Abstract
Military otologists must often evaluate claims of total unilateral deafness. 1 Papers on the subject cite many tests for use in this evaluation, but they frequently leave the reader confused as to which are most valuable. While conducting the ear, nose and throat clinic in an army hospital, I have examined many patients who claimed to have total unilateral loss of hearing. I have sometimes suspected that there was total loss of hearing in one ear when the patient did not admit such loss. Many tests to determine the unilateral loss of hearing have been tentatively used, and a satisfactory examination procedure has finally evolved. It is presented here in the hope that such a routine will be useful to others. The tests described deal only with the diagnosis of severe or total unilateral loss of hearing. Not many patients simulate total binaural loss of hearing. 2 They usually exaggerate existing loss
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