A clinical comparison of DPOAE fine structure reduction methods

Marcrum, Steven C. and Hoefle, Eva and Picou, Erin M. and Steffens, Thomas and Kummer, Peter and Kwok, Pingling (2021) A clinical comparison of DPOAE fine structure reduction methods. INTERNATIONAL JOURNAL OF AUDIOLOGY, 60 (3). pp. 191-201. ISSN 1499-2027, 1708-8186

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Abstract

Objective To evaluate two real-time methods for reducing distortion product otoacoustic emission (DPOAE) fine structure in terms of DPOAE amplitude and fine structure depth. Design A prospective, repeated-measures design was used to assess DPOAE characteristics in response to a conventional stimulation method (Conv.), as well as for methods implementing either a generic suppressor tone (Supp.) or frequency modulation of the f(2)primary tone (FM). Study sample Eighty-three young adults (58 females) between the ages of 20 and 34 years with normal hearing completed testing for this study. Results Use of the Conv. and FM methods resulted in consistently higher DPOAE levels relative to the Supp. method, with average advantages of 6 and 5 dB, respectively. For all methods, increased fine structure depth was observed for stimulation with lower level (25-45 dB SPL) and lower frequency (1000-3000 Hz) primary tones. Finally, use of the Supp. and FM methods resulted in significantly decreased fine structure depth relative to the Conv. method. Conclusion Through frequency modulation of the f(2)primary tone, it was possible to reduce the depth of fine structure across a clinically meaningful range of stimulation levels and frequencies without concomitant reduction in DPOAE amplitude.

Item Type: Article
Uncontrolled Keywords: PRODUCT-OTOACOUSTIC-EMISSION; TONE LEVEL SEPARATION; DISTORTION-PRODUCT; NORMAL-HEARING; MIDDLE-EAR; GROWTH-BEHAVIOR; COCHLEAR DISORDERS; IMPAIRED EARS; SOUND-LEVEL; SUPPRESSION; Otoacoustic emission; paediatric audiology; suppression; frequency modulation; hearing loss
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Hals-Nasen-Ohren-Heilkunde
Depositing User: Petra Gürster
Date Deposited: 16 Apr 2021 09:40
Last Modified: 16 Apr 2021 09:40
URI: https://pred.uni-regensburg.de/id/eprint/43752

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