Masking in Clinical Audiometric Testing: A Tutorial

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  • čas přidán 27. 08. 2024
  • Attention all Audiologists and AuD students! Here is a fun tutorial video on understanding clinical masking techniques. Go make some popcorn and enjoy the show!

Komentáře • 60

  • @zoehector1389
    @zoehector1389 Před 8 lety +15

    This is fantastic! A brilliantly clear (and fun) explanation of a gnarly topic. Yours sincerely, a very fresh (and confused) Audiology student...

  • @alexapolitis8244
    @alexapolitis8244 Před 2 měsíci

    This is the best video! I'm watching it to study for my final . Thank you!

  • @treeoftears
    @treeoftears Před 7 lety +1

    This explains why some audiologists have told me I have some hearing in my right her whilst others tell me I have none. An audiologist tried to explain to me that the other audiologists had not done proper testing and that what they thought was me hearing in my right ear was actually just conduction to my left ear.

  • @iasminferreira1200
    @iasminferreira1200 Před 4 lety +2

    i'm a student who wants to be an audiologist, thank you so much!!!! for this video you are really helping and inspiring me to love more this profession

  • @accordingtojordy
    @accordingtojordy Před 4 lety +1

    I love the student's excitement to getting the plateau. It makes me miss doing audios.

  • @raquelr.6324
    @raquelr.6324 Před 5 lety +1

    Thank you! I'm starting my first external placement in about a week and this is a great refresher!

  • @AudiologyStudents
    @AudiologyStudents Před 9 lety +2

    Amanda, this is just terrific. I hope you don't mind, I'm assigning it as a home supplement to my undergrad students to review, because you do a great job of explaining in a way that supports my mantra in class that Masking Is Fun. :)

    • @mandy123453
      @mandy123453  Před 9 lety +1

      I love that! Masking is Fun indeed!! Thank you so much for the positive feedback. I should have captions on the video this weekend.

  • @sweekritishetty322
    @sweekritishetty322 Před 4 lety +2

    Mam...why don't you continue teaching concepts in this way....its really very much fun learning this way please upload more and more videos

  • @robertacree321
    @robertacree321 Před 4 lety

    Thanks for that entertaining and well presented masking tutorial!

  • @marius72za
    @marius72za Před 10 lety +4

    Very good Video!!!!!

  • @maddiedebernardi3457
    @maddiedebernardi3457 Před 7 lety +1

    Wish I could have you as my proff! Great video, really helped me out. I would love if you made another video using insert headphones

  • @dietzwattson2786
    @dietzwattson2786 Před 7 lety +2

    hi amanda i am going for hearing aid dispensing and i recently took the written exam and failed. one of the main things that killed me were case study questions i.e how you would fit based off of an indivisual needs binaural vs monoaural cros bicros different diseases affecting different wrs srt scores and what hearing aid is appropriate for each loss range was wondering if you can make a video on how to properly do a case study and break it down? i would appreciate it! or at least send a link where i can learn from a website that shows how to break one down? thanks amanda!

  • @8dreamer1
    @8dreamer1 Před 10 lety +1

    Thank you so much. The ways you reviewed masking really helped me understand the concept. Could you make a video explaining the plateau method a little bit more?

    • @mandy123453
      @mandy123453  Před 10 lety +1

      Hi Maryann,
      I'm glad that the video helped you. That is the true goal of the video series. I'll consider making a brief video on the plateau method so that the concept is solidified. I think you'll find however that the more you execute this method in clinical testing, but more it makes sense. As you continue your AuD career, refer back to the video a couple of times and the pieces will come together. Good luck!

    • @8dreamer1
      @8dreamer1 Před 10 lety

      Thank you for taking your time to respond. I am barely beginning y AuD career, so I think you are right. I just need to practice a lot! And I will refer to them :)

  • @Jess_7788
    @Jess_7788 Před 7 lety

    You are so good at teaching, thank you so much for this video!

  • @katherineploumidou6387

    Very good explanation in masking !!!!

  • @ashermrufus9376
    @ashermrufus9376 Před 6 lety

    Awesome... good presentation and well explained

  • @maanoasi
    @maanoasi Před 10 lety +3

    Excellent tutorial thank you so much I finally understand masking :)

  • @laurenmarie3897
    @laurenmarie3897 Před 6 lety

    You’re awesome!!! Will you be making anymore videos??

  • @renehornby4262
    @renehornby4262 Před 3 lety +1

    Dear Dr Ortmann. I have been using this masking formula successful in private practise during 2014 especially the initial masking level. I would like to teach this method to local students but I require a reference/publication as needed in any university setting? Could you please assist me so that more audiologists South Africa can apply this method.

  • @priyankakundukulamparamba5806

    excellent tutorial.. thankyou so much

  • @thois
    @thois Před 8 lety

    Thank you very much! Very Informative tutorial!

  • @margaretzuriekat8509
    @margaretzuriekat8509 Před 8 lety

    thank you for this informative tutorial . brilliant !

  • @d.perera7875
    @d.perera7875 Před 2 lety

    Hi Dr. Ortmann,
    Why does she mean in 20.09 as 'they are already occluded'?

  • @ayana2466
    @ayana2466 Před 4 lety

    Thank you so much
    It's really a great explanation

  • @asholgate
    @asholgate Před 7 lety

    thanks Amanda, you are amazing.

  • @JohnScaglione
    @JohnScaglione Před 5 lety

    Thank you for a great explanation!

  • @modiulelawson9790
    @modiulelawson9790 Před 3 lety

    What if you didnt hear the 1.2.3 louder in one ear when you blocked your ears?

  • @hombretropical3028
    @hombretropical3028 Před 7 lety

    This is a fantastic video :D

  • @xrctyvuhbjn
    @xrctyvuhbjn Před 7 lety

    wait so
    If the unmasked bone conduction of left ear is normal for example, but the unmasked air-conduction for the right ear shows a moderate CHL and the difference was 40dB and they're wearing inter-aural headphones, would you mask bone conduction for the right ear?

  • @msgomez8a
    @msgomez8a Před 10 lety

    Thank you, helps me so much, blessings.

  • @MRicciardi
    @MRicciardi Před 10 lety +1

    Brilliant!!!!!

  • @dianamarcelacacaiscastella402

    Hello, I am Marcela Cacais Audiology Colombia Bogota. excelent your explication

  • @visionofthesoul
    @visionofthesoul Před 9 lety +1

    Nice video..hats offfff Can you tell me about carharts notch in otosclerosis.. It's confusing me... Please

    • @mandy123453
      @mandy123453  Před 9 lety +6

      Great question. This video doesn't address that question due to lack of time and it's focus on masking. First understand two things independently, then put them together.
      1. Bone conduction (BC) testing: there are several factors that contribute to BC responses. For simplicity's sake, it is commonly stated that BC represents the inner ear (cochlea) response without minimal influence from the outer and middle ear. However, there IS an influence from the middle ear ossicles on BC results. When you vibrate the mastoid, it causes compressions and expansions of the cochlear shell, in turn causing displacement of the basilar membrane and inner ear fluid. However it is important to note what rests against the cochlea on the other side of the oval window. . . the stapes. Therefore compression/expansion characteristics of the cochlea via BC testing is dependent on the inertia (resistance to movement) of the ossicular chain. It is difficult to move one (cochlear oval window due to compression/expansion of the cochlea) without the other (stapes). In response to vibratory stimulation, the ossicular chain has a resonant frequency (maximum movement of stapes) around 2000 Hz in humans.
      2. Otosclerosis causes stapes fixation which will alter the mass/stiffness of the chain and change the inertia component and resonance of the ossicles.
      Put the two together: in cases of otosclerosis and other middle ear disorders involving the ossicles, the bone conduction threshold will be more affected at the point where the ossicular chain contributes maximally to the BC response (at it's resonance) which is around 2 kHz. The elevated bone conduction threshold at 2 kHz is traditionally referred to as the Carhart's Notch. This can be reversible via otosurgery to repair the ossicles.
      It's a quick answer, but I hope it helps . . . I apologize for any errors in typing or omission of details. I am typing this up in between things at work.

    • @visionofthesoul
      @visionofthesoul Před 9 lety

      Thankyou... It helped me

  • @justinpowell6689
    @justinpowell6689 Před 2 lety

    Hi Dr. Ortmann,
    Thank you for this great video. I am an AuD student and masking was taught to us in a more complex way; your method is more simplified. Do you by chance have a citation or literature reference for your masking method? Thank you!!

  • @marilisaguillen
    @marilisaguillen Před 4 lety

    Can you be my teacher please! This is amazing 😂

  • @mpsaa1b1
    @mpsaa1b1 Před 7 lety

    Brilliant!

  • @umbrellaacademy4765
    @umbrellaacademy4765 Před 3 lety

    really nice

  • @christineng4535
    @christineng4535 Před 9 lety

    Nice video Amanda! I have a few questions about the speech-in-noise test. Is it the same as a word recognition test, except that you add in background noise? But how do you decide the level of background noise? And is the noise available to both ears or just the test ear? Lastly, do you still need masking in that case? It will be great if you can help:) I can't find any proper explanation online...

  • @nickn8302
    @nickn8302 Před 9 lety

    That intro was insane, like, why the lazar vision cats?

    • @mandy123453
      @mandy123453  Před 9 lety +3

      Nick, why not? Glad you caught that--I thought it was funny. And when I finish showing this video to students, I ask them, "Did you see the cat shooting lasers?" The ones who say yes are instantly my friends.

    • @nickn8302
      @nickn8302 Před 9 lety +1

      Amanda Ortmann Sometimes insane is good, and in this case, it is! I'm going through the process of changing my major from Psychology to Communication Sciences and Disorders. I've grown to appreciate anatomy and physiology and Audiology looks like a great avenue to turn to, and it isn't too far from Psych either. I've been watching countless youtube videos and reading articles to get a sense of what I'm getting myself into, and this helps a lot.

  • @deedavies2269
    @deedavies2269 Před 9 lety

    Hi Amanda. I would very much like to watch this video. Unfortunately, the subtitles are not making any sense. Do you by any chance have a transcript. Thanks. Dee

    • @mandy123453
      @mandy123453  Před 9 lety +1

      Yes of course. I will look into assigning my text to the you tube video so that it is captioned properly, so that it can be accessed by all. Give me a few days. If you want the text sooner, send me a private message with your email and I will be happy to send it.

    • @deedavies2269
      @deedavies2269 Před 9 lety

      Amanda Ortmann Thanks so much. I will send you a PM

    • @deedavies2269
      @deedavies2269 Před 9 lety

      Dee Davies Hi again. I can't seem to send you a pm on here. I'll wait for you to assign the text to the next U tube video. Thanks. Dee

    • @mandy123453
      @mandy123453  Před 9 lety

      Dee Davies I'm going to put the captions on this weekend. So check it out on Sunday night. Cheers!

    • @deedavies2269
      @deedavies2269 Před 9 lety

      Amanda Ortmann Thanks so much Amanda. Dee

  • @tanugarg8204
    @tanugarg8204 Před 8 lety

    hi iam Tanu Garg intern in northern regional centre india Delhi iwant to ask how you have taken during ac testing g masking level to be 30 at 250hz acc.to which formulas

    • @mandy123453
      @mandy123453  Před 8 lety

      +Tanu Garg Are you asking for a reference?

  • @Oofi-qq6fb
    @Oofi-qq6fb Před 5 lety

    Thank so much ❤️❤️❤️

  • @mosesmasilela4833
    @mosesmasilela4833 Před 9 lety

    Thank you

  • @tanugarg8204
    @tanugarg8204 Před 8 lety

    ya mam

  • @kellyw1648
    @kellyw1648 Před 3 měsíci

    Great Explanation. ( * ) ( * )

  • @asholgate
    @asholgate Před 8 lety

    jay KIm u r so ignorant, anyways Amanda thank you so much for such an interesting explanation of masking, excellent job