
2.9.1 Selecting word or phoneme scoring 37
2.9.2 Selecting speech material 41
2.9.3 Scoring words using integrated OTOsuite Speech Material 43
2.9.4 Scoring words using external sound source 45
2.9.5 Scoring phonemes using integrated OTOsuite speech material 46
2.9.6 Scoring phonemes using external sound source 47
2.9.7 Saving source levels for speech material 48
2.10 Speech testing - tabular view 49
2.10.1 Creating and editing the speech test table 50
2.10.2 Speech editing options - tabular view 51
2.10.3 Storing SNR for Speech testing 52
2.11 Speech testing - graph view 52
2.11.1 Speech editing options - graph view 54
2.12 Speech feature boxes 55
2.13 Terms and abbreviations used in Speech testing 55
2.14 Special tests 57
2.14.1 SISI (Short Increment Sensitivity Index) 57
2.14.1.1 Navigating in SISI 57
2.14.1.2 The test process - SISI 60
2.14.2 ABLB (Alternate Binaural Loudness Balance) 60
2.14.2.1 Navigating in ABLB 60
2.14.2.2 The test process 63
2.14.3 TEN (Threshold-Equalizing Noise) 63
2.14.4 Ambient Noise Assessor 64
2.14.4.1 Selecting the FreeFit device in OTOsuite 64
2.14.4.2 Measuring Ambient Noise with AURICALFreeFit 64
2.14.4.3 Noise level indicators stored with measurements 67
2.14.4.4 Activating the Ambient Noise Assessor automatically 68
2.14.4.5 Minimum HTL per transducer type 69
2.15 Test controls (keyboard, mouse) 69
2.15.1 PC keyboard controls 69
3 Preparing for testing 71
3.1 Preparing the test environment 71
3.2 Preparing the test equipment 71
3.3 Listening check 72
3.4 Preparing the client 72
3.4.1 Hygienic precautions 72
3.4.2 Inspecting the client’s ear(s) 72
3.5 Proper transducer placement 72
4 Examples of audiometric testing 75
4.1 Testing the older child or adult patient 75
4.1.1 Assessing pure tone threshold using the Hughson/Westlake procedure 75
4.1.2 Assessing pure tone or speech most comfortable loudness level (MCL) 76
4.1.3 Assessing pure tone or speech uncomfortable loudness level (UCL) 76
4.1.4 Assessing speech reception threshold (SRT) using the Hughson/Westlake procedure 77
4.1.5 Assessing word recognition score 77
4.2 Special Tests 78
4.2.1 Performing Tone Decay using the Modified Carhart Method 78
4.2.2 Performing a pure tone Stenger 79
4.2.3 Performing speech Stenger 79
4.2.4 Performing Weber 80
4 Otometrics - AURICAL Aud