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[Electric response audiometry (brain stem potentials and late potential N1) in patients with acoustic neurinoma or space-occupying lesion in the region of the brain stem].

In patients with acoustic neuronoma or space-occupying lesion in the region of the brainstem we recorded preoperatively the brainstem potentials as well as the late potential N1. With one exception all patients investigated showed changes in the brainstem potential pattern. When stimulating monaurally there exists a clear side difference, that means the changes in the potential pattern are more distinct on the side of the tumour than on the opposite side and then only if an obstructive hydrocephalus exists. Moreover we could demonstrate in patients with tumours in the region of the brainstem that the brainstem potential IV is no longer suitable for measuring the hearing threshold. On the other hand in these patients an exact determination of the hearing threshold is possible with the late potential N1. Altogether the findings show, that the recording of the brainstem potentials when stimulating monaurally is an important additional diagnostic tool to recognize impairment of the acoustic pathways within the brainstem and probably affords the possibility of perceiving pathological pressure within the brain.

Adult↗

[Multichannel infant reflex audiometry (MIRA)].

A new method for evaluation of hearing threshold in babies is presented. The method does not require much time, cost or personnel and is practicable for infants up to about 12 months. It is based on synchronous electrical registration of sucking and breathing activities as well as of eye movements evoked by acoustic stimuli. Sucking and breathing are reduced by supra-threshold stimuli, preparing the baby for attentive listening. Eye movements are directed towards localizing the site of the stimulus.

Acoustic Stimulation↗

[Speech audiometry with logatomes].

BACKGROUND: Logatomes are nonsense syllables used for analyzing the confusion of phonemes by hearing impaired listeners. They can provide a precise differentiation of phonemic confusions which may be useful in the exact adjustment of programmable hearing aids. METHODS: In this study, two lists of logatomes with 108 three-sound combinations with a structure of consonant-vowel-consonant (c-v-c) and vowel-consonant-vowel (v-c-v) were recorded on a compact disk. Twenty normally hearing adults and 28 patients with a sensorineural hearing loss were tested at a comfortable listening level of about 25 +/- 5 dB above the mean audiometric thresholds at 0,5. 1,0 and 2,0 kHz. An index of reduction of speech perception was calculated. RESULTS: A significant relationship between reduction of logatome perception and pure-tone audiometric thresholds at 1,2,3, and 4 kHz was demonstrated. Moreover, it was possible to distinguish between different groups of hearing impairment. CONCLUSIONS: The logatome test helps to analyze specific effects that hearing loss can have on the recognition of acoustic speech signals. The logatome test may become a valuable addition to speech audiometric tests with further standardization.

Adult↗

Possible new assessment of patulous Eustachian tube function: audiometry for tones presented in the nasal cavity.

OBJECTIVE: To assess the acoustic transfer function of the Eustachian tube by means of audiometric measurements in order to evaluate the severity of the patulous condition. MATERIAL AND METHODS: Detection thresholds for tones presented in the nasal cavity (at the nostril) were measured in subjects with a patulous Eustachian tube (PET) and in normal subjects. RESULTS: In typical cases, these thresholds were lower in the subjects with PET and were markedly elevated to the same level as those of normal subjects by the insufflation of Lugol's solution (iodine solution). The pre- versus post-insufflation threshold differences seemed to reflect the effects of a patulous tube on the acoustic characteristics via the Eustachian tube. Based on the obtained results, sound patency via a patulous tube appeared to be dominant in lower frequency tones. CONCLUSION: The present method seems to be another easy way to assess PET.

Acoustic Stimulation↗

Carhart notch effect in otosclerotic ears measured by electric bone-conduction audiometry.

The Carhart notch is an elevation in the middle-frequency bone-conduction threshold of an ear with clinical otosclerosis. The study population consisted of 138 patients with clinical otosclerosis. Conventional air-conduction (AC) and bone-conduction (BC) and electric bone-conduction (EBC, with Audimax 500 audiometer) thresholds were measured 2 weeks before and 7 months after stapes surgery. The EBC thresholds were converted from mA values to dB SPL to compare the results obtained with the different methods. The mean differences in the BC thresholds before and after the operation were 3.2 dB (95% CI 1.9-4.6) at 1 kHz and 7.6 dB (95% CI 6.1-9.1) at 2 kHz. The mean differences in the EBC thresholds were 5.4 dB (95% CI 3.8-6.9) at 1 kHz and 5.3 dB (95% CI 3.4-7.1) at 2 kHz. Thus, both methods showed a distinct Carhart notch effect.

Audiometry, Pure-Tone↗

A comparison of oto-acoustic emissions and brain stem electric response audiometry in the normal newborn and babies admitted to a special care baby unit.

Brainstem auditory evoked potentials and oto-acoustic emissions have been recorded in 30 normal newborns and in 112 infants admitted to a special care baby unit as part of a study to determine whether these tests can be used to detect the hearing impaired infant. All the ears tested in the normal newborns, where the infant was quiet enough to complete the test, produced a brain stem electric response at a stimulus level less than or equal to 53 dB nHL (dB relative to normal hearing) and 96% produced an oto-acoustic emission at the highest level tested of 41 dB nHL. The mean threshold of the oto-acoustic emission in the normal newborns was 17.7 dB lower than the mean brain stem electric response threshold. The range of thresholds were similar. In the special care infants 84% of ears produced a brain stem electric response at a screening level of 43 dB nHL and 81% of ears produced an oto-acoustic emission at a screening level of 31 dB nHL.

Acoustic Stimulation↗