1. Frequency-specific information from click evoked otoacoustic emissions in noise-induced hearing loss.
- Author
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Tognola G, Grandori F, Avan P, Ravazzani P, and Bonfils P
- Subjects
- Adult, Audiometry, Pure-Tone methods, Auditory Threshold physiology, Cochlea physiology, Humans, Middle Aged, Models, Biological, Acoustic Stimulation methods, Hearing Loss, Noise-Induced diagnosis, Otoacoustic Emissions, Spontaneous physiology
- Abstract
Click evoked otoacoustic emissions (CEOAEs), pure-tone audiograms (PTAs), and Bekesy sweep frequency audiograms were recorded from 15 ears of 11 subjects with noise-induced hearing loss. For all ears, hearing threshold levels > or = 30 dB HL were found at the high frequencies. The aims of the study were to examine whether the decomposition of CEOAEs into narrow band components could identify hearing loss in a frequency-specific manner and to what extent audiometric thresholds could be predicted. CEOAEs were parcelled into 0.5-kHz-wide components by means of the wavelet transform. Reproducibility of CEOAE components was compared with audiometric threshold at corresponding frequencies. A general trend of low reproducibility for increasing audiometric thresholds was found. A reproducibility value of 60 per cent was found to best separate normal and elevated thresholds. The presence of a CEOAE component at a given frequency was always associated with audiometric thresholds < or = 20-25 dB HL. On the other hand, the absence of a component was equally associated either with normal or abnormal hearing levels. Large inter-subject variability was observed. A weak linear relationship was found between reproducibility and audiometric thresholds at corresponding frequencies, indicating that analysis of narrow band CEOAE components is valuable for separating normal from hearing-impaired ears but cannot replace the audiogram.
- Published
- 1999
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