Polat Zahra, Baş Burcu, Hayır Duygu, Bulut Erdoğan, Ataş Ahmet
Department of Audiology, İstanbul University, İstanbul, Turkey.
J Int Adv Otol. 2015 Aug;11(2):157-62. doi: 10.5152/iao.2015.809.
The aim of this study was to obtain norm values for a young adult Turkish group and to investigate the differences between female and male subjects in terms of wideband tympanometry.
One hundred ten young adult volunteers (mean±SD: 21.1±1.9 years) participated in this study. The measurements of wideband tympanometry were performed at octave frequencies between 226 Hz and 8000 Hz using Titan version 3.1. The stimulus level was set at 100 dB peSPL.
A cross-sectional study design was used. In total, 218 ears were tested. A significant relationship was found between gender and absorbance values for the frequency band from 3100 Hz to 6900 Hz. The difference between the middle ear resonance frequency and ear canal volume (ECV) of the male and female subjects was also found to be significant. The difference in ECV may result from the difference in body size between the male and female subjects because there was a significant relationship among ECV and the height and weight.
According to these results, it can be concluded that using separate norms for males and females may increase test specificity and sensitivity for the diagnosis of disorders, such as ossicular discontinuity and tympanic membrane perforations, affecting the high-frequency region.
本研究旨在获取年轻成年土耳其人群的正常值,并就宽带鼓室声导抗测量法调查男性和女性受试者之间的差异。
110名年轻成年志愿者(平均±标准差:21.1±1.9岁)参与了本研究。使用Titan 3.1版本在226赫兹至8000赫兹的倍频程频率下进行宽带鼓室声导抗测量。刺激水平设定为100分贝等效声压级。
采用横断面研究设计。总共测试了218只耳朵。发现3100赫兹至6900赫兹频段的吸光度值与性别之间存在显著关系。还发现男性和女性受试者的中耳共振频率与外耳道容积(ECV)之间的差异具有显著性。ECV的差异可能源于男性和女性受试者身体大小的差异,因为ECV与身高和体重之间存在显著关系。
根据这些结果,可以得出结论,针对男性和女性使用单独的正常值可能会提高对影响高频区域的疾病(如听骨链中断和鼓膜穿孔)诊断的测试特异性和敏感性。