tuning fork away from their ear.Then promptly lift the fork off the mastoid process and place the vibrating tips about 1cm from their external auditory meatus.Allow it to stay there for 2-3 seconds to allow them to appreciate the intensity of the sound.Hold the tuning fork in one hand and place the base against the patient’s mastoid process ( see video).Begin by striking the tuning fork against your knee or elbow.I want you to tell me which position you hear the tuning fork loudest in” “I’m going to put this vibrating tuning fork in two positions, one touching the bone near you ear, one a short distance from the ear.Rinne’s test can only detect a conductive hearing loss of at least 30dB.Rinne’s test has a high sensitivity (0.84) though this varies with the skill of the examiner.This test aims compare air conduction with bone conduction.Interpretation of Rinne’s and Weber’s tests Test The various outcomes of Rinne and Weber tests are shown below.
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