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At least 775 records · Page 43Linked to original sources

Preventing collapse of external auditory meatus during audiometry.

Occlusion of the external auditory meatus resulting from earphone pressure can produce a pseudoconductive hearing loss. I describe a method for detecting ear canal collapse by otoscopy and I suggest a method of correcting the problem with a polyethylene tube prosthesis.

Aged↗

Objective low-frequency audiometry by distortion-product acoustic emissions.

The aim of this study was to measure distortion-product otoacoustic emissions (DPOEs) in a clinical setting. First, DPOE input-output functions were automatically realized to determine the ratio of the pure tones (primaries) f2 and f1 that would elicit the most significant DPOE input-output function. The DPOE input-output functions presented two separate portions for the f2/f1 ratio, ranging from 1.18 to 1.26: (1) below 60-dB sound pressure level (SPL), a saturating portion with a DPOE detection threshold at 36-dB SPL; and (2) above 66-dB SPL, a linear portion. For other f2/f1 ratios, DPOE input-output functions had a more linear behavior. The DPOEs generated by primary intensities below 60-dB SPL, which show saturating behavior, probably have their origin in the properties of outer hair cells. This indicates that DPOE measurements in a clinical setting must be realized with precise stimulus values: (1) f2/f1 ratio near 1.22, and (2) primary intensities below 60-dB SPL. Second, DPOE input-output functions were realized for DPOEs varying from 707.5 to 342 Hz. No more saturating plateau could be observed with DPOEs below 512.5 Hz, suggesting that active mechanisms are absent below 725 Hz within the human cochlea. These data permit us to establish the bases of an objective low-frequency audiometric test.

Acoustic Stimulation↗

Screening audiometry using the high-risk register in a level III nursery.

Several factors, including those in the high-risk register, were studied in 1240 graduates of an intensive care nursery who underwent auditory brain-stem response testing. Univariate analysis, with chi 2 and Fisher's Exact Test, and stepwise logistic regression were used to identify variables associated with auditory brain-stem response outcomes. Results suggest that factors in the high-risk register do not carry equal weight and that universal screening in the intensive care nursery may be preferable.

Apgar Score↗