Assessment of hearing; Audiography (audiogram) Your auditory perception is tested during an audiometry exam. The loudness (intensity) and tone (speed of sound wave vibrations) of a sound vary. Sound waves cause the inner ear's nerves to fire, which results in hearing. Your auditory perception is tested during an audiometry exam. The loudness (intensity) and tone (speed of sound wave vibrations) of a sound vary. Sound waves cause the inner ear's nerves to fire, which results in hearing. The sound then makes its way to the brain via nerve connections. Via the middle ear canal, eardrum, and middle ear bones, sound waves can enter the inner ear (air conduction). They can also travel through the bone conduction that occurs behind and around the ear.
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