Differential Diagnosis
Table 1. A table comparing sensorineural to conductive hearing loss
Criteria | Sensorineural hearing loss | Conductive hearing loss |
Anatomical Site | Inner ear, cranial nerve VIII, or central processing centers | Middle ear (ossicular chain), tympanic membrane, or external ear |
Weber Test | Sound localizes to normal ear | Sound localizes to affected ear (ear with conductive loss) |
Rinne Test | Positive Rinne; Air conduction > Bone conduction (both air and bone conduction are decreased equally, but the difference between them is unchanged). | Negative Rinne; Bone Conduction > Air Conduction (Bone/Air Gap) |
Sensorineural hearing loss may be congenital or acquired.
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