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The Weber test is a qualitative hearing assessment that uses a tuning fork to evaluate how sound is conducted through the skull. The tuning fork is placed on the forehead, and the individual indicates which ear they hear the sound in.1

  • If a sensorineural lesion is present in one ear, the sound will be localized to the opposite, "better" ear.1
  • If a conductive hearing defect is present, the sound will be localized to the "worse" ear, as this ear is less affected by background noise.1

This test is valuable in diagnosing conditions like otosclerosis. It helps differentiate between sensorineural hearing loss, which involves the nerves mediating sense perception, and conductive hearing loss.12

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