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将畸变产物耳声发射与通过无创检测推断出的耳蜗内畸变产物进行比较。

Comparing Distortion Product Otoacoustic Emissions to Intracochlear Distortion Products Inferred from a Noninvasive Assay.

作者信息

Martin Glen K, Stagner Barden B, Dong Wei, Lonsbury-Martin Brenda L

机构信息

Research Service, VA Loma Linda Healthcare System, 11201 Benton Street, Loma Linda, CA, 92357-1000, USA.

Department of Otolaryngology-Head and Neck Surgery, Loma Linda University Health, Loma Linda, CA, USA.

出版信息

J Assoc Res Otolaryngol. 2016 Aug;17(4):271-87. doi: 10.1007/s10162-016-0552-1. Epub 2016 May 26.

Abstract

The behavior of intracochlear distortion products (iDPs) was inferred by interacting a probe tone (f3) with the iDP of interest to produce a "secondary" distortion product otoacoustic emission termed DPOAE(2ry). Measures of the DPOAE(2ry) were then used to deduce the properties of the iDP. This approach was used in alert rabbits and anesthetized gerbils to compare ear-canal 2f1-f2 and 2f2-f1 DPOAE f2/f1 ratio functions, level/phase (L/P) maps, and interference-response areas (IRAs) to their simultaneously collected DPOAE(2ry) counterparts. These same measures were also collected in a human volunteer to demonstrate similarities with their laboratory animal counterparts and their potential applicability to humans. Results showed that DPOAEs and inferred iDPs evidenced distinct behaviors and properties. That is, DPOAE ratio functions elicited by low-level primaries peaked around an f2/f1 = 1.21 or 1.25, depending on species, while the corresponding inferred iDP ratio functions peaked at f2/f1 ratios of ~1. Additionally, L/P maps showed rapid phase variation with DPOAE frequency (fdp) for the narrow-ratio 2f1-f2 and all 2f2-f1 DPOAEs, while the corresponding DPOAE(2ry) measures evidenced relatively constant phases. Common features of narrow-ratio DPOAE IRAs, such as large enhancements for interference tones (ITs) presented above f2, were not present in DPOAE(2ry) IRAs. Finally, based on prior experiments in gerbils, the behavior of the iDP directly measured in intracochlear pressure was compared to the iDP inferred from the DPOAE(2ry) and found to be similar. Together, these findings are consistent with the notion that under certain conditions, ear-canal DPOAEs provide poor representations of iDPs and thus support a "beamforming" hypothesis. According to this concept, distributed emission components directed toward the ear canal from the f2 and basal to f2 regions can be of differing phases and thus cancel, while these same components directed toward fdp add in phase.

摘要

通过使探测音(f3)与感兴趣的耳蜗内畸变产物(iDPs)相互作用,产生一种称为DPOAE(2ry)的“二次”畸变产物耳声发射,以此来推断iDPs的行为。然后,利用DPOAE(2ry)的测量结果来推导iDP的特性。该方法应用于警觉的兔子和麻醉的沙鼠,以比较耳道内2f1 - f2和2f2 - f1的DPOAE f2/f1比率函数、声压级/相位(L/P)图以及干扰响应区域(IRAs)与其同时收集的DPOAE(2ry)对应物。同样的测量也在一名人类志愿者身上进行,以证明其与实验动物对应物的相似性以及它们对人类的潜在适用性。结果表明,DPOAEs和推断出的iDPs表现出不同的行为和特性。也就是说,低强度初级信号引发的DPOAE比率函数在f2/f1 = 1.21或1.25左右达到峰值,具体取决于物种,而相应推断出的iDP比率函数在f2/f1比率约为1时达到峰值。此外,L/P图显示,窄比率2f1 - f2和所有2f2 - f1的DPOAEs的相位随DPOAE频率(fdp)快速变化,而相应的DPOAE(2ry)测量结果显示相位相对恒定。窄比率DPOAE IRAs的共同特征,如高于f2呈现的干扰音(ITs)有大幅增强,在DPOAE(2ry) IRAs中并不存在。最后,基于之前在沙鼠身上进行的实验,将在耳蜗内压力中直接测量的iDP行为与从DPOAE(2ry)推断出的iDP行为进行比较,发现二者相似。总之,这些发现与以下观点一致:在某些条件下,耳道DPOAEs对iDPs的表征不佳,因此支持“波束形成”假说。根据这一概念,从f2以及从基底到f2区域指向耳道的分布式发射成分可能具有不同相位,从而相互抵消,而指向fdp的相同成分则同相相加。

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本文引用的文献

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Physiol Rev. 2013 Oct;93(4):1563-619. doi: 10.1152/physrev.00029.2012.
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