I. Indication: Differentiate Hearing Loss cause

II. Preparation

  1. Tuning fork should be 512 Hz (preferred) to 1024 Hz

III. Test: Weber

  1. Technique: Tuning Fork placed at midline forehead
  2. Normal: Sound radiates to both ears equally
  3. Abnormal: Sound lateralizes to one ear
    1. Ipsilateral Conductive Hearing Loss OR
    2. Contralateral Sensorineural Hearing Loss

IV. Test: Rinne

  1. Technique
    1. First: Bone Conduction
      1. Vibrating Tuning Fork held on Mastoid
      2. Patient covers opposite ear with hand
      3. Patient signals when sound ceases
      4. Move the vibrating tuning fork over the ear canal
        1. Near, but not touching the ear
    2. Next: Air Conduction
      1. Patient indicates when the sound ceases
  2. Normal: Air Conduction is better than Bone Conduction
    1. Air conduction usually persists twice as long as bone
    2. Referred to as "positive test"
  3. Abnormal: Bone conduction better than air conduction
    1. Suggests Conductive Hearing Loss
    2. Referred to as "negative test"

Images: Related links to external sites (from Google)

Ontology: Rinne test (C0278245)

Concepts Diagnostic Procedure (T060)
SnomedCT 84636009
Italian Test del diapason di Rinne
Japanese リンネ音叉検査, リンネオンサケンサ
English hearing Rinne's test (tuning fork on mastoid), Rinne's test (physical finding), rinne test, rinne's test, rinne testing, rinne tests, rinnes test, Rinne test, Rinne tuning fork test, Rinne's test, Rinne test (procedure)
Czech Rinneho test ladičkou
Hungarian Rinne hangvilla vizsgálat
Spanish prueba de Rinne (procedimiento), prueba de Rinne, prueba del diapasón de Rinne, Prueba de Rinne
Portuguese Prova do diapasão de Rinne
Dutch Rinne stemvorktest
French Test de Rinne
German Rinne Stimmgabeltest