Yılmaz Şule, Taş Memduha, Bulut Erdoğan
Department of Audiology, Trakya University Faculty of Health Sciences, Edirne, Turkey.
Department of Audiology, Trakya University Faculty of Health Sciences, Edirne, Turkey;Department of Otolaryngology, Hearing Research Laboratory, University of Miami Miller School of Medicine, Miami, FL, United States.
Balkan Med J. 2021 Mar;38(2):127-132. doi: 10.4274/balkanmedj.galenos.2020.2020.4.168.
Perception of acoustic details in the speech signal is important for speech sound development. The medial olivocochlear pathway, a part of the auditory efferent system, plays a role in stimulus-related control of the cochlea. One clinical tool to evaluate the medial olivocochlear activity, which is thought to improve speech perception in noise, is the suppression of otoacoustic emissions.
This study investigated the suppression of transient evoked otoacoustic emissions in children with phonological disorder in comparison with that in typically developing controls.
Case-control study.
A total of 23 children with phonological disorder (aged 5-10 years) and 21 age- and sex-matched controls (P > 0.05) participated in the study. Participants had pure-tone thresholds ≤ 15 dB hearing loss and normal middle ear functions. Transient evoked otoacoustic emissions with and without contralateral acoustic stimulation were measured.
Although the mean transient evoked otoacoustic emissions suppressions were lower in the group with phonological disorder than in the controls, these differences were not statistically significant (P > 0.05). No left/right ear asymmetry of transient evoked otoacoustic emissions suppression was detected in either of the groups (P > 0.05).
Children with phonological disorder did not show alterations in medial olivocochlear functioning in the medial olivocochlear activity as measured by the contralateral suppression of transient evoked otoacoustic emissions.
语音信号中声学细节的感知对语音发展很重要。内侧橄榄耳蜗通路是听觉传出系统的一部分,在耳蜗的刺激相关控制中发挥作用。一种评估内侧橄榄耳蜗活动的临床工具是耳声发射抑制,该活动被认为可改善噪声中的语音感知。
本研究调查了语音障碍儿童与正常发育儿童相比,瞬态诱发耳声发射的抑制情况。
病例对照研究。
共有23名语音障碍儿童(年龄5至10岁)和21名年龄及性别匹配的对照儿童(P>0.05)参与了本研究。参与者的纯音听阈损失≤15dB,中耳功能正常。测量了有和没有对侧声刺激时的瞬态诱发耳声发射。
尽管语音障碍组的平均瞬态诱发耳声发射抑制低于对照组,但这些差异无统计学意义(P>0.05)。两组均未检测到瞬态诱发耳声发射抑制的左右耳不对称(P>0.05)。
通过对侧抑制瞬态诱发耳声发射测量,语音障碍儿童在内侧橄榄耳蜗活动中的内侧橄榄耳蜗功能未显示出改变。