I. Vanniasegaram et al., CLINICAL-APPLICATIONS OF TRANSCRANIAL BONE-CONDUCTION ATTENUATION IN CHILDREN, Journal of Laryngology and Otology, 108(10), 1994, pp. 834-836
It is a common belief that there is no significant transcranial attenu
ation across the skull by bone conduction (BC). In 32 children with pr
oven unilateral sensorineural hearing loss the unmasked bone threshold
s were measured on each side. There was a significant attenuation of B
C at 4 kHz. Transcranial attenuation of BC at 4 kHz may explain the di
fference in sound perception between the two ears when bone conduction
amplification is used. Further research should be undertaken to ident
ify the better cochlea in mixed hearing losses.