Abstract:
BACKGROUND:Wideband reflectance (WBR) provides important information about middle ear function and can explain variations in how the middle ear receives, absorbs, and transmits sound energy across a wide range of frequencies. However, as of yet, few normative studies have been published to guide clinicians in the practical applications of WBR. WBR has been measured more extensively in well babies than in neonatal intensive care unit (NICU) babies, who have significantly higher incidence of otitis media with effusion (OME). PURPOSE:The goal of this study was to explore the characteristics of the middle ear while using energy reflectance (ER) and normalized admittance in NICU babies who passed automated auditory brainstem response (AABR) and evoked otoacoustic emission (EOAE) hearing screening criteria and to compare these characteristics to patterns in normal hearing adults. This study was done to identify ways to implement WBR so it could improve hearing assessment in newborns. METHODS:Thirty-one neonatal intensive care unit (NICU) babies with an average gestational age (GA) of 37.8 weeks (range: 32-51 weeks) and 56 adults with normal hearing between the ages of 18 and 32 years served as subjects in this study. NICU babies and adults were tested using multifrequency tympanometry (MFT) and WBR. RESULTS:WBR can be obtained on what appears to be a majority of NICU babies without other abnormal findings. Maximum absorption of the incident energy appears to occur at a narrower range of frequencies in normal NICU babies in comparison to normal hearing adults. This range becomes even narrower in NICU babies who fail EOAE screening. In most NICU babies who failed EOAE screening, ER values were closer to 1 (most incident energy is reflected) at a frequency below 3000 Hz. The measurements of normalized acoustic admittance may also be very useful and may supplement ER and tympanometric data in evaluating middle ear status.
journal_name
J Am Acad Audioljournal_title
Journal of the American Academy of Audiologyauthors
Shahnaz Ndoi
10.3766/jaaa.19.5.4subject
Has Abstractpub_date
2008-05-01 00:00:00pages
419-29issue
5eissn
1050-0545issn
2157-3107journal_volume
19pub_type
杂志文章abstract::Auditory brainstem responses were measured in response to 1000-Hz tone bursts from 115 patients with sensorineural hearing loss, presumably of cochlear origin. Mean wave V latencies and variability were comparable to those observed in normal hearing subjects for similar stimuli. The range of interaural differences in ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1992-05-01 00:00:00
abstract::The binaural interaction component (BIC) of the auditory brainstem response (ABR) and BIC of the frequency-following response (FFR) to tonal stimuli were studied in normal-hearing adults. The ABR and BIC latencies from all subjects were consistently shorter to the click-like sound than to the 2.0 kHz tone burst. Incre...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
abstract::The aim of this research was to study the effects of several stimulus parameters on adaptation characteristics of the auditory brainstem response (ABR). Recordings were obtained from normal hearing adults to separate trains of 5 rarefaction and 5 condensation clicks with interclick intervals of 10 msec and intertrain ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1992-07-01 00:00:00
abstract:BACKGROUND:Auditory fitness for duty (AFFD) testing is an important element in an assessment of workers' ability to perform job tasks safely and effectively. Functional hearing is particularly critical to job performance in law enforcement. Most often, assessment is based on pure-tone detection thresholds; however, its...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.22.6.2
更新日期:2011-06-01 00:00:00
abstract::Real-ear sound pressure levels (SPLs) were compared among three methods used for positioning a probe microphone in the ear canal. The probe insertion techniques included (1) an acoustic method that incorporates use of the quarter-wave anti-resonance property of the ear to determine acoustically the location of the pro...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract:BACKGROUND:It has been reported that up to 40% of patients over age 60 fail to generate a vestibular evoked myogenic potential (VEMP; Su et al, 2004). When this occurs it is difficult to determine whether the absent VEMP represents evidence of bilateral impairment of the vestibulocollic reflex pathway or a normal age-r...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.19.7.3
更新日期:2008-07-01 00:00:00
abstract::The purpose of this single-subject pilot study was to examine the efficacy of FM amplification for enhancing the discourse skills of a 4-year-old girl with a history of speech-language impairments, otitis media with effusion (OME), and motoric delays. Over a period of several weeks, language treatment sessions were co...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1995-05-01 00:00:00
abstract:BACKGROUND:Auditory-evoked potentials (EPs) provide a more objective assessment of central auditory nervous system (CANS) dysfunction when compared to behavioral measures because they do not require a behavioral response (Anderson and Kraus, 2010). In this regard, the middle latency response (MLR) has been considered a...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.25.4.4
更新日期:2014-04-01 00:00:00
abstract::Hearing loss is the most common of all disabilities in China, with three million of the 1.4 billion population affected. Recently, the release of an official neonatal hearing screening consensus has drawn attention to the importance of continued surveillance throughout childhood and the need for a system that is suite...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.16.9.6
更新日期:2005-10-01 00:00:00
abstract:BACKGROUND:The Auditec of St. Louis and the Department of Veterans Affairs (VA) recorded versions of the Northwestern University Auditory Test No. 6 (NU-6) are in common usage. Data on young adults with normal hearing for pure tones (YNH) demonstrate equal recognition performances on the two versions when the VA versio...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,随机对照试验
doi:10.3766/jaaa.17135
更新日期:2019-05-01 00:00:00
abstract:PURPOSE:To investigate the test-retest reliability of real-ear aided response (REAR) measures in open and closed hearing aid fittings in children using appropriate probe-microphone calibration techniques (stored equalization for open fittings and concurrent equalization for closed fittings). RESEARCH DESIGN:Probe-micr...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.24.7.11
更新日期:2013-07-01 00:00:00
abstract::In a clinical experiment, it was found that there is a high correlation between the compliance measured by tympanometry and the minimum size of the earmold vent, which just solves the client's occlusion problem related to his/her own voice when using a hearing aid. For ears with sensorineural hearing losses, complianc...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:2002-01-01 00:00:00
abstract:BACKGROUND:Untreated sensorineural hearing loss (SNHL) is associated with chronic health-care conditions, isolation, loneliness, and reduced quality of life. Although hearing aids can minimize the negative effects of SNHL, only about one in five persons with SNHL seeks help for communication problems. Many persons wait...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,meta分析
doi:10.3766/jaaa.14076
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:Acute symptoms of dizziness and/or imbalance commonly experienced in athletes postconcussion are speculated to arise from dysfunction at multiple levels (i.e., inner ear or central vestibular system) to appropriately integrate afferent sensory information. Disruption along any pathway of the balance system c...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15110
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:Children clinically diagnosed with auditory processing disorders (APDs) are often described as easily distracted and inattentive, leading some researchers to propose that APDs might be a consequence of underlying attention difficulties or a subtype of attention disorders. PURPOSE:The aim of this study was t...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.25.7.6
更新日期:2014-07-01 00:00:00
abstract::This paper describes the listening habits and musical enjoyment of postlingually deafened adults who use cochlear implants. Sixty-five implant recipients (35 females, 30 males) participated in a survey containing questions about musical background, prior involvement in music, and audiologic success with the implant in...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:2000-07-01 00:00:00
abstract::This multisite investigation assessed subjective, behavioral, and objective balance function in 30 blast survivors. Subjects with vertigo, dizziness, or imbalance were screened (n = 6) or evaluated (n = 27) during 1 year. Tests included a questionnaire, electronystagmography (ENG), and computerized dynamic posturograp...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1999-10-01 00:00:00
abstract::Experiment 1 investigated developmental differences at high stimulus rates by using maximum length sequences (MLSs) and cross-correlation techniques to recover auditory evoked brainstem responses (ABRs). Reliable MLS ABRs were recorded in all of the newborns tested at the highest rate presented (minimum interpulse int...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1992-11-01 00:00:00
abstract:BACKGROUND:Cochlear implants (CIs) successfully restore hearing in postlingually deaf adults, but in doing so impose a frequency-position function in the cochlea that may differ from the physiological one. PURPOSE:The CI-imposed frequency-position function is determined by the frequency allocation table programmed int...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15063
更新日期:2017-03-01 00:00:00
abstract::Probe-microphone measurements are typically made with behind-the-ear (BTE) and in-the-ear (ITE) hearing aids with the loudspeaker located at 0-degrees or 45-degrees azimuth at head level and the reference microphone positioned on the head near the hearing aid microphone. With body-worn instruments, these conditions ma...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1994-03-01 00:00:00
abstract::This study describes audiologic methodology and results for evaluating potential ototoxicity in a phase I clinical trial of a new glycopeptide. This study was conducted under good clinical practices, which are regulated by the US Food and Drug Administration (FDA) (21 Code of Federal Regulations), and input from the F...
journal_title:Journal of the American Academy of Audiology
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2003-04-01 00:00:00
abstract:BACKGROUND:The acoustic stapedial reflex (ASR) test provides useful information about the function of the auditory system. While it is frequently used with adults and children in a clinical setting, its use with young infants is limited. Presently, there are few data for neonates and inadequate research into the test-r...
journal_title:Journal of the American Academy of Audiology
pub_type: 临床试验,杂志文章
doi:10.3766/jaaa.23.1.5
更新日期:2012-01-01 00:00:00
abstract::In recent years, we have observed causes of congenital or early onset hearing disorders that had not been recognized or known to exist before. These include drugs passed to an as-yet unborn child. Principal among them is alcohol, but others, such as cocaine, are now also occupying our attention. This article reviews t...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章,评审
doi:
更新日期:1995-09-01 00:00:00
abstract::A Macintosh computer-based audiometer (Virtual 320) was evaluated for reliability and validity of high-frequency (8-20 kHz) thresholds by comparison with a well documented laboratory high-frequency evaluation system (PARVA-HF). High-frequency earphones originally provided with the V320 for high-frequency testing requi...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:
更新日期:1990-07-01 00:00:00
abstract:BACKGROUND:Cochlear implant (CI) recipients experience difficulty understanding speech in noise. Remote-microphone technology that improves the signal-to-noise ratio is recognized as an effective means to improve speech recognition in noise; however, there are no published studies evaluating the potential benefits of a...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15005
更新日期:2015-06-01 00:00:00
abstract:BACKGROUND:Despite the recognition that the directional microphone hearing aid (DMHA) is an important intervention aimed at helping older hearing-impaired adults understand speech in noisy environments, there is little evidence that older listeners can actually benefit from directional processing. PURPOSE:The objectiv...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.21.2.3
更新日期:2010-02-01 00:00:00
abstract::The Words-in-Noise (WIN) test uses monosyllabic words in seven signal-to-noise ratios of multitalker babble (MTB) to evaluate the ability of individuals to understand speech in background noise. The purpose of this study was to evaluate the criterion validity of the WIN by comparing recognition performances under MTB ...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.18.6.7
更新日期:2007-06-01 00:00:00
abstract::This is the second in a series of two papers on masking. The objective of these papers is to develop a masking protocol that provides valid measures of threshold and is, in general, faster than the plateau method. In the first paper, a masking method was presented that can replace the traditional plateau method in mos...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.15.1.5
更新日期:2004-01-01 00:00:00
abstract:BACKGROUND:A model that can accurately predict speech intelligibility for a given hearing-impaired (HI) listener would be an important tool for hearing-aid fitting or hearing-aid algorithm development. Existing speech-intelligibility models do not incorporate variability in suprathreshold deficits that are not well pre...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.24.4.5
更新日期:2013-04-01 00:00:00
abstract:PURPOSE:To study the effect of noise on speech rate judgment and signal-to-noise ratio threshold (SNR50) at different speech rates (slow, preferred, and fast). RESEARCH DESIGN:Speech rate judgment and SNR50 tasks were completed in a normal-hearing condition and a simulated hearing-loss condition. STUDY SAMPLE:Twenty-...
journal_title:Journal of the American Academy of Audiology
pub_type: 杂志文章
doi:10.3766/jaaa.20.1.3
更新日期:2009-01-01 00:00:00