Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2020, Vol. 34 ›› Issue (1): 38-41.doi: 10.6040/j.issn.1673-3770.0.2019.528

Previous Articles    

A preliminary study on the energy absorbance of wideband acoustic immittance in young adults with normal hearing

XING Yuxuan1, JIANG Wen1,2, TONG Yue1, WU Yang1, LIU Wen1, QIAO Yuehua1,2   

  1. 1. Department of Otorhinolaryngology Head and Neck Surgery, Affiliated Hospital of Xuzhou Medical University, Xuzhou 221000, Jiangsu, China;
    2. Artificial Auditory Laboratory of Jiangsu Province, Xuzhou 221000, Jiangsu, China
  • Published:2020-03-06

PDF (PC)

476

Abstract: Objective To explore characteristics of energy absorbance(EA)of wideband acoustic immittance(WAI)in young adults with normal hearing, and to compare the inter-ear and inter-sex differences in EA. Methods Sixty normal hearing young adults(120 ears)were selected and subjected to pure tone audiometry, acoustic impedance, and wideband acoustic immittance tests. The results were statistically analyzed. Results EA demonstrated an irregularly inverted “W” type of trend. Differences in EA were statistically significant at the frequency of 2 000 Hz, while there were no significant differences with regard to the residual frequency. The EA between 250 Hz and 630 Hz in women were slightly lower than that in men. The EA between 630 Hz and 3 150 Hz in women were slightly higher than that in men; however, the difference was not statistically significant. Conclusion The EA of young adults with normal hearing was particularly low at lower frequencies, and subsequently increase rapidly; furthermore, the EA for mid-high frequencies were relatively higher. WAI did not demonstrate significant differences between ears and both sexes. Comparing the differences in EA could be used to increase the specificity and sensitivity of the diagnosis of middle ear diseases in clinical settings.

Key words: Wideband acoustic immittance, Energy absorbance, Pure-tone audiometers

CLC Number: 

  • R764
[1] 王立伟, 李跃杰, 王延群, 等. 耳声导抗测试技术及在临床中的应用[J]. 国际生物医学工程杂志, 2006, 29(1): 60-64. doi:10.3760/cma.j.issn.1673-4181. 2006.01.017. WANG Liwei, LI Yuejie, WANG Yanqun, et al. Acoustic immittance measurement of ear and its application in clinic[J]. International Journal of Biomedical Engineering, 2006, 29(1): 60-64. doi:10.3760/cma.j.issn.1673-4181. 2006.01.017.
[2] 熊琪. 婴幼儿中耳的宽频声能吸收率特点及其准确性的初步探索[D]. 广州: 广州医科大学, 2015.
[3] 郭倩倩, 邹彬, 姚红兵. 宽频声导抗测试应用研究进展[J]. 听力学及言语疾病杂志, 2017, 25(3): 325-328. doi:10.3969/j.issn.1006-7299. 2017.03.027.
[4] 潘骏良. 宽频声导抗的临床应用研究[D]. 上海:上海交通大学医学院, 2016.
[5] 黄孟捷, 郑芸, 王恺. 正常成人宽频声导抗能量反射的初步研究[J]. 听力学及言语疾病杂志, 2010, 18(5): 433-436. doi:10.3969/j.issn.1006-7299. 2010.05.008. HUANG Mengjie, ZHENG Yun, WANG Kai. Preliminary results of the energy reflectance measurement using wide band tympanometry in Chinese adults with normal hearing[J]. Journal of Audiology and Speech Pathology, 2010, 18(5): 433-436. doi:10.3969/j.issn.1006-7299. 2010.05.008.
[6] Masud SF, Knudson IM, Stankovic KM, et al. Fracture of the incus caused by digital manipulation of the ear canal and its diagnosis using wideband acoustic immittance[J]. And, 2019, 40(2): e115-e118. doi:10.1097/MAO.0000000000002103.
[7] Wang SJ, Hao WY, Xu CX, et al. A study of wideband energy reflectance in patients with otosclerosis: data from a Chinese population[J]. Biomed Res Int, 2019, 2019: 2070548. doi:10.1155/2019/2070548.
[8] Shahnaz N, Bork K. Wideband reflectance norms for Caucasian and Chinese young adults[J]. Ear Hear, 2006, 27(6): 774-788. doi:10.1097/01.aud.0000240568.00816.4a.
[9] Hunter LL, Tubaugh L, Jackson A, et al. Wideband middle ear power measurement in infants and children[J]. J Am Acad Audiol, 2008, 19(4): 309-324. doi:10.3766/jaaa.19.4.4.
[10] Werner LA, Levi EC, Keefe DH. Ear-canal wideband acoustic transfer functions of adults and two- to nine-month-old infants[J]. Ear Hear, 2010, 31(5): 587-598. doi:10.1097/AUD.0b013e3181e0381d.
[11] Feeney MP, Sanford CA. Age effects in the human middle ear: wideband acoustical measures[J]. J Acoust Soc Am, 2004, 116(6): 3546-3558. doi:10.1121/1.1808221.
[12] Mazlan R, Kei J, Ya CL, et al. Age and gender effects on wideband absorbance in adults with normal outer and middle ear function[J]. J Speech Lang Hear Res, 2015, 58(4): 1377-1386. doi:10.1044/2015_JSLHR-H-14-0199.
[13] Shahnaz N, Feeney MP, Schairer KS. Wideband acoustic immittance normative data: ethnicity, gender, aging, and instrumentation[J]. Ear Hear, 2013, 34(Suppl 1): 27S-35S. doi:10.1097/AUD.0b013e31829d5328.
[14] 雷一波, 卢伟, 莫玲燕. 外中耳正常汉族婴幼儿宽频声导抗能量反射值的观察[J]. 中华耳鼻咽喉头颈外科杂志, 2014, 49(6): 441-445. doi:10.3760/cma.j.issn.1673-0860. 2014.06.001. LEI Yibo, LU Wei, MO Lingyan. Wide band typanometry energy reflectance in Chinese infants and children with normal outer and middle ears[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2014, 49(6): 441-445. doi:10.3760/cma.j.issn.1673-0860. 2014.06.001.
[15] Shahnaz N, Cai A, Qi L. Understanding the developmental course of the acoustic properties of the human outer and middle ear over the first 6 months of life by using a longitudinal analysis of power reflectance at ambient pressure[J]. J Am Acad Audiol, 2014, 25(5): 495-511. doi:10.3766/jaaa. 25.5.8.
[16] Hunter LL, Keefe DH, Feeney MP, et al. Longitudinal development of wideband reflectance tympanometry in normal and at-risk infants[J]. Hear Res, 2016, 340: 3-14. doi:10.1016/j.heares. 2015.12.014.
[17] Hunter LL, Keefe DH, Feeney MP, et al. Wideband acoustic immittance in children with Down syndrome: prediction of middle-ear dysfunction, conductive hearing loss and patent PE tubes[J]. Int J Audiol, 2017, 56(9): 622-634. doi:10.1080/14992027. 2017.1314557.
[18] 周佳蕾, 孙世冰, 李晓艳. 婴幼儿宽频声导抗测试[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 91-94. doi:10.6040/j.issn.1673-3770.0. 2018.150. ZHOU Jialei, SUN Shibing, LI Xiaoyan. Wideband tympanometry test in infants[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(4): 91-94. doi:10.6040/j.issn.1673-3770.0. 2018.150.
[19] Prieve BA, Vander Werff KR, Preston JL, et al. Identification of conductive hearing loss in young infants using tympanometry and wideband reflectance[J]. Ear Hear, 2013, 34(2):168-178. doi:10.1097/AUD.0b013e31826fe611.
[20] Sanford CA, Brockett JE. Characteristics of wideband acoustic immittance in patients with middle-ear dysfunction[J]. J Am Acad Audiol, 2014, 25(5): 425-440. doi:10.3766/jaaa.25.5.2.
[1] Feiyan LU,Yongtian LU,Junwei ZHOU,Yuan LIU. Applied anatomy of endoscopic resection of the petrous apex through the transcanal infracochlear approach [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 62-68.
[2] Xin CAO,Haijin YI,Xin LI,Jia XU,Juanjuan GAO. Secretory otitis media with sudden hearing loss: three cases′ report and a literature review [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 56-61.
[3] Yang YANG,Xiao XIAO,Min CHEN,Jinsheng HAO,Bing LIU,Wei LIU,Jie ZHANG. JOS staging and clinical features of middle ear cholesteatoma in children [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 52-55.
[4] Kaili SUN,Xiaoyuan WU,Xu BIE,Xiuzhen SUN. Clinical analysis of cochlear implants in 16 patients with large vestibular aqueduct syndrome [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 48-51.
[5] Yiliang YE,Biaoqing LU. Therapeutic outcome analysis of 704 cases of sudden deafness [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 44-47.
[6] Qingxiu YAO,Hui WANG,Zhuangzhuang LI,Dongzhen YU,Shankai YIN. Preliminary study on screening cochlear proteins interacting with myosin VI [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 40-43.
[7] Xing ZHOU,Xiangrong QIAN,Li’an GU,Yafeng YU. Effect of combined acoustic therapy with background sound on decompensated tinnitus with different frequencies [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 37-39.
[8] Chuanshuo LI,Yongtuan LI,Hainan CAO,Menglu ZHANG. Quantitative analysis of behavior pattern in vertiginous patients [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 32-36.
[9] Qiaomei DENG, Yueqi ZHANG, Wei WANG, Kaixu XU, Chao WEN, Qiang LIU, Taisheng CHEN, Peng LIN. Correlation analysis between benign paroxysmal positional vertigo and associated comorbidities [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 22-25.
[10] Yongbo ZHENG, Yu ZHAO, Lin LOU, Yao SONG, Yijun DONG, Jianjun REN, Jing WANG, Yang XU, Lei LEI. Effects of surgery in patients with venous pulsatile tinnitus [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 26-31.
[11] Yueqi ZHANG, Qiaomei DENG, Wei WANG, Kaixu XU, Chao WEN, Qiang LIU, Taisheng CHEN, Peng LIN. Analysis of the proportion of benign paroxysmal positional vertigo in patients with vertigo and dizziness [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 18-21.
[12] Taisheng CHEN, Wei WANG, Kaixu XU, Peng LIN. Thoughts on benign paroxysmal positional vertigo and its diagnosis and treatment [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 1-5.
[13] Zhao HAN, Juan DING. Physiology and pathology review of the middle ear muscles [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 6-10.
[14] ZHANG Junjun, LIU Haili, LIU Jiafu, QIN Xiaofeng, DU Hongming, WANG Houhui. Clinical efficacy and safety of different methods of administration of glucocorticoids in the treatment of sudden deafness [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(4): 52-55.
[15] NI Jing, LEI Fei, BAI Dan, ZHOU Yun, MA Jianmei, HUANG Wei, WANG Chunyang. Expression of immunological markers in middle ear effusion in children with secretory otitis media [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(4): 56-59.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd