Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “ACOUSTICS”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,513 records · Page 84Linked to original sources

[Acoustic reflexometry in presbyacusis (author's transl)].

The authors have studied the relations between crossed and uncrossed acoustic stapedius reflex thresholds in presbyacusic subjects in order to verify whether ageing produces brain stem auditory lesions. The results showed in 55% of the presbyacusics a brain stem disorder characterized by the absence of one, several or all the acoustic reflexes; very often there was only an abnormal difference between crossed and uncrossed acoustic reflex thresholds.

Acoustic Impedance Tests↗

Four cases of acoustic neuromas with normal hearing.

In 95 percent of the cases, patients with acoustic neuromas will have some magnitude of hearing loss in the affected ear. This paper reports on four patients who had acoustic neuromas and normal hearing. Results from the case history, audiometric evaluation, auditory brainstem response (ABR), electroneurography (ENOG), and vestibular evaluation are reported for each patient. For all patients, the presence of unilateral tinnitus was the most common complaint. Audiologically, elevated or absent acoustic reflex thresholds and abnormal ABR findings were the most powerful diagnostic tools.

Adult↗

An artifact in acoustic reflex measurement: some further observations.

This study was designed to clarify characteristics of an artifact that has been reported to be a potential source of misleading information when determing acoustic reflex thresholds elicited by low-frequency tones. The study was conducted in two parts. Experiment 1 was concerned with an investigation of acoustic interactions in a sealed cavity between the probe tone from a commercial electroacoustic impedance bridge and interfering tones of various frequencies. Experiment 2 consisted of measurements of sound pressure levels in the sealed external ear canal of the probe ear when the contralateral ear was stimulated by air-conducted pure tones. The results indicated that acoustic reflex thresholds in 250-Hz tones probably cannot be determined for most persons unless special measures are taken to prevent the artifact. The artifact should not occur when the eliciting stimulus is 500 Hz, however.

Acoustic Stimulation↗

Complications of the translabyrinthine approach for the removal of acoustic neuromas.

OBJECTIVE: To report the complications that occurred during a large series of surgical procedures for the removal of acoustic neuromas using the translabyrinthine approach. DESIGN: Retrospective analysis. SETTING: Neuro-otology practice with academic affiliation. Procedures were performed at either a university medical center or a community hospital in conjunction with a neurosurgery team. PATIENTS: A total of 258 patients (142 men, 116 women; mean age, 51 years) underwent the translabyrinthine approach during a 14-year period. All patients had a histologically proven diagnosis of acoustic neuroma. RESULTS: There were no deaths. There were 3 cases (1.1%) of neurovascular compromise. There were 20 cases (7.8%) of cerebrospinal fluid leak, 16 (80%) of which presented as rhinorrhea and 4 (20%) as incisional leaks. The leaks at the incision responded to conservative management, while rhinorrhea usually required more aggressive means of closure. Four patients (1.6%) were diagnosed as having bacterial meningitis. Complete gross tumor removal was not achieved in 4 patients (1.6%). Facial nerve function, as measured by the House-Brackmann system, was recorded in all patients at 1 year: 76% had a score of I or II; 18%, a score of III or IV; and 6%, a score of V or VI. Other complications included 3 cases of pneumonia, 1 case of severe gastric hemorrhage, and 1 case of wound infection. CONCLUSIONS: The results of this series generally agree with those of other large series and demonstrate the safety and effectiveness of the translabyrinthine approach in excising acoustic neuromas.

Adult↗

Facial function in hearing preservation acoustic neuroma surgery.

OBJECTIVE: To determine if facial function is worse after hearing preservation acoustic neuroma surgery (retrosigmoid and middle fossa) than in translabyrinthine surgery. DESIGN: Retrospective medical record review. SETTING: Private neuro-otology subspecialty practice of patients operated on in a tertiary care hospital. PATIENTS: This study evaluated 315 consecutive acoustic neuroma surgical procedures between April 1989 and July 1998. A total of 209 translabyrinthine procedures and 106 hearing preservation surgical procedures were performed. The hearing preservation procedures were equally divided between retrosigmoid (n = 48) and middle fossa (n = 58) procedures. METHODS: Medical records were reviewed and tabulated for tumor size, surgical approach, and House-Brackmann facial function grade at short-, intermediate-, and long-term intervals. RESULTS: Postoperative facial function in hearing preservation surgical procedures at short- and long-term follow-up was not worse than facial function after translabyrinthine surgical procedures in comparably sized tumors. CONCLUSION: Concern about postoperative facial function should not be the deciding factor in selecting hearing preservation vs nonhearing preservation acoustic neuroma surgery.

Ear, Inner↗

Acoustic reflex characteristics in spastic dysphonia.

Acoustic reflex characteristics were studied in six persons with spastic dysphonia. Two methods of analysis were used: (1) a double-blind qualitative judgment of acoustic reflex recordings, and (2) a quantitative analysis of specific temporal characteristics of the acoustic reflexes. Judgments of reflex recordings did not reliably differentiate spastic dysphonia subjects from controls. An analysis of five latency measures revealed a difference between groups only in one measure, reflex contraction time.

Acoustic Stimulation↗

Predicting hearing level from the acoustic reflex. A comparison of three methods.

Three prediction methods based on the acoustic reflex noise-tone difference (NTD) were used to predict hearing level in 370 subjects. The methods were two versions of the sensitivity prediction by acoustic reflex (SPAR) and a formula for estimating hearing threshold level. With each method, hearing loss was correctly predicted in more than one half of the subjects, while serious predictive error occurred in less than 10%. Age was found to be an important factor in hearing level prediction. Predictive accuracy for each method decreased systematically as a function of age. Predictive accuracy for the two SPAR methods decreased dramatically in subjects with minor middle ear and/or tympanogram abnormalities. Nevertheless, the value of the acoustic reflex NTD in predicting hearing level was confirmed.

Acoustic Impedance Tests↗

Acoustic neuromas. Diagnostic efficiency of various test combinations.

In the majority of diagnostic tests usually used in the search for acoustic tumors, there is a large difference in the outcome between patients with and without tumors. Because of a possible coherence between the tests applied, a statistical analysis of this connection was performed with the aid of a logistic model. The best single investigation used to differentiate between patients with and without tumors was tomography of the internal acoustic meatus. This examination was used in combination with the differential caloric test and the alternate binaural loudness balance recruitment test to differentiate completely between patients with and without tumors. Results of other examinations did not contribute significantly to the differentiation between patients with and without tumors. This factor did not render the other examinations superfluous because the analysis was valuable only in patients with a hearing level better or equal to 80 dB. By applying the other tests, information was obtained on pressure conditions in the internal acoustic meatus and possible difficulties at surgery, as well as information about the size of the tumor.

Audiometry, Pure-Tone↗

Hearing recovery following suboccipital excision of acoustic neuroma.

Improvement of hearing after excision of an acoustic neuroma has been observed infrequently. We present a case of dramatic recovery of hearing in a patient with a 1-cm acoustic neuroma whose pure-tone thresholds and speech discrimination had profoundly deteriorated while she awaited surgical therapy. Postoperatively, her hearing in the affected ear is equal to that in her other ear, and her speech discrimination exceeds that of her best preoperative audiogram. Issues related to hearing preservation and improvement after acoustic tumor surgery are discussed.

Female↗

Middle-latency responses. I. Electrical and acoustic excitation.

The electrically evoked auditory brain-stem response has been used in the past to assess auditory system function with regard to cochlear prosthesis application. The brief latency of the response makes it susceptible to electrical artifact contamination, and waveform identification is often difficult. As a possible alternative for a noninvasive measure of system excitability, the middle-latency response (MLR), elicited by electrical stimulation, was investigated. Middle-latency responses were recorded in response to acoustic and round-window electrical stimulation in albino guinea pigs. Acoustic and electrically evoked MLR waveforms were similar, as were their respective latency/intensity functions. Amplitude/intensity functions for the electric MLR showed greater variability than acoustically evoked MLR functions. The electric MLR is readily evoked and relatively insensitive to electrical artifact in the guinea pig. It is potentially a useful tool in assessing the integrity of auditory pathways and consequently in the development of diagnostic tests for cochlear implant candidates.

Acoustic Stimulation↗

Medial acoustic neuromas. A new clinical entity.

The medial acoustic neuroma, a new clinical entity, is defined as an extrameatal tumor without tumor mass laterally in the internal acoustic meatus. During a 12-year period in Denmark, in a prospective analysis of 400 acoustic neuromas on which surgery was performed by the translabyrinthine approach, 48 tumors (12%) were medial tumors, corresponding to an incidence of 0.8 tumors per million inhabitants per year. Analysis of the symptoms and results showed that medial tumors are generally larger with more severe involvement of the cerebellum, the trigeminal nerve, and the brain stem, compared with the 352 nonmedial tumors. Because of its onset in the medial part of the vestibular nerve, the tumor may grow silently and to a considerable size without any widening of the internal auditory canal and with relatively good hearing. Meaningful hearing preservation is impossible in medial tumors, because the smallest medial tumor (subject's hearing, 40 dB or better) measured 3 cm, and the majority of tumors are giant tumors.

Adult↗

Management of the contracted mastoid in the translabyrinthine removal of acoustic neuroma.

Several approaches to the internal auditory canal and cerebellopontine angle for acoustic neuroma removal have been described. We prefer the translabyrinthine approach in patients with tumors larger than 2 cm or poor preoperative hearing, since both factors predict poor hearing preservation. Many surgeons perceive this approach as confining and consider it contraindicated in large tumors or contracted mastoids. We have recently described the utility of the translabyrinthine approach for the removal of large (> 4 cm) acoustic neuromas. In more than 5000 tumor excisions performed by the senior author (W.E.H.), no cases required a modification of the approach because of anatomic constraints within the mastoid. We describe our techniques for the management of the low-lying tegmen, the anterior sigmoid sinus, and the high jugular bulb, alone or in combination, during translabyrinthine removal of acoustic neuromas.

Cerebellopontine Angle↗

Acoustic method to quantitatively assess the position and patency of infant endotracheal tubes: preliminary results in rabbits.

In this preliminary laboratory study, an acoustical method was evaluated to quantitatively assess the position and patency of an infant-size endotracheal tube (ETT) by in vivo and in vitro measurements. The method consists of emitting an audible sound pulse into the ETT and the airways, and deriving position and patency information from the timing and characteristics of the returning echoes. The method's capacity to measure ETT changes of position in the tracheae of five anesthetized New Zealand white rabbits (weight, 4.3-4.9 kg; age, 1.5-3 years) was found to be accurate to 0.7 +/- 3.6 mm (mean +/- 95% CI) over a distance of 5 cm. The method was also shown to reliably differentiate between tracheal, bronchial, and esophageal intubations by means of an acoustically inferred diameter of the passageway just beyond the ETT tip. To assess the accuracy of estimating lumen obstruction, in vitro acoustical measurements were performed in different size ETTs (2.5, 3.0, 3.5, and 4.0 mm inner diameter), with obstructions ranging from 5-100% reduction in cross-sectional area. The system identified the sizes of these obstructions to within +/-7%. This technology has the potential for continuous, computer-based monitoring of breathing-tube function through instantaneous detection of ETT malposition or obstruction before it leads to a serious medical condition.

Acoustics↗

Influence of acoustic masking noise in fMRI of the auditory cortex during phonetic discrimination.

The application of functional magnetic resonance imaging (fMRI) to study activation of auditory cortex suffers from one significant confounding factor, namely, that of the acoustic noise generated by the gradient system, which is an integral part of the imaging process. Earlier work has shown that it is indeed possible to distinguish cortical activation resulting from presentation of auditory stimuli despite the presence of background noise from the gradient system. The influence of acoustic noise from the gradient system of the MRI scanner on the blood oxygen level-dependent (BOLD) response during functional activation of the auditory cortex has been investigated in six healthy subjects with no hearing difficulties. Experiments were performed using gradient-echo echoplanar imaging (EPI) and a verbal, auditory discrimination paradigm, presented in a block-wise manner, in which carefully aligned consonant-vowel syllables were presented at a rate of 1 Hz. For each volunteer the experiment was repeated three times with all parameters fixed, except slice number, which was 4, 16, or 64. The positioning of the central four slices in each experiment was common. Thus, the fraction of TR during which the stimulus is on but no imaging is being performed, varies from almost zero, in the case of 64 slices, to over 8 seconds, in the case of four slices. Only the central four slices were of interest; additional slices simply generated acoustic noise and were discarded. During the four-slice experiment, all subjects showed a robust BOLD response in the superior temporal gyrus covering the primary and secondary auditory cortex. The spatial extent and the z-scores of the activated regions decreased with longer duration of gradient noise from the scanner. For a phonetic discrimination task, the results indicate that presentation of the stimulus during periods free from scanner noise leads to a more pronounced BOLD response.

Acoustic Stimulation↗

Occupation and risk of meningioma and acoustic neuroma in the United States.

BACKGROUND: Workplace exposures may be related to the development of brain tumors. In this case-control study, we examine occupation as a risk factor for meningioma and acoustic neuroma. METHODS: A lifetime work history was obtained for 197 incident cases of meningioma, 96 cases of acoustic neuroma and 799 controls with non-malignant diseases enrolled from three hospitals in the United States between 1994 and 1998. Jobs considered to have similar tasks and chemical exposures were assigned to an occupational group. Logistic regression was used to estimate odds ratios (OR) adjusted for study matching factors (hospital, age, sex, race/ethnicity, and proximity of residence to the hospital) and education. RESULTS: Elevated risk of meningioma was observed for individuals who had ever worked in the following occupational groups: auto body painters, designers and decorators, military occupations, industrial production supervisors, teachers, and managers. For acoustic neuroma, increased risk was noted for having worked as an athlete, gas station attendant, purchasing agent, sales representative, or teacher. CONCLUSIONS: Although limited by multiple comparisons and the relatively small number of cases and controls in many occupational groups, these results nevertheless provide clues that deserve additional study in future epidemiologic studies.

Adolescent↗

Occupational magnetic field exposure and the risk of acoustic neuroma.

BACKGROUND: Acoustic neuroma is the intracranial tumor subtype showing the highest relative risk in relation to ionizing radiation but other environmental risk factors are largely unknown. This study was performed to investigate the effect of power frequency magnetic fields. METHOD: A total of 793 cases between 1987 and 1999 were identified through the Swedish cancer registry and 101,762 controls were randomly selected from the total population. Information about occupation was obtained from censuses and linked to gender specific job-exposure matrices based on actual measurements of 50 Hz magnetic field exposure. RESULT: We investigated time-weighted average, peak values, and rate of change of magnetic field exposure considering several different time windows in relation to cancer diagnosis. We found no increases in risks regardless of exposure metric or time window of exposure. CONCLUSION: This study is the largest ever on acoustic neuroma and the first study to evaluate this tumor subtype specifically in relation to extremely low frequency magnetic fields. The results do not support the hypothesis that 50 Hz magnetic fields increase the risk of acoustic neuroma.

Case-Control Studies↗

Early childhood diagnosis of acoustic neuromas in presymptomatic individuals at risk for neurofibromatosis 2.

We report on a family in which individuals at risk for NF 2 were investigated with the use of gadolinium-enhanced MRI. This technique has allowed the diagnosis of small (less than 8 mm) acoustic neuromas in two asymptomatic children (age 7 and 11), one of whom had normal audiometric and brainstem-evoked response testing. To our knowledge these are the youngest asymptomatic patients in whom the diagnosis of NF 2 has been demonstrated. It is possible that acoustic neuromas develop at an early age more commonly than recognized previously. The early diagnosis of acoustic neuromas with the use of gadolinium-enhanced MRI may lead to better outcome following surgery. This technique will provide the opportunity to better determine the natural course of this disease.

Adult↗

Modification of acoustic startle by microwave pulses in the rat: a preliminary report.

Single, 1.25-GHz microwave pulses of 0.8- to 1.0-microseconds duration were presented to each of four rats 100 ms before presentation of a startle-inducing acoustic stimulus. This sequential pairing of microwave pulse and acoustic stimulus was found to modify the startle response. At an energy dose to the head of 22-43 mJ/kg per pulse (peak SAR, 23-48 kW/kg), the mean latency to the startle response was longer and the mean amplitude of the response was smaller with respect to control responses that occurred to acoustic stimuli alone. However, at a higher energy dose per microwave pulse in the range of 59-107 mJ/kg (peak SAR, 63-111 kW/kg), the mean latency and amplitude of the startle response were not statistically different from the respective means of control responses.

Acoustic Stimulation↗