Tessitura / Threshold

File TX-4417 Subject R. Mallory, 58 Booth B — calibrated 14 Jun Clinician D. Okonkwo, AuD

Case Study 07 · Pure-tone air & bone conduction

Every quiet room has a shape. This one belongs to file 4417.

A single chart carries the whole story: two ears plotted against frequency and hearing level, the speech banana laid over them, and the exact letters that fall out of reach.

Pure-tone audiogram — 14 June, 09:42

Frequency

1000 Hz

Right air

20 dB

Left air (masked)

55 dB

Air–bone gap L

30 dB

Speech sounds lost

4 of 24

Drag or arrow-key across the plot to move the frequency probe. Letters dim as they fall below the better ear.

02

Threshold table

Every value the symbols encode, in decibels hearing level. NR = no response at the audiometer limit.

Pure-tone thresholds, dB HL — file TX-4417
Transducer1252505007501k1.5k2k3k4k6k8k
03

Speech inventory

Each phoneme plotted at its dominant band and typical level at one metre. Struck-through entries fall below the better ear.

04

Test protocol

Recorded for reproducibility. Method and equipment as delivered in booth B.

Method notes
ItemSettingNote
MethodModified Hughson–Westlake5 dB up, 10 dB down
TransducerInsert, ER-3AReduces crossover risk
Masking noiseNarrowband, 40–70 dB EMPlateau method
Bone oscillatorMastoid placementForehead re-check at 1k
Ambient18 dBAWithin ANSI S3.1 limits