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使用压力扫描的宽带吸收式鼓室声导抗测量法:系统开发及对听力正常成年人的测试结果

Wideband absorbance tympanometry using pressure sweeps: system development and results on adults with normal hearing.

作者信息

Liu Yi-Wen, Sanford Chris A, Ellison John C, Fitzpatrick Denis F, Gorga Michael P, Keefe Douglas H

机构信息

Boys Town National Research Hospital, Omaha, Nebraska 68131, USA.

出版信息

J Acoust Soc Am. 2008 Dec;124(6):3708-19. doi: 10.1121/1.3001712.

Abstract

A system with potential for middle-ear screening and diagnostic testing was developed for the measurement of wideband energy absorbance (EA) in the ear canal as a function of air pressure, and tested on adults with normal hearing. Using a click stimulus, the EA was measured at 60 frequencies between 0.226 and 8 kHz. Ambient-pressure results were similar to past studies. To perform tympanometry, air pressure in the ear canal was controlled automatically to sweep between -300 and 200 daPa (ascending/descending directions) using sweep speeds of approximately 75, 100, 200, and 400 daPas. Thus, the measurement time for wideband tympanometry ranged from 1.5 to 7 s and was suitable for clinical applications. A bandpass tympanogram, calculated for each ear by frequency averaging EA from 0.38 to 2 kHz, had a single-peak shape; however, its tympanometric peak pressure (TPP) shifted as a function of sweep speed and direction. EA estimated at the TPP was similar across different sweep speeds, but was higher below 2 kHz than EA measured at ambient pressure. Future studies of EA on normal ears of a different age group or on impaired ears may be compared with the adult normal baseline obtained in this study.

摘要

开发了一种具有中耳筛查和诊断测试潜力的系统,用于测量耳道内宽带能量吸收率(EA)随气压的变化,并在听力正常的成年人身上进行了测试。使用点击刺激,在0.226至8kHz之间的60个频率上测量EA。环境压力结果与过去的研究相似。为了进行鼓室导抗测量,耳道内的气压通过大约75、100、200和400daPa的扫描速度自动控制在-300至200daPa之间(上升/下降方向)进行扫描。因此,宽带鼓室导抗测量的测量时间在1.5至7秒之间,适用于临床应用。通过对0.38至2kHz的EA进行频率平均为每只耳朵计算的带通鼓室图具有单峰形状;然而,其鼓室导抗峰值压力(TPP)随扫描速度和方向而变化。在不同扫描速度下,TPP处估计的EA相似,但在2kHz以下比在环境压力下测量的EA更高。未来对不同年龄组正常耳朵或受损耳朵的EA研究可与本研究中获得的成人正常基线进行比较。

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