Hearing Assessment Sensorineural vs Conductive Hearing Loss Webers and Rinnes Test Dr Gill

One of the easier parts of the cranial nerve examination to performed is looking at cranial nerve VIII the vestibular cochlear system. If a patient comments, or is found to have hearing loss, then we need to determine if that is conductive hearing loss, or sensorineural hearing loss.

We perform a hearing assessment in this case by performing two linked tests Webers and Rinnes test. These two tests allow us to determine if there is hearing loss from a sensorineural issue, for example menieres disease, age related hearing loss, or a tumour. They also allow testing for a conductive hearing loss, which is most commonly observed in ear wax

It is crucial that the 512hz tuning fork is used for this part of the cranial nerves test, as the 128hz tuning fork should be reserved for testing vibration sensation.

Please note there will always be minor variations in how clinical examinations are performed. You should priorities the input from your educators or institutions in terms of directions used

Some people may find an ASMR effect from these clinical examination videos.

There are two linked videos with this examination:

Cranial nerve examination demonstration    • Cranial Nerve Examination Demonstrati...  

Cranial Nerve VIII The Vestibulocochlear Nerve
   • Cranial Nerve VIII  The Vestibulococ...  

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