I need clarity on why bone conduction testing for audiologists is used when something is blocking the outer and middle ear?

Basic Clinical Laboratory Techniques 6E
6th Edition
ISBN:9781133893943
Author:ESTRIDGE
Publisher:ESTRIDGE
Chapter6: Basic Clinical Chemistry
Section6.4: Point-of-care Testing
Problem 11RQ
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I need clarity on why bone conduction testing for audiologists is used when something is blocking the outer and middle ear?

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Audiometry is a branch of audiology that deals with the science of measuring hearing acuity for variations in sound intensity and pitch and for tonal purity, involving thresholds and differing frequencies.

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