[The clinical value of click stimuli on the measurement of ipsilateral acoustic reflex thresholds].

OBJECTIVE

To define that click can substitute for pure tone as a stimulus to measure ipsilateral acoustic reflex thresholds, and to find out the effect of probe frequency on acoustic reflex thresholds.

METHOD

Using middle ear analyzer (GSI 33, version 2), we measured 23 normal voluntary participants (46 ears) for getting the pure-tone generated ipsilateral acoustic reflex thresholds at different probe frequency and the click evoked ipsilateral acoustic reflex thresholds at click rate 100/s and 180/s for every ear.

RESULT

For pure tone, the ipsilateral acoustic reflex thresholds at 500 Hz, 1000 Hz, 2000 Hz, were (84.35 +/- 6.96) dB, (84.65 +/- 5.93) dB, (87.96 +/- 6.36) dB by using 226 Hz probe; (93.13 +/- 6.54) dB, (92.70 +/- 6.33) dB, (93.35 +/- 5.99) dB by using 678 Hz probe; (86.52 +/- 4.72) dB, (87.48 +/- 5.00) dB, (88.30 +/- 6.16) dB by using 1000 Hz probe. For click, the ipsilateral acoustic reflex thresholds at click rate 100/s and 180/s were (89.78 +/- 6.83) dB, (92.07 +/- 7.42) dB by using 226 Hz probe; (90.44 +/- 6.76) dB, (90.65 +/- 6.38) dB by using 678 Hz probe; (88.04 +/- 6.87) dB, (88.69 +/- 7.42) dB by using 1000 Hz probe. The acoustic reflex thresholds for 678 Hz probe were higher than those obtained with 226 Hz and 1000 Hz probes.

CONCLUSION

There were no artifact appearance while stimulus had been click at low rate, so click can be used for the measurement of ipsilateral acoustic reflex thresholds.