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本文引用的文献

1
Effects of maturation on tympanometric wideband acoustic transfer functions in human infants.成熟对人类婴儿鼓室声导抗宽带声学传递函数的影响。
J Acoust Soc Am. 2008 Oct;124(4):2106-22. doi: 10.1121/1.2967864.
2
Sources of variability in reflectance measurements on normal cadaver ears.正常尸体耳朵反射率测量中的变异性来源。
Ear Hear. 2008 Aug;29(4):651-65. doi: 10.1097/AUD.0b013e318174f07c.
3
Test-retest reliability of wideband reflectance measures in infants under screening and diagnostic test conditions.在筛查和诊断测试条件下,婴儿宽带反射率测量的重测信度。
Ear Hear. 2007 Sep;28(5):669-81. doi: 10.1097/AUD.0b013e31812f71b1.
4
Theory of forward and reverse middle-ear transmission applied to otoacoustic emissions in infant and adult ears.应用于婴幼儿及成人耳耳声发射的中耳正反传理论。
J Acoust Soc Am. 2007 Feb;121(2):978-93. doi: 10.1121/1.2427128.
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Wideband reflectance norms for Caucasian and Chinese young adults.白种人和中国年轻人的宽带反射率标准。
Ear Hear. 2006 Dec;27(6):774-88. doi: 10.1097/01.aud.0000240568.00816.4a.
6
Choice of probe tone and classification of trace patterns in tympanometry undertaken in early infancy.婴儿早期进行的鼓室导抗图检查中探测音的选择及轨迹模式分类
Int J Audiol. 2006 Jul;45(7):417-27. doi: 10.1080/14992020600690951.
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Quasi-static transfer function of the rabbit middle ear' measured with a heterodyne interferometer with high-resolution position decoder.采用带有高分辨率位置解码器的外差干涉仪测量的兔中耳准静态传递函数。
J Assoc Res Otolaryngol. 2006 Dec;7(4):339-51. doi: 10.1007/s10162-006-0048-5. Epub 2006 Aug 4.
8
Audiometric predictions using stimulus-frequency otoacoustic emissions and middle ear measurements.使用刺激频率耳声发射和中耳测量进行听力测定预测。
Ear Hear. 2005 Oct;26(5):487-503. doi: 10.1097/01.aud.0000179692.81851.3b.
9
Accuracy of tympanometric middle ear pressure determination: the role of direction and rate of pressure change with a fast, modern tympanometer.鼓室导抗图中耳压力测定的准确性:快速现代鼓室导抗仪中压力变化方向和速率的作用
Otol Neurotol. 2005 Mar;26(2):252-6. doi: 10.1097/00129492-200503000-00021.
10
Age effects in the human middle ear: wideband acoustical measures.人类中耳的年龄效应:宽带声学测量
J Acoust Soc Am. 2004 Dec;116(6):3546-58. doi: 10.1121/1.1808221.

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.

DOI:10.1121/1.3001712
PMID:19206798
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2737248/
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。