Clinical Practice Guidelines for Tonal Audiometry by Air and Bone Pathways with and without Masking


  • Juan García-Valdecasas Bernal Otorrinolaringólogo. Hospital Universitario S. Cecilio. Granada. España.
  • Gabriel Cardenete Muñoz Otorrinolaringólogo. Hospital Universitario S. Cecilio. Granada. España.
  • Franz Zenker Castro Unidad de Audiología Clínica Barajas. Santa Cruz de Tenerife. España.



auudiometry, air conduction, bone conduction, masking


The purpose of this document is to define a standardized method, providing useful and necessary recommendations, to effectively and correctly perform manual Liminal Tonal Audiometry (ATL). This guide reflects the recommended procedure for airway and bone conduction audiometry, with and without masking and in most audiological settings, for both adults and older children. The proposed method is not appropriate for young children, people with learning disabilities and other special situations that require some modifications to obtain reliable results. Such situations are not the subject of this document. Nor does it cover other procedures such as high frequency audiometry (above 8000 Hz), audiometric screening, free-field audiometry or speech audiometry. Likewise, this guide is not intended to instruct on the interpretation of the test results, an act that must be carried out by a qualified professional.

Note: This document is owned by the Asociación Española de Audiología. The page numbers of this article do not correspond to the rest of the issue, being a supplement.


Download data is not yet available.

        Visibility and Altmetrics


Metrics Loading ...


British Society of Audiology (2011). Pure- tone air-conduction and bone-conduction threshold audiometry with and without masking. British Society of Audiology.

AEDA. Normalización de las pruebas Audiológicas (I): La audiometrıa tonal liminar [online]. Auditio: Revista electro nica de audiologıa. 15 Febrero 2002, vol. 1(2), pp. 16-19. Recuperado de .

New Zealand Audiological Society (2007). Best Practice Guideline. Adult pure-tone audiometry.

American Speech-Language- Hearing Association. (2005). Guidelines for manual pure-tone threshold audiometry. Rockville, MD: Author. Recuperado de deskref-journal/deskref/default.

American Speech-Language-Hearing Association (1990). Guidelines for audiometric symbols. Asha, 32 (Suppl. 2) 25-30.

Société Française d'Audiologie (2006). Guide de Bonnes Pratiques en Audiométrie de l'Adulte. Recuperado de

International Standard Organization. Acoustics standars. Recuperado de

Portada Auditio.


2017-05-08 — Updated on 2021-09-15


How to Cite

García-Valdecasas Bernal, J., Cardenete Muñoz, G., & Zenker Castro, F. (2021). Clinical Practice Guidelines for Tonal Audiometry by Air and Bone Pathways with and without Masking. Auditio, 4(3), 85. (Original work published May 8, 2017)



e-journal of audiology (archive before 2021 only in Spanish)

Similar Articles

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)