Weber vs. Rinne Test & Conductive vs. Sensorineural Hearing Loss 

6 years have passed since this video was uploaded and i still go back to it for revision as it is the best and most concise . Thank you very much

Thank you, Amazing easy explanation. I think that one thing is missing: when there is conductive hearing loss 1. yes in Rinne test BC > AC in the affected ear, plus 2. in Weber test (same patient, same conductive defect) sound will be more audible on affected side. so I'm saying that in the conductive hearing loss both Rinne and Weber tests are abnormal.

Omg I couldn’t understand this concept for the longest time and now I totally understand it after watching your video. Thank you so much!

I have always struggled to remember the tests but to simplify things, try imagining yourself with complete conductive hearing loss or sensorineural hearing loss: First, perform Rinne: 1. We know Rinne test mainly tests for conductive hearing loss. If Rinne test is negative (abnormal) on one side, that means your air conduction is not working, i.e. bone conduction works better than air conduction. This happens when you have a blockage in the outer ear, so the sound doesnt get transmitted through the chain of ossicles to the cochlear. = Conductive hearing loss Then, perform Weber: 2. If Weber test makes you hear louder on that same side of the ear, that confirms the conductive hearing loss. (try shutting your ear with your hand in a quiet room and say something) you always hear louder with conductive hearing loss, softer with sensorineural loss. 3. If Weber test makes you hear louder on the other side, it could indicate sensorineural hearing loss on the first side of the ear. Because you pretty much can't hear anything on the ear you just tested, maybe the cochlear/nerve is dead, so only the other ear can hear something. Tricky part is, there could also be conductive hearing loss on this other ear (remember you hear louder when your ear is blocked), therefore it's hard to distinguish when this happens, best to perform audiogram to confirm. I think there are many variations and possibilities to this but hopefully this simple idea/concept help you pass your exams XD, in practice you will end up asking them to do audiogram or refer to ENT if concerning anyway

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Thank you very much for this video! I have watched other videos and read some material to help me distinguish between the Weber and Rinne, and yours, is very helpful.

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Thanks for this video, I've struggled with understanding Rinne vs Weber and this video was really helpful.

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"Weber it's right or left" is GOLD...I bet you're good at making dad jokes.

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Patient with hearing issues: Step 1: Rinne Rinne (BC>AC) = Conductive hearing loss in that ear --> Done Rinne (AC>BC) = Not conductive hearing loss --> use Weber to localize sensiorneural hearing loss Step 2: if Rinne (AC>BC) --> Weber for SNHL Weber Louder ear is good ear--right if they can hear it, ear is working Weber softer ear is bad ear --> SNHL Great video !

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Very easy explanation using diagram and pneumonics.. Any body can understand so easily.. Crystal clear Thanku so much

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If anyone would like to know why air conduction is longer than bone conduction in the first place. Remember the mastoid process is full of air pockets, IT IS NOT 100% SOLID. And sound travels slower and tends to be dampened more in air than in a solid. You may ask how does that make sense if sound is traveling only through the air when we remove the tuning fork from the mastoid. The reason is that the malleus, incus, and stapes are designed in such a way as to AMPLIFY sound coming from the air and that increases the ability of the neurons in the cochlea to sense sound from the moving lymph. Because the sound is being amplified from the air, it lasts longer than if sound was moving through the mastoid process which is full of air cells. Maybe someone is curious and it's the least I can do for this helpful video. I hope it helps someone.

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