Abstract
The audiogram is one of the most powerful tests in health care. It is one of the few
that can lead to a diagnosis on its own. Bone-conduction testing gives the audiogram
its diagnostic power. Bone-conduction audiometry requires calibration methods that
are expensive, cumbersome, and often misunderstood. Because the stimulus is a mechanical
vibration, the quantities that are measured (force and acceleration) differ from the
sound pressure measurements used to calibrate air-conducted tonal and speech stimuli.
This article reviews the history of bone-conduction testing from its Renaissance beginnings,
standard and alternative bone-conduction calibration methods, problems in current
calibration standards, and the measurement of the performance of wearable and surgical
bone-conduction hearing devices.
Keywords
Artificial mastoid - bone-conduction - calibration - mechanical impedance - tuning
fork tests