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Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery 2/2018

21.06.2016 | Original Article

A Preliminary Attempt to Profile Tympanometric Measures in Infants Using High Frequency Probe Tones

verfasst von: Krishna Yerraguntla, Ramanjeet Kaur, Rohit Ravi

Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery | Ausgabe 2/2018

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Abstract

There is dearth of published data on high frequency tympanometric measures for infants in Indian context. Aim of present study was to profile Peak compensated static acoustic admittance (Ytm), Tympanometric peak pressure (TPP), Tympanometric width (TW) and Equivalent ear canal volume (Vea) in infants. Cross-sectional study on 50 infants with present TEOAEs and with risk indicators for hearing loss. Tympanometry was performed using GSI-Tympstar for 678 and 1000 Hz probe tones. Descriptive statistics were used to determine mean, SD and minimum and maximum for both genders. Using 678 Hz, Ytm ranged from 0.09 to 1. 48 mmho (males) and 0.11 to 1.14 mmho (females), while with 1000 Hz ranged from 0.15 to 1.49 (males) and 0.13–1.61 mmho (females). Using 678 Hz, TPP ranged from −95 to 70 daPa (males) and −155 to 80 daPa (females), while with 1000 Hz ranged from −75 to 95 daPa (males) and −145 to 50 daPa (females). Using 678 Hz, TW ranged from 30 to 190 daPa (males) and 40–23 daPa (females), while with 1000 Hz ranged from 60 to 210 daPa (males) and 40–183 daPa (females). Using 678 Hz, Vea ranged from 0.11 to 1.7 mmho (males) and 0.14–2.5 mmho (females), while with 1000 Hz ranged from 0.14 to 2.0 mmho (males) and 0.14–3.6 mmho (males). This study was a preliminary attempt to profile the tympanic measures. Ytm values were lesser or similar to other studies, TPP and Vea values had lower and narrow range, while TW were more than previous studies.
Literatur
1.
Zurück zum Zitat American National Standards Institute (1987) Specifications for instruments to measure aural acoustic impedance and admittance. ANSI. S3.39, 1987 American National Standards Institute (1987) Specifications for instruments to measure aural acoustic impedance and admittance. ANSI. S3.39, 1987
2.
Zurück zum Zitat Zhiqi L, Kun Y, Zhiwu H (2010) Tympanometry in infants with middle ear effusion having been identified using spiral computerized tomography. Am J Otolaryngol 31:96–103CrossRefPubMed Zhiqi L, Kun Y, Zhiwu H (2010) Tympanometry in infants with middle ear effusion having been identified using spiral computerized tomography. Am J Otolaryngol 31:96–103CrossRefPubMed
3.
Zurück zum Zitat De Chicchis AR, Todd NW, Nozza RJ (2000) Developmental changes in aural acoustic admittance measurements. J Am Acad Audiol 11:97–102PubMed De Chicchis AR, Todd NW, Nozza RJ (2000) Developmental changes in aural acoustic admittance measurements. J Am Acad Audiol 11:97–102PubMed
4.
Zurück zum Zitat Holte L, Margolis H, Cavanaugh R (1991) Developmental changes in multifrequency tympanograms. Audiology 30:1–24CrossRefPubMed Holte L, Margolis H, Cavanaugh R (1991) Developmental changes in multifrequency tympanograms. Audiology 30:1–24CrossRefPubMed
5.
Zurück zum Zitat Meyer SE, Jardine CA, Deverson W (1997) Developmental changes in tympanometry: a case study. Br J of Audiol 31:189–195CrossRef Meyer SE, Jardine CA, Deverson W (1997) Developmental changes in tympanometry: a case study. Br J of Audiol 31:189–195CrossRef
6.
Zurück zum Zitat Sanford CA (2008) Feeney MP Effects of maturation on tympanometric wideband acoustic transfer functions in human infants. J Acoust Soc Am 124:2106–2122CrossRefPubMedPubMedCentral Sanford CA (2008) Feeney MP Effects of maturation on tympanometric wideband acoustic transfer functions in human infants. J Acoust Soc Am 124:2106–2122CrossRefPubMedPubMedCentral
7.
Zurück zum Zitat Katz J (2004) Handbook of clinical audiology, 5th edn. Lippincott Williams & Wilkins, Philadelphia, PA Katz J (2004) Handbook of clinical audiology, 5th edn. Lippincott Williams & Wilkins, Philadelphia, PA
8.
Zurück zum Zitat McKinley AM, Grose JH, Roush J (1997) Multi-frequency tympanometry and evoked acoustic emissions in neonates during the first 24 hours of life. J Am Acad Audiol 8:218–223PubMed McKinley AM, Grose JH, Roush J (1997) Multi-frequency tympanometry and evoked acoustic emissions in neonates during the first 24 hours of life. J Am Acad Audiol 8:218–223PubMed
9.
Zurück zum Zitat Paradise JL, Smith CG, Bluestone CD (1976) Tympanometric detection of middle ear effusion in infants and young children. Pediatrics 58:198–210PubMed Paradise JL, Smith CG, Bluestone CD (1976) Tympanometric detection of middle ear effusion in infants and young children. Pediatrics 58:198–210PubMed
10.
Zurück zum Zitat Purdy SC, Williams MJ (2000) High frequency tympanometry: a valid and reliable immittance test protocol for young infants? N Z Audiol Soc Bull 10:9–24 Purdy SC, Williams MJ (2000) High frequency tympanometry: a valid and reliable immittance test protocol for young infants? N Z Audiol Soc Bull 10:9–24
11.
Zurück zum Zitat Alaerts J, Luts H, Wouters J (2007) Evaluation of middle ear function in young children: clinical guidelines for the use of 226- and 1,000- Hz tympanometry. Otol Neurotol 28:727–732CrossRefPubMed Alaerts J, Luts H, Wouters J (2007) Evaluation of middle ear function in young children: clinical guidelines for the use of 226- and 1,000- Hz tympanometry. Otol Neurotol 28:727–732CrossRefPubMed
12.
Zurück zum Zitat Baldwin M (2006) Choice of probe tone and classification of trace patterns in tympanometry undertaken in early infancy. Int J Audiol 45:417–427CrossRefPubMed Baldwin M (2006) Choice of probe tone and classification of trace patterns in tympanometry undertaken in early infancy. Int J Audiol 45:417–427CrossRefPubMed
13.
Zurück zum Zitat Hirsch JE, Margolis RH, Rykken JR (1992) A comparison of acoustic reflex and auditory brain stem response screening of high-risk infants. Ear Hear 13:181–186CrossRefPubMed Hirsch JE, Margolis RH, Rykken JR (1992) A comparison of acoustic reflex and auditory brain stem response screening of high-risk infants. Ear Hear 13:181–186CrossRefPubMed
14.
Zurück zum Zitat Hunter LL, Margolis RH (1992) Multifrequency tympanometry: current clinical application. Am J Audiol 1:33–43CrossRefPubMed Hunter LL, Margolis RH (1992) Multifrequency tympanometry: current clinical application. Am J Audiol 1:33–43CrossRefPubMed
15.
Zurück zum Zitat Kei J, Levick JA, Dockray J, Harrys R, Kirkegard C, Wong J, Tudehope D (2003) High-frequency (1000 Hz) tympanometry in normal neonates. J Am Acad of Audiol 14:21–28 Kei J, Levick JA, Dockray J, Harrys R, Kirkegard C, Wong J, Tudehope D (2003) High-frequency (1000 Hz) tympanometry in normal neonates. J Am Acad of Audiol 14:21–28
16.
Zurück zum Zitat Margolis RH, Ringdahl BS, Hanks W, Holte L, Zapala D (2003) Tympanometry in newborn infants- 1 k Hz norms. J Am Acad Audiol 14:383–392PubMed Margolis RH, Ringdahl BS, Hanks W, Holte L, Zapala D (2003) Tympanometry in newborn infants- 1 k Hz norms. J Am Acad Audiol 14:383–392PubMed
17.
Zurück zum Zitat Rhodes M, Margolis R, Hirsch J, Napp A (1990) Hearing screening in the newborn intensive care nursery: comparison of methods. Otolaryngol Head Neck Surg 120:799–808CrossRef Rhodes M, Margolis R, Hirsch J, Napp A (1990) Hearing screening in the newborn intensive care nursery: comparison of methods. Otolaryngol Head Neck Surg 120:799–808CrossRef
18.
Zurück zum Zitat Shahnaz N, Miranda T, Polka L (2008) Multifrequency tympanometry in neonatal intensive care unit and well babies. J Am Acad Audiol 19:392–418CrossRefPubMed Shahnaz N, Miranda T, Polka L (2008) Multifrequency tympanometry in neonatal intensive care unit and well babies. J Am Acad Audiol 19:392–418CrossRefPubMed
20.
Zurück zum Zitat Joint Committee on Infant Hearing Year (2007) Position statement: principles and guidelines for early hearing detection and intervention. Pediatrics 2007(120):899–921 Joint Committee on Infant Hearing Year (2007) Position statement: principles and guidelines for early hearing detection and intervention. Pediatrics 2007(120):899–921
21.
Zurück zum Zitat Mazlan R, Kei J, Hickson L, Stapleton C, Grant S, Lim S, Gavranich WJ (2007) High-frequency immittance findings: newborn versus six-week-old infants. Int J Audiol 46:711–717CrossRefPubMed Mazlan R, Kei J, Hickson L, Stapleton C, Grant S, Lim S, Gavranich WJ (2007) High-frequency immittance findings: newborn versus six-week-old infants. Int J Audiol 46:711–717CrossRefPubMed
22.
Zurück zum Zitat Swanepoel DW, Werner S, Hugo R, Louw B, Owen R, Swanepoel A (2007) High frequency immittance for neonates: a normative study. Acta Otolaryngol 127:49–56CrossRefPubMed Swanepoel DW, Werner S, Hugo R, Louw B, Owen R, Swanepoel A (2007) High frequency immittance for neonates: a normative study. Acta Otolaryngol 127:49–56CrossRefPubMed
24.
Zurück zum Zitat Sood AS, Bons CS, Narang GS (2012) High frequency tympanometry in neonates with normal otoacoustic emissions: measurements and interpretations. Indian J Otolaryngol Head Neck Surg 65:237–243CrossRefPubMedPubMedCentral Sood AS, Bons CS, Narang GS (2012) High frequency tympanometry in neonates with normal otoacoustic emissions: measurements and interpretations. Indian J Otolaryngol Head Neck Surg 65:237–243CrossRefPubMedPubMedCentral
25.
Zurück zum Zitat Silva K, Novaes B, Lewis B, Carvallo R (2007) Tympanometry in neonates with normal otoacoustic emissions: measurements and interpretation. Rev Bras Otorrinolaringol 73:633–639CrossRef Silva K, Novaes B, Lewis B, Carvallo R (2007) Tympanometry in neonates with normal otoacoustic emissions: measurements and interpretation. Rev Bras Otorrinolaringol 73:633–639CrossRef
26.
Zurück zum Zitat Chan JC, McPherson B (2001) Spontaneous and transient evoked otoacoustic emissions: a racial comparison. J Audiol Med 10:20–32 Chan JC, McPherson B (2001) Spontaneous and transient evoked otoacoustic emissions: a racial comparison. J Audiol Med 10:20–32
27.
Zurück zum Zitat Robinson DO, Allen DV, Root LP (1988) Infant tympanometry: differential results by race. J Speech Hear Disord 53:341–346CrossRefPubMed Robinson DO, Allen DV, Root LP (1988) Infant tympanometry: differential results by race. J Speech Hear Disord 53:341–346CrossRefPubMed
28.
Zurück zum Zitat Shahnaz N, Davies D (2006) Standard and multifrequency tympanometric norms for Caucasian and Chinese young adults. Ear Hear 27:75–90CrossRefPubMed Shahnaz N, Davies D (2006) Standard and multifrequency tympanometric norms for Caucasian and Chinese young adults. Ear Hear 27:75–90CrossRefPubMed
29.
30.
Zurück zum Zitat Whitehead ML, Kamal N, Martin BL, Martin GK (1993) Spontaneous otoacoustic emissions in different racial groups. Scand Audiol 22:3–10CrossRefPubMed Whitehead ML, Kamal N, Martin BL, Martin GK (1993) Spontaneous otoacoustic emissions in different racial groups. Scand Audiol 22:3–10CrossRefPubMed
Metadaten
Titel
A Preliminary Attempt to Profile Tympanometric Measures in Infants Using High Frequency Probe Tones
verfasst von
Krishna Yerraguntla
Ramanjeet Kaur
Rohit Ravi
Publikationsdatum
21.06.2016
Verlag
Springer India
Erschienen in
Indian Journal of Otolaryngology and Head & Neck Surgery / Ausgabe 2/2018
Print ISSN: 2231-3796
Elektronische ISSN: 0973-7707
DOI
https://doi.org/10.1007/s12070-016-1004-2

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