Taiji Hidenobu, Kanzaki Jin
Nihon Jibiinkoka Gakkai Kaiho. 2016 May;119(5):727-33. doi: 10.3950/jibiinkoka.119.727.
This study evaluated the ability of wideband absorbance (AB) to predict the presence of middle-ear effusion (MEE) in ears with a flat (type B) 226 Hz tympanogram (TG). AB measures were obtained in a no MEE group of 8 ears with a flat TG and a MEE group of 19 ears also with a flat TG. AB was significantly small at frequencies 2 and 4 kHz in the MEE group than in the no MEE group. Based on our results, it appeared that AB could detect MEE with higher specificity than conventional tympanometry. The presence or absence of MEE could be distinguished based on the average AB using 1, 2, and 4 kHz, with 40% as the cutoff point.
本研究评估了宽带吸光度(AB)预测鼓膜图(TG)为平坦型(B型)、226Hz时中耳积液(MEE)存在的能力。对8例TG为平坦型且无MEE的耳以及19例TG为平坦型且有MEE的耳进行了AB测量。MEE组在2kHz和4kHz频率处的AB显著低于无MEE组。根据我们的结果,AB检测MEE的特异性似乎高于传统鼓室图测量法。基于1kHz、2kHz和4kHz的平均AB,以40%为临界点,可以区分有无MEE。