When a patient has a conductive hearing loss, how do they respond in the Bing test?

In the Bing test, the response from patients with conductive hearing loss is characterized by their inability to notice a change in intensity when the ear canal is occluded or opened. This is due to the nature of conductive hearing loss, where sound cannot properly conduct through the outer or middle ear to the inner ear, typically causing a reduction in sound intensity. As a result, when the external auditory canal is blocked, patients with this type of hearing loss will not perceive a significant difference in loudness as the sound waves are unable to be transmitted effectively regardless of the testing condition. This lack of change in intensity is a key indicator of conductive hearing loss in the testing scenario.