1. Pressurized transient otoacoustic emissions measured using click and chirp stimuli
- Author
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Douglas H. Keefe, Lisa L. Hunter, Chris A. Sanford, M. Patrick Feeney, and Denis F. Fitzpatrick
- Subjects
Adult ,Male ,medicine.medical_specialty ,Materials science ,Auditory Pathways ,Acoustics and Ultrasonics ,Otoacoustic Emissions, Spontaneous ,Otoacoustic emission ,Audiology ,01 natural sciences ,Instantaneous phase ,Transient otoacoustic emissions ,03 medical and health sciences ,Young Adult ,0302 clinical medicine ,Arts and Humanities (miscellaneous) ,Predictive Value of Tests ,0103 physical sciences ,medicine ,Chirp ,otorhinolaryngologic diseases ,Pressure ,Humans ,030223 otorhinolaryngology ,Sound pressure ,Ear Diseases ,010301 acoustics ,Group delay and phase delay ,Eustachian Tube ,Hearing Tests ,Sound power ,Psychological and Physiological Acoustics ,Cochlea ,Sound ,Acoustic Stimulation ,Female ,sense organs ,Ear Canal ,Ambient pressure - Abstract
Transient-evoked otoacoustic emission (TEOAE) responses were measured in normal-hearing adult ears over frequencies from 0.7 to 8 kHz, and analyzed with reflectance/admittance data to measure absorbed sound power and the tympanometric peak pressure (TPP). The mean TPP was close to ambient. TEOAEs were measured in the ear canal at ambient pressure, TPP, and fixed air pressures from 150 to -200 daPa. Both click and chirp stimuli were used to elicit TEOAEs, in which the incident sound pressure level was constant across frequency. TEOAE levels were similar at ambient and TPP, and for frequencies from 0.7 to 2.8 kHz decreased with increasing positive and negative pressures. At 4-8 kHz, TEOAE levels were larger at positive pressures. This asymmetry is possibly related to changes in mechanical transmission through the ossicular chain. The mean TEOAE group delay did not change with pressure, although small changes were observed in the mean instantaneous frequency and group spread. Chirp TEOAEs measured in an adult ear with Eustachian tube dysfunction and TPP of -165 daPa were more robust at TPP than at ambient. Overall, results demonstrate the feasibility and clinical potential of measuring TEOAEs at fixed pressures in the ear canal, which provide additional information relative to TEOAEs measured at ambient pressure.
- Published
- 2018