Dependence of Distortion-Product Otoacoustic Emissions on Primary Levels in Normal Ears |
Chung Ha Hwang, MD, Ki Sik Kim, MD, and Lee Suk Kim, MD |
Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Dong-A University, Pusan, Korea |
정상인에서 자극강도에 따른 변조이음향방사의 변화에 대한 고찰 |
황정하 · 김기식 · 김리석 |
동아대학교 의과대학 이비인후과학교실 |
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ABSTRACT |
The
2f1-f2 distortion-product otoacuostic emissions(DPOAE) are evoked by two primary tones of frequencies
f12, and levels L1 and L2. In the present study, DPOAE at the
2f1-f2 frequency were recorded form 21 normal ears with L1=L2, and with
L12, at each of three values of L1(65, 75, 80dB SPL). Detailed testing included the recording of DPOAE-amplitude frequency functions in 100Hz steps from 1000 to 7200Hz. On average, DPOAE amplitude increased as the stimulus level increased, but DPOAE-growth functions saturated at high stimulus levels(above 75dB SPL). The average DPOAE-amplitude frequncy functions illustrating the frequency response of these emissions demonstrated a bimodal contour. The influence of decreasing
L2 below L1=L2 substantially reduced mean DPOAE amplitude at
L1≥75dB SPL, but increased mean DPOAE amplitude at L1=65dB SPL. It is concluded that optimal stimulation levels on clinical applications of DPOAE are systematically dependent on
L1.
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Keywords:
Distortion-product otoacoustic emissionsㆍPrimary levels. |
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