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使用诱发耳声发射对犬类耳蜗听力状况进行临床评估。

Clinical evaluation of cochlear hearing status in dogs using evoked otoacoustic emissions.

作者信息

Gonçalves R, McBrearty A, Pratola L, Calvo G, Anderson T J, Penderis J

机构信息

School of Veterinary Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Bearsden Road, Glasgow.

出版信息

J Small Anim Pract. 2012 Jun;53(6):344-51. doi: 10.1111/j.1748-5827.2012.01229.x.

Abstract

OBJECTIVES

Evoked otoacoustic emission testing is the preferred test in human patients for sensorineural deafness screening in neonates and cochlear outer hair cell function monitoring in adults. This study evaluated evoked otoacoustic emission testing for cochlear function assessment in dogs within a clinical setting.

METHODS

Two populations of anaesthetised dogs were included. In group 1 the evoked otoacoustic emission response was compared to the brainstem auditory evoked response in 10 dogs having hearing assessment. Group 2 comprised 43 presumed normal dogs, in which the suitability of two types of evoked otoacoustic emissions, transient-evoked and distortion product otoacoustic emissions, were evaluated (brainstem auditory evoked response was not performed in this group).

RESULTS

Valid transient-evoked otoacoustic emission and distortion-product otoacoustic emission responses were successfully recorded within the clinical setting and correctly identified deaf and hearing ears. Within presumed healthy dogs, normal otoacoustic emission response was demonstrated in more than 80% of dogs using a single, short distortion-product otoacoustic emission run and in 78% of dogs with valid transient-evoked otoacoustic emission responses using a series of three repeated transient-evoked otoacoustic emission short runs.

CLINICAL SIGNIFICANCE

Transient-evoked otoacoustic emission and distortion-product otoacoustic emission testing provided a rapid, non-invasive frequency-specific assessment of cochlear function. Transient-evoked otoacoustic emission and distortion product otoacoustic emission testing is suitable as a screening procedure to detect loss of cochlear function in dogs, although further investigation is needed.

摘要

目的

诱发耳声发射测试是人类患者中用于新生儿感音神经性耳聋筛查和成人耳蜗外毛细胞功能监测的首选测试。本研究在临床环境中评估了诱发耳声发射测试对犬类耳蜗功能的评估。

方法

纳入两组麻醉后的犬类。在第1组中,对10只接受听力评估的犬,将诱发耳声发射反应与脑干听觉诱发电位进行比较。第2组包括43只假定正常的犬,评估了两种诱发耳声发射(瞬态诱发耳声发射和畸变产物耳声发射)的适用性(该组未进行脑干听觉诱发电位检查)。

结果

在临床环境中成功记录到有效的瞬态诱发耳声发射和畸变产物耳声发射反应,并正确识别出聋耳和听力正常的耳朵。在假定健康的犬中,使用单次短时间畸变产物耳声发射测试,超过80%的犬表现出正常耳声发射反应;使用一系列三次重复的瞬态诱发耳声发射短测试,78%具有有效瞬态诱发耳声发射反应的犬表现出正常耳声发射反应。

临床意义

瞬态诱发耳声发射和畸变产物耳声发射测试提供了一种快速、无创的耳蜗功能频率特异性评估。瞬态诱发耳声发射和畸变产物耳声发射测试适合作为检测犬类耳蜗功能丧失的筛查程序,尽管还需要进一步研究。

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