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Interpreting Weber and Rinne tests: Conductive versus sensorineural hearing loss

Interpreting Weber and Rinne tests: Conductive versus sensorineural hearing loss
  Weber lateralizes Rinne test
Conductive loss
Good ear   AC > BC
Bad ear To bad ear BC > AC
Sensorineural loss
Good ear To good ear AC > BC
Bad ear  

AC > BC*
AC > BC: Air conduction better than bone conduction (normal Rinne).
BC > AC: Bone conduction better than air conduction (abnormal Rinne).
* For patients with severe sensorineural hearing loss, the patient may report BC > AC because the sound is being sensed by the "good" (contralateral) ear.
Graphic 74212 Version 10.0

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