The role of otoacoustic emissions in audiological assessment of children with suspected hearing loss
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Introduction: Otoacoustic emissions are sounds that result from energy generated in the cochlea. The otoacoustic emissions test helps to confirm outer hair cell function.
Aim: The objective of the study was to evaluate the expression of distortion product otoacoustic emissions in children with suspected hearing loss.
Method: This retrospective study included 115 children, 65 males (56.5%) and 50 females (43.5%), aged 0 to 14 years (mean age of 6.9±3.5 years), examined during the period from January 2017 to March 2021. The audiological assessment included Distortion product otoacoustic emissions test, tympanometry, and pure-tone audiometry in children older than 4 years.
Distortion product otoacoustic emissions were recorded in the form of DP- gram elicited by two primary tone stimuli L1=65 dB SPL and L2=55 dB SPL.
Levels of the 2f1-f2 distortion product otoacoustic emissions were registered at frequencies from 1000 Hz to 8000 Hz at four points per octave. For statistical data analy...sis we used Chi-square test with level of significance p<.05.
Results: From the total of 81 children with tonal audiogram, 13 children (16%) had sensorineural hearing loss with mean distortion product otoacoustic emissions amplitude -7.4 dB SPL, and 68 children (84%) had normal hearing with mean DPOAE amplitude 9.9 dB SPL. In children without tonal audiogram, distortion product otoacoustic emissions were present in 23 children (67.6%) at control examination after absence during middle ear pathology and 9 children (26.5%) at first examination. Otoacoustic emissions were absent in 2 children (5.9%) without middle ear pathology. They were mostly absent at frequency of 4000 Hz (p=.036).
Conclusion: The otoacoustic emissions test is good cross-check for pure- tone audiometry. In children with sensorineural hearing loss, the otoacoustic emissions are absent in the range of hearing loss. In young children not cooperative for pure-tone audiometry, expression of otoacoustic emissions after previous absence during middle ear pathology would indicate that there is no coexistent sensorineural hearing loss.
Ključne reči:
otoacoustic emissions / children / hearing lossIzvor:
Zbornik Radova - 11. Međunarodni Naučni Skup „Specijalna Edukacija i Rehabilitacija Danas“, Beograd, Srbija, 29–30.10.2021, 2021, 475-Izdavač:
- Univerzitet u Beogradu – Fakultet za specijalnu edukaciju i rehabilitaciju / University of Belgrade – Faculty of Special Education and Rehabilitation Publishing Center of the Faculty
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rFASPERTY - CONF AU - Ristovska, Lidija AU - Jachova, Zora AU - Kovačević, Jasmina AU - Radovanović, Vesna PY - 2021 UR - http://rfasper.fasper.bg.ac.rs/handle/123456789/3843 AB - Introduction: Otoacoustic emissions are sounds that result from energy generated in the cochlea. The otoacoustic emissions test helps to confirm outer hair cell function. Aim: The objective of the study was to evaluate the expression of distortion product otoacoustic emissions in children with suspected hearing loss. Method: This retrospective study included 115 children, 65 males (56.5%) and 50 females (43.5%), aged 0 to 14 years (mean age of 6.9±3.5 years), examined during the period from January 2017 to March 2021. The audiological assessment included Distortion product otoacoustic emissions test, tympanometry, and pure-tone audiometry in children older than 4 years. Distortion product otoacoustic emissions were recorded in the form of DP- gram elicited by two primary tone stimuli L1=65 dB SPL and L2=55 dB SPL. Levels of the 2f1-f2 distortion product otoacoustic emissions were registered at frequencies from 1000 Hz to 8000 Hz at four points per octave. For statistical data analysis we used Chi-square test with level of significance p<.05. Results: From the total of 81 children with tonal audiogram, 13 children (16%) had sensorineural hearing loss with mean distortion product otoacoustic emissions amplitude -7.4 dB SPL, and 68 children (84%) had normal hearing with mean DPOAE amplitude 9.9 dB SPL. In children without tonal audiogram, distortion product otoacoustic emissions were present in 23 children (67.6%) at control examination after absence during middle ear pathology and 9 children (26.5%) at first examination. Otoacoustic emissions were absent in 2 children (5.9%) without middle ear pathology. They were mostly absent at frequency of 4000 Hz (p=.036). Conclusion: The otoacoustic emissions test is good cross-check for pure- tone audiometry. In children with sensorineural hearing loss, the otoacoustic emissions are absent in the range of hearing loss. In young children not cooperative for pure-tone audiometry, expression of otoacoustic emissions after previous absence during middle ear pathology would indicate that there is no coexistent sensorineural hearing loss. PB - Univerzitet u Beogradu – Fakultet za specijalnu edukaciju i rehabilitaciju / University of Belgrade – Faculty of Special Education and Rehabilitation Publishing Center of the Faculty C3 - Zbornik Radova - 11. Međunarodni Naučni Skup „Specijalna Edukacija i Rehabilitacija Danas“, Beograd, Srbija, 29–30.10.2021 T1 - The role of otoacoustic emissions in audiological assessment of children with suspected hearing loss SP - 475 SP - 481 UR - https://hdl.handle.net/21.15107/rcub_rfasper_3843 ER -
@conference{ author = "Ristovska, Lidija and Jachova, Zora and Kovačević, Jasmina and Radovanović, Vesna", year = "2021", abstract = "Introduction: Otoacoustic emissions are sounds that result from energy generated in the cochlea. The otoacoustic emissions test helps to confirm outer hair cell function. Aim: The objective of the study was to evaluate the expression of distortion product otoacoustic emissions in children with suspected hearing loss. Method: This retrospective study included 115 children, 65 males (56.5%) and 50 females (43.5%), aged 0 to 14 years (mean age of 6.9±3.5 years), examined during the period from January 2017 to March 2021. The audiological assessment included Distortion product otoacoustic emissions test, tympanometry, and pure-tone audiometry in children older than 4 years. Distortion product otoacoustic emissions were recorded in the form of DP- gram elicited by two primary tone stimuli L1=65 dB SPL and L2=55 dB SPL. Levels of the 2f1-f2 distortion product otoacoustic emissions were registered at frequencies from 1000 Hz to 8000 Hz at four points per octave. For statistical data analysis we used Chi-square test with level of significance p<.05. Results: From the total of 81 children with tonal audiogram, 13 children (16%) had sensorineural hearing loss with mean distortion product otoacoustic emissions amplitude -7.4 dB SPL, and 68 children (84%) had normal hearing with mean DPOAE amplitude 9.9 dB SPL. In children without tonal audiogram, distortion product otoacoustic emissions were present in 23 children (67.6%) at control examination after absence during middle ear pathology and 9 children (26.5%) at first examination. Otoacoustic emissions were absent in 2 children (5.9%) without middle ear pathology. They were mostly absent at frequency of 4000 Hz (p=.036). Conclusion: The otoacoustic emissions test is good cross-check for pure- tone audiometry. In children with sensorineural hearing loss, the otoacoustic emissions are absent in the range of hearing loss. In young children not cooperative for pure-tone audiometry, expression of otoacoustic emissions after previous absence during middle ear pathology would indicate that there is no coexistent sensorineural hearing loss.", publisher = "Univerzitet u Beogradu – Fakultet za specijalnu edukaciju i rehabilitaciju / University of Belgrade – Faculty of Special Education and Rehabilitation Publishing Center of the Faculty", journal = "Zbornik Radova - 11. Međunarodni Naučni Skup „Specijalna Edukacija i Rehabilitacija Danas“, Beograd, Srbija, 29–30.10.2021", title = "The role of otoacoustic emissions in audiological assessment of children with suspected hearing loss", pages = "475-481", url = "https://hdl.handle.net/21.15107/rcub_rfasper_3843" }
Ristovska, L., Jachova, Z., Kovačević, J.,& Radovanović, V.. (2021). The role of otoacoustic emissions in audiological assessment of children with suspected hearing loss. in Zbornik Radova - 11. Međunarodni Naučni Skup „Specijalna Edukacija i Rehabilitacija Danas“, Beograd, Srbija, 29–30.10.2021 Univerzitet u Beogradu – Fakultet za specijalnu edukaciju i rehabilitaciju / University of Belgrade – Faculty of Special Education and Rehabilitation Publishing Center of the Faculty., 475. https://hdl.handle.net/21.15107/rcub_rfasper_3843
Ristovska L, Jachova Z, Kovačević J, Radovanović V. The role of otoacoustic emissions in audiological assessment of children with suspected hearing loss. in Zbornik Radova - 11. Međunarodni Naučni Skup „Specijalna Edukacija i Rehabilitacija Danas“, Beograd, Srbija, 29–30.10.2021. 2021;:475. https://hdl.handle.net/21.15107/rcub_rfasper_3843 .
Ristovska, Lidija, Jachova, Zora, Kovačević, Jasmina, Radovanović, Vesna, "The role of otoacoustic emissions in audiological assessment of children with suspected hearing loss" in Zbornik Radova - 11. Međunarodni Naučni Skup „Specijalna Edukacija i Rehabilitacija Danas“, Beograd, Srbija, 29–30.10.2021 (2021):475, https://hdl.handle.net/21.15107/rcub_rfasper_3843 .