Молодежный инновационный вестникМолодежный инновационный вестник2415-7805Федеральное государственное бюджетное образовательное учреждение высшего образования "Воронежский государственный медицинский университет имени Н.Н. Бурденко" Министерства здравоохранения Российской Федерации8395UnclassifiedTHE SIGNIFICANCE OF TUNING FORK STUDY IN THE DIFFERENTIAL DIAGNOSIS OF VARIOUS FORMS OF HEARING LOSSSafarzodaFarogati Marufkholmatovji@mail.ruhttps://orcid.org/0000-0001-5135-7104Avicenna Tajik State Medical University2004202312S26566581402202305042023Copyright © 2023, Safarzoda F.M.2023<p>Relevance. In audiological practice, in the correct diagnosis of various forms of hearing loss, errors often occur in the correct diagnosis. In this regard, the development of a correct diagnostic algorithm plays a decisive role in making a diagnosis, which in turn affects the correct treatment of a patient with ear pathology.<br />Purpose of the study. Evaluation of the role of tuning fork research in the differential diagnosis of conductive and neurosensory forms of hearing impairment.<br />Materials and research methods. We examined 30 people in the conditions of the audiology department of the National Medical Center "Shifobakhsh". 12 students with normal hearing (control group), 10 patients with chronic otitis media (group 1) and 8 patients with sensorineural hearing loss (group 2) were examined. The age of the examined patients ranged from 20 to 25 years. Interrogation of the patient, examination of the organs of the ear, throat and nose, otoscopy, determination of the level of hearing in a whisper, tuning fork using tuning forks C128, C256, C512, C1024 and C2048; made up a set of surveys.<br />The result of the investigation. In 12 students, there were no deviations from the organs of the ear, throat and nose, when examining the level of hearing, the subjects heard a whisper from a distance of 6 m, the tuning fork experiments corresponded to the norm. Patients perceived whispered speech at a distance of 1 to 2 meters. The indicators of cameral studies in both groups differed: Rinne's experience was negative in patients of the 1st group and positive in patients of the 2nd group; accordingly, in Weber's experiment, lateralization of sound towards the diseased ear was observed; The experience of Schwabbach in patients of the 1st group was lengthened, and in the 2nd group it was shortened. Then the indicators of bone and air conduction of all patients were expressed as a percentage.<br />Conclusion. Thus, thanks to the survey of the study group, examination of the ear, throat and nose, otoscopy, and a comprehensive tuning fork examination, it was possible to diagnose middle ear disease in patients, as well as to determine the nature of auditory disorders. Thanks to the developed algorithm, it was not difficult to distinguish the conductive type of hearing loss from the neurosensory type, especially due to the use of a set of tuning forks. Thereafter, all patients received appropriate treatment.</p>acumetrytuning forkconductive hearing losssensorineuralакуметриякамертонтугоухость кондуктивнаясенсоневральная<p>Relevance. In audiological practice, in the correct diagnosis of various forms of hearing loss, errors often occur in the correct diagnosis. In this regard, the development of a correct diagnostic algorithm plays a decisive role in making a diagnosis, which in turn affects the correct treatment of a patient with ear pathology.</p> <p>Purpose of the study. Evaluation of the role of tuning fork research in the differential diagnosis of conductive and neurosensory forms of hearing impairment.</p> <p>Materials and research methods. We examined 30 people in the conditions of the audiology department of the National Medical Center "Shifobakhsh". 12 students with normal hearing (control group), 10 patients with chronic otitis media (group 1) and 8 patients with sensorineural hearing loss (group 2) were examined. The age of the examined patients ranged from 20 to 25 years. Interrogation of the patient, examination of the organs of the ear, throat and nose, otoscopy, determination of the level of hearing in a whisper, tuning fork using tuning forks C128, C256, C512, C1024 and C2048; made up a set of surveys.</p> <p>The result of the investigation. In 12 students, there were no deviations from the organs of the ear, throat and nose, when examining the level of hearing, the subjects heard a whisper from a distance of 6 m, the tuning fork experiments corresponded to the norm. Patients perceived whispered speech at a distance of 1 to 2 meters. The indicators of cameral studies in both groups differed: Rinne's experience was negative in patients of the 1st group and positive in patients of the 2nd group; accordingly, in Weber's experiment, lateralization of sound towards the diseased ear was observed; The experience of Schwabbach in patients of the 1st group was lengthened, and in the 2nd group it was shortened. Then the indicators of bone and air conduction of all patients were expressed as a percentage.</p> <p>Discussion. Despite the century-old history of using tuning fork research methods, tuning forks themselves have not lost their importance in the audiological diagnosis of various forms of hearing loss, in view of the stability and constancy of their acoustic properties, the metal alloy from which it is made. The use of tuning fork experiments by Rinne, Weber and Schwabbach in our studies allowed us to clearly differentiate conductive and sensorineural hearing loss. Only on the basis of tuning fork methods is it possible to make a preliminary diagnosis and plan appropriate treatment.</p> <p>Conclusion. Thus, thanks to the survey of the study group, examination of the ear, throat and nose, otoscopy, and a comprehensive tuning fork examination, it was possible to diagnose middle ear disease in patients, as well as to determine the nature of auditory disorders. 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