title: [Simulation of deafness in expertise affairs].
abstract: The simulation of deafness rarely occurs in the course of medical expertise. However, it is a problem that needs to be recognized and demonstrated by proving methods of investigation. For this purpose, a number of subjective and objective hearing tests exist which can provide evidence for the simulation of uni- or bilateral hearing loss. These methods include the measurement of oto-acoustic emissions, brainstem-evoked response audiometry and the determination of the stapedius reflex threshold as well as subjective methods such as Stenger- and Lee-test. Among the expertise carried out in our department during the past few years, we found 5 cases of simulation of deafness. In these cases -- as opposed to simulated traffic accidents -- there was no criminal prosecution regarding insurance fraud.
authors: Universitäts-Hals-Nasen-Ohren-Klinik Essen. klaus.jahnke@uni-essen.de
authors: K
authors: K
authors: Jahnke
authors: D
authors: D
authors: Solzbacher
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003638:Deafness / Q000175:diagnosis*; D003937:Diagnosis, Differential; D005104:Expert Testimony / Q000331:legislation & jurisprudence*; D005260:Female; D005607:Fraud; D006320:Hearing Tests; D006801:Humans; D007346:Insurance, Accident / Q000331:legislation & jurisprudence; D018868:Insurance, Disability / Q000331:legislation & jurisprudence; D008297:Male; D008306:Malingering / Q000175:diagnosis*; D008875:Middle Aged; D011237:Predictive Value of Tests