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Conductive Hearing Loss and Carhart s Notch June 2008 TITLE Conductive Hearing Loss and Carhart s Notch SOURCE Grand Rounds Presentation The University of Texas Medical Branch Department of Otolaryngology DATE June 04 2008 RESIDENT PHYSICIAN Mark Domanski MD FACULTY ADVISOR Tomoko Makishima MD PhD DISCUSSANT Francis B. Quinn Jr. MD FACS SERIES EDITORS Francis B. Quinn Jr. MD FACS ARCHIVIST Melinda Stoner Quinn MSICS This material was prepared by .

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Carharts notch [2] is actually a decrease in bone conduction of 10-15 dB seen around 2 kHz frequency. Bone conduction actually means sensorineural reserve. After successful stapes surgery the carharts notch disappears when the conductive hearing improves.

Objective: The presence of Carhart's notch at 2000 Hz in otosclerosis links the changed bone conduction for this frequency with the otoscl process occurring in the oval window.

Although the notch occurs at 2,000 Hz, a reduction in bone conduction sensitivity is seen from 500 to 4,000 Hz which is, on average, 5 dB at 500 Hz, 10 dB at 1000 Hz, 15 dB at 2000 Hz, and 5 dB at 4,000 Hz (Carhart, 1971).

The Carhart effect is due to the lack of excitation mainly from the inertial component of the ossicles close to a resonance frequency of 1.5 kHz, and to a lesser extent from the inertia of the cochlear fluid for lower frequencies 3.

The Carhart effect consists of a depression in bone conduction thresholds in the presence of a conductive hearing loss. However, the mathematical relationship between the degree of conductive hearing loss and the degree of depression of bone conduction has not before been described.

Conclusions: Otitis media with effusion, tympanosclerosis and congenital malformations should be considered in the differential diagnosis of a patient with a Carhart's notch seen on pure tone audiometry.

Based on the work of Tonnndorf, it appears the Carhart notch peaks at 2,000 Hz due to the loss of the middle ear component close to the resonance point of the ossicular chain. Carhart, R. (1950).

The Carhart notch (CN) is a depression in the bone-conduction audiogram of patients with clinical otosclerosis. The middle frequencies from 0.5 to 2 kHz, which correspond to the resonance frequency of the middle ear, can be substantially improved upon following successful stapes surgery.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232