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Naunton's Masking Dilemma Revisited
https://pubmed.ncbi.nlm.nih.gov/30531635/#:~:text=During%20bone%20conduction%20testing%2C%20a%20masking%20dilemma%20may,imposes%20a%20significant%20limitation%20to%20conventional%20audiometric%20testing.
How to Perform Masking in Audiology - eMoyo
https://blog.emoyo.tech/content/masking-in-audiology
The masking dilemma. A common issue with masking in audiometric testing is locating the masking plateau. This is called the masking dilemma and it occurs when there is moderate to severe bilateral conductive hearing loss. In this case, masking noise intensity presented in the non-test ear crosses over to the test ear and elevates the thresholds.
Audiometric masking - SlideShare
https://www.slideshare.net/bethfernandezaud/audiometric-masking
The Masking Dilemma In bilateral, conductive hearing losses, the amount of masking noise required is often sufficient to result in overmasking and a shifting of the true threshold. In these cases, it is best to record the unmasked thresholds and note below the audiogram, “could not mask-masking dilemma”
Naunton's Masking Dilemma Revisited
https://pubmed.ncbi.nlm.nih.gov/30531635/
During bone conduction testing, a masking dilemma may occur when the air-bone gap of the nontest ear is greater than or equal to the interaural attenuation minus 15 dB (ABGNTE ≥ IAAIR - 15 dB). Conclusion: Naunton's masking dilemma imposes a significant limitation to conventional audiometric testing.
Masking on hearing testing - Dizziness-and-Balance.com
https://dizziness-and-balance.com/testing/hearing/masking.html
Masking Dilemma. This situation occurs when there is a conductive type hearing loss in both ears, which is moderate to severe. The dilemma is that an adequate intensity to mask the non-test ear crosses over to the testing ear and invalidates the thresholds. Enough masking is too much masking. There are several "work arounds" to this.
Binaural hearing, atresia, and the masking dilemma
https://pubmed.ncbi.nlm.nih.gov/17260874/
A masking dilemma occurs when energy from a non-test ear crosses over the head to a test ear. In cases of bilateral atresia, obtaining thresholds on the poorer ear is problematic. Near threshold, however, sufficient ear-bone isolation exists to test with validity but not so much above threshold, even for the ultra-high (> 10 kHz) frequencies.
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