Sanders J W, Josey A F, Glasscock M E, Jackson C G
Laryngoscope. 1981 May;91(5):787-93. doi: 10.1288/00005537-198105000-00011.
The clinical interpretation of acoustic reflex test results in ears with sensorineural impairment should be based on a consideration of three characteristics of the response: the reflex threshold hearing level, the reflex threshold sensation level, and the decay of the reflex. Examination of results in 152 ears with cochlear pathology and in 152 ears with acoustic tumor indicated that in some cases the combination of characteristics may be contradictory as to site of lesion. Regarding a contradictory response pattern as questionable -- neither confirming nor denying a specific site of lesion -- improves the predictive accuracy of the test through a reduction in the number of false identifications.
对感音神经性听力受损耳朵的听反射测试结果进行临床解读时，应基于对反应的三个特征的考量：反射阈听力水平、反射阈感觉级以及反射衰减。对152例患有耳蜗病变的耳朵和152例患有听神经瘤的耳朵的测试结果进行检查后发现，在某些情况下，这些特征的组合在病变部位方面可能相互矛盾。将相互矛盾的反应模式视为存疑情况——既不确认也不否认特定的病变部位——通过减少错误识别的数量提高了测试的预测准确性。
