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人类婴儿和成人听觉声反射及导纳的常压和鼓室声导抗测试程序。

Procedures for ambient-pressure and tympanometric tests of aural acoustic reflectance and admittance in human infants and adults.

作者信息

Keefe Douglas H, Hunter Lisa L, Feeney M Patrick, Fitzpatrick Denis F

机构信息

Boys Town National Research Hospital, 555 North 30th Street, Omaha, Nebraska 68131, USA.

Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, Ohio 45229, USA.

出版信息

J Acoust Soc Am. 2015 Dec;138(6):3625-53. doi: 10.1121/1.4936946.

Abstract

Procedures are described to measure acoustic reflectance and admittance in human adult and infant ears at frequencies from 0.2 to 8 kHz. Transfer functions were measured at ambient pressure in the ear canal, and as down- or up-swept tympanograms. Acoustically estimated ear-canal area was used to calculate ear reflectance, which was parameterized by absorbance and group delay over all frequencies (and pressures), with substantial data reduction for tympanograms. Admittance measured at the probe tip in adults was transformed into an equivalent admittance at the eardrum using a transmission-line model for an ear canal with specified area and ear-canal length. Ear-canal length was estimated from group delay around the frequency above 2 kHz of minimum absorbance. Illustrative measurements in ears with normal function are described for an adult, and two infants at 1 month of age with normal hearing and a conductive hearing loss. The sensitivity of this equivalent eardrum admittance was calculated for varying estimates of area and length. Infant-ear patterns of absorbance peaks aligned in frequency with dips in group delay were explained by a model of resonant canal-wall mobility. Procedures will be applied in a large study of wideband clinical diagnosis and monitoring of middle-ear and cochlear function.

摘要

本文描述了在0.2至8kHz频率范围内测量成人和婴儿耳朵声反射率和导纳的方法。在耳道内的环境压力下测量传递函数,并测量下行或上行鼓室图。使用声学估计的耳道面积来计算耳反射率,该反射率通过所有频率(和压力)下的吸光度和群延迟进行参数化,对鼓室图进行了大量的数据简化。使用具有指定面积和耳道长度的耳道传输线模型,将在成人探头尖端测量的导纳转换为鼓膜处的等效导纳。耳道长度通过在吸光度最小的2kHz以上频率附近的群延迟来估计。描述了一名成人以及两名1月龄听力正常和传导性听力损失的婴儿的具有正常功能耳朵的示例性测量。计算了这种等效鼓膜导纳对面积和长度不同估计值的敏感性。通过共振管壁移动性模型解释了吸光度峰值在频率上与群延迟下降对齐的婴儿耳模式。这些方法将应用于一项关于中耳和耳蜗功能的宽带临床诊断和监测的大型研究中。

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