Clinical Cases / Foundation

A child who turns the television up Foundation

Vignette

A 6-year-old is brought in because the parents have noticed the television is always turned up loud and the child often says “what?”. There has been a recent cold. Otoscopy shows dull, retracted eardrums bilaterally.

-100204060801001202505001k2k4k8kFrequency (Hz)Hearing level (dB HL)
  • O Right ear, air
  • X Left ear, air
  • < Right ear, bone
  • > Left ear, bone

Signature: Flat, mild-to-moderate conductive loss with a uniform air–bone gap; normal bone conduction.

Figure 1. The audiogram. Tympanometry is flat bilaterally. Bone conduction is normal.

Question

Which interpretation best fits this audiogram?

References

  1. [6] Pelosi S, Carlson ML, et al. (2023). Audiology pure tone evaluation.