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Biomedical subjects

P Solero

Publications and source records attributed to P Solero.

21 records · Page 2Linked to original sources

Influence of stimulus duration and intensity on acoustic reflex parameters.

Four acoustic reflex parameters (latency, duration, amplitude, recruitment time) in response to stimuli lasting 1 000 to 50 msec with an initial intensity of 95 dB SPL p.e. were studied in four sets of experiments. In each set of experiments, each halving of the stimulus duration was accompanied by a 3, 4, 5 and 6 dB SPL p.e. increase respectively (exchange rates: 3, 4, 5 and 6 dB SPL p.e.). It was found that latency was dependent on the threshold only and unaffected by either duration and intensity. Amplitude and recruitment time were mainly determined by energy content of the stimulus, whereas duration of contraction was solely dependent on the stimulus duration. These experiments also demonstrate that, with reference to stimuli employed, an increase of 3 dB SPL p.e. each halving of the stimulus duration is unable to maintain unchanged the environmental acoustic energy reaching the inner ear.

Acoustic Stimulation↗

Evoked otoacoustic emissions (EOAE) and bone conduction stimulation. A preliminary report.

Otoacoustic emissions were evoked (EOAE) in 6 normal-hearing subjects by both bone (BCS) and air conduction stimulation (ACS). Four subjects affected by unilateral otosclerosis were also examined in order to determine the role of the ossicular chain in EOAE transmission to the eardrum. In normal-hearing subjects, EOAE by BCS showed the same characteristics as those evoked by ACS. The morphological features remained unchanged over a period of 4 months and their amplitude increased non-linearly with increasing stimulus intensity. In subjects with unilateral otosclerosis before surgery, no EOAE could be elicited by ACS from the otosclerotic ear, whereas they could be recorded by BCS. After stapedectomy, EOAE could be obtained by ACS too. These results suggest that the ossicular chain is important but not essential in the transfer of the EOAE to the eardrum.

Acoustic Stimulation↗

[The usefulness of computer tomography in planning cochlear implant surgery].

In recent years, technical progress has created new complex acoustic implants which send an electrical stimulus to the eighth cranial nerve through one or more electrodes inserted through the round window into the scala tympani of the cochlea. The abnormal--mostly osteosclerotic--processes which cause deep hearing loss may prevent electrode insertion. Therefore, internal ear anatomy must be detailed, which is essential to assess the feasibility of surgery and, if surgery is indicated, to plan it properly. High resolution CT (HRCT) was performed on 79 patients to study cochlear patency, round window shape and patency, degree of temporal bone pneumatization and the proximity of vascular structures (carotid artery and jugular vein). On the basis of HRCT results, 14 of 79 patients were excluded from surgery. Comparing HRCT with surgical findings, the authors conclude that HRCT is the method of choice to examine the candidates to cochlear implant thanks to its high spatial resolution and excellent depiction of even the smallest structures. Its only limitation is that it fails to assess the lack of patency of the cochlear canal due to fibrosis, which is not associated with demonstrable density changes (3 of 19 surgical patients). This problem may be solved by submitting the potential surgical candidates to MRI.

Adult↗