Bianchedi M, Croce A, Neri G, Moretti A
Istituto di Clinica Otorinolaringoiatrica, Università G. D'Annunzio Ospedale S.S. Annunziata, Chieti.
Acta Otorhinolaryngol Ital. 1996 Feb;16(1):1-5.
Tympanometry with 220 Hz probe tone mainly measures compliance related components of the middle ear. Only higher frequency probe tones provide information on mass related components. In order to study the behavior of the mass related components in endolymphatic hydrops, the Authors tested 15 Ménière's disease patients and 10 healthy subjects using multifrequency tympanometry. In both groups tympanometry with 220 and 678 Hz probe tone was employed to evaluate resonance frequency. The presence of a "camel hump" ([symbol: see text]) pattern obtained with the 678 Hz probe tone test indicated an elastic tympano-ossicular system (low point of middle ear resonance); the presence of an inverted "V" ([symbol: see text]) pattern showed a more rigid system (high point of middle ear resonance). In Ménière's disease carriers multifrequency tympanometry revealed 21 ears (70%) with a resonance frequency higher and 6 (20%) lower than 678 Hz. Three patterns (10%) were not classifiable. In the healthy group resonance frequency resulted lower than 678 Hz in 23 ears (57.5%); in 13 ears higher (32.5%). Four patterns (10%) were not classifiable. In Ménière's disease carriers the tympanometric patterns found with 678 Hz probe tone indicated the presence of a more rigid tympano-ossicular system.
使用220Hz探测音的鼓室导抗测试主要测量中耳的顺应性相关成分。只有更高频率的探测音才能提供与质量相关成分的信息。为了研究内淋巴积水时与质量相关成分的行为,作者使用多频鼓室导抗测试对15例梅尼埃病患者和10名健康受试者进行了测试。在两组中,均采用220Hz和678Hz探测音的鼓室导抗测试来评估共振频率。678Hz探测音测试获得的“驼峰”([符号:见原文])模式表明鼓室-听骨系统具有弹性(中耳共振低点);倒置“V”([符号:见原文])模式的存在表明系统更僵硬(中耳共振高点)。在梅尼埃病患者中,多频鼓室导抗测试显示,21只耳朵(70%)的共振频率高于678Hz,6只耳朵(20%)低于678Hz。三种模式(10%)无法分类。在健康组中,23只耳朵(57.5%)的共振频率低于678Hz;13只耳朵(32.5%)高于678Hz。四种模式(10%)无法分类。在梅尼埃病患者中,678Hz探测音发现的鼓室导抗模式表明存在更僵硬的鼓室-听骨系统。