Parving A, Schwartz M
Department of Audiology, Bispebjerg Hospital, Copenhagen, Denmark.
Int J Pediatr Otorhinolaryngol. 1991 Apr;21(2):103-11. doi: 10.1016/0165-5876(91)90140-7.
The purpose of the present study was to validate the reliability of audiometric testing procedures in the identification of carriers of Norrie's disease by using DNA analysis. Potential female carriers of Norrie's disease were investigated by means of Békésy tracing audiometry and stapedial reflex thresholds previously found to reveal carriers of recessively inherited hearing impairment by means of peculiar 'dips' and elevation in the thresholds. Relating the audiometric test results to the outcome of the DNA analysis the previous findings could not be confirmed. In addition no concordance between the two audiometric test procedures was demonstrated, and Békésy threshold tracing exhibited poor repeatability and sensitivity. It is concluded that none of these audiometric test procedures are feasible for detection of carriers of an X-linked hearing disorder, such as Norrie's disease.
本研究的目的是通过DNA分析来验证听力测试程序在诺里病携带者识别中的可靠性。通过贝凯西描记听力测验和镫骨肌反射阈值对诺里病潜在女性携带者进行了调查,此前发现通过阈值中特殊的“下降”和升高可揭示隐性遗传性听力障碍的携带者。将听力测试结果与DNA分析结果相关联后,先前的发现未能得到证实。此外,两种听力测试程序之间未显示出一致性,并且贝凯西阈值描记的重复性和敏感性较差。结论是,这些听力测试程序均不适用于检测X连锁听力障碍的携带者,如诺里病。