Physical examination maneuver

Physical Exam

Rinne Test

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How to Perform

Strike a 512 Hz tuning fork and place its base on the mastoid process behind the ear (bone conduction). When the patient reports the sound has faded, immediately move the still-vibrating tines next to the opening of the ear canal (air conduction) and ask whether the sound is heard again. Test each ear. Normally air conduction is still heard after bone conduction has faded and is louder (a 'positive Rinne'); the contrasting result is bone conduction heard as long as or longer than air conduction.

How to Interpret

Showing 1 of 3 findings

Hearing Impairment

Rinne negative at 256 Hz
Rule in
Somewhat helpfulNo CI
Rule out
Somewhat helpfulNo CI
Evidence:ModerateResearch in progress

References

Research in progress on one or more findings above; ratings may change.

  • Chole RA, Cook GB. The Rinne test for conductive deafness. A critical reappraisal. Arch Otolaryngol Head Neck Surg. 1988;114(4):399-403. doi:10.1001/archotol.1988.01860160043018. PMID: 3348896.
  • Kelly EA, Li B, Adams ME. Diagnostic Accuracy of Tuning Fork Tests for Hearing Loss: A Systematic Review. Otolaryngol Head Neck Surg. 2018;159(2):220-230. PMID: 29661046.
  • Rinne HA. Beiträge zur Physiologie des menschlichen Ohres. Vierteljahrsschr Prakt Heilkd (Prag). 1855;45:71-123.

Research last updated September 9, 2026.