International Journal of Otorhinolaryngology and Head and Neck Surgery | March-April 2019 | Vol 5 | Issue 2 Page 254
International Journal of Otorhinolaryngology and Head and Neck Surgery
Atar Y et al. Int J Otorhinolaryngol Head Neck Surg. 2019 Mar;5(2):254-256
http://www.ijorl.com
pISSN 2454-5929 | eISSN 2454-5937
Original Research Article
Do eyeglasses and palatal prostheses affect the results of the
Weber test?
Yavuz Atar
1
*, Ziya Salturk
1
, Guler Berkiten
1
, Tolgar Lutfi Kumral
1
, Yavuz Uyar
1
,
Guven Yildirim
2
, Imran Aydogdu
3
, Mehmet Onder Dogan
1
, Huseyin Sari
1
, Enis Ekincioglu
1
INTRODUCTION
The tuning fork was by Shore, Purcell, and Handel in
1711, while in 1825, Ernest Weber published the initial
description of the tuning fork test that bears his name.
1,2
The Rinne and Weber tests can be used clinically to
evaluate hearing.
3-5
In the Weber test, a tuning fork
(usually 256 Hz) is activated and applied to the skull,
forehead, chin, or upper incisors. Healthy subjects hear
the fork equally in both ears; those with ear conditions
may not. The test thus identifies the side of disease.
The vibrating fork is placed on the midline of the
forehead and the patient is asked whether s/he hears the
fork or not; if the answer is yes, the patient is asked to
identify the ear in which s/he hears the fork better.
1,2,6
If
the sound is heard equally by both ears, the ears are in
similar condition. However, if the sound is heard better in
one ear than the other, the latter ear may have
sensorineural hearing loss (SNHL) or conductive-type
hearing loss (CTHL).
Conversely, if the sound is heard better in the diseased
ear, the patient may have a disease of the conducting
apparatus. We investigated whether eyeglasses and dental
prostheses change the sense of vibration; no such clinical
trial concerning this question has yet been reported. Air
conduction tests measure the integrity of the entire
hearing apparatus, i.e., from the external ear to the
auditory cortex. Bone conduction tests measure the
integrity of sensorineural structures.
The aim of our present study was to analyze the possible
effects of eyeglasses and palatal protheses on diapason
tests, particularly the Weber tuning fork test.
ABSTRACT
Background: The aim of the study was to analyze the possible effects of eyeglasses and palatal prostheses on the
results of the Weber tuning fork test.
Methods: We enrolled 96 patients diagnosed with unilateral conductive-type hearing loss. All were aged between 18
and 65 years. Group 1 was composed of 48 patients with eyeglasses and group 2 included 48 patients with palatal
prostheses. All patients underwent the weber tuning fork test with and without their eyeglasses and prostheses, and
the results were compared. Weber tests were performed using 256 Hz and 512 Hz tuning forks.
Results: No significant between-group difference was apparent (both p>0.05).
Conclusions Neither eyeglasses nor palatal prostheses significantly affected the results of the Weber test.
Keywords: Tuning fork, Weber test, Rinne test
1
Okmeydani Training and Research Hospital ENT Clinic, Istanbul, Turkey
2
Giresun University Medical School, ENT Clinic, Giresun, Turkey
3
Bahcelievler Government Hospital ENT Clinic Istanbul, Turkey
Received: 29 November 2018
Revised: 29 December 2018
Accepted: 03 January 2019
*Correspondence:
Dr. Yavuz Atar,
E-mail: yavuzatar@gmail.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20190755