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Effect of chronic suppurative otitis media on distortion product otoacoustic emission input–output functions in conventional and ultra-high frequencies

Published online by Cambridge University Press:  21 October 2019

S I Kirubaharane ,
S Palani ,
A Alexander  and
A Sreenivasan
S I Kirubaharane
Affiliation:
Department of ENT, Jawaharlal Institute of Postgraduate Medical Education and Research (‘JIPMER’), Puducherry, India
S Palani*
Affiliation:
Department of ENT, Jawaharlal Institute of Postgraduate Medical Education and Research (‘JIPMER’), Puducherry, India
A Alexander
Affiliation:
Department of ENT, Jawaharlal Institute of Postgraduate Medical Education and Research (‘JIPMER’), Puducherry, India
A Sreenivasan
Affiliation:
Department of ENT, Jawaharlal Institute of Postgraduate Medical Education and Research (‘JIPMER’), Puducherry, India
*
Author for correspondence: Mr. Saravanan Palani, Department of ENT, Jawaharlal Institute of Postgraduate Medical Education and Research (‘JIPMER’), Dhanvantri Nagar, Puducherry 605006, India E-mail: [email protected]
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Abstract

Background

Detection and valid measurements of distortion product otoacoustic emissions are not influenced by cochlear status alone, but also by middle-ear status. There is a need to understand the use of ultra-high frequency distortion product otoacoustic emissions in cases of abnormal distortion product otoacoustic emission findings for conventional frequencies related to the middle-ear condition.

Method

The present study investigated distortion product otoacoustic emission input–output functions in conventional and ultra-high frequencies in: 37 adults with chronic suppurative otitis media (clinical group) and 37 adults with normal hearing sensitivity (control group).

Results

There were significant reductions in distortion product otoacoustic emission amplitude and mean signal-to-noise ratio in the clinical group compared to the control group, especially for conventional frequencies.

Conclusion

There was a significant reduction in the rate of ears with measurable distortion product otoacoustic emissions in the clinical group, especially for conventional frequencies. The effect of chronic suppurative otitis media was more pronounced in the conventional frequency range compared to the smaller effect seen in the ultra-high frequency range.

Keywords

OtitisSuppurationOtoacoustic Emissions, SpontaneousEar, Middle
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 11 , November 2019 , pp. 995 - 1004
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Mr. S Palani takes responsibility for the integrity of the content of the paper

References

1Dreisbach, L, Siegel, J. Distortion-product otoacoustic emissions measured at high frequencies in humans. J Acoust Soc Am 2001;110:2456–69Google Scholar
2Dreisbach, L, Long, K, Lees, S. Repeatability of high-frequency distortion product otoacoustic emissions in normal-hearing adults. Ear Hear 2006;27:466–79Google Scholar
3Dreisbach, L, Zettner, E, Chang Liu, M, Meuel Fernhoff, C, MacPhee, I, Boothroyd, A. High-frequency distortion-product otoacoustic emission repeatability in a patient population. Ear Hear 2017;39:85–100Google Scholar
4Dhar, S, Hall, JW. Otoacoustic Emissions: Principles, Procedures and Protocol. San Diego: Plural Publishing, 2012Google Scholar
5Keefe, D, Gorga, M, Neely, S, Zhao, F, Vohr, B. Ear-canal acoustic admittance and reflectance measurements in human neonates. II. Predictions of middle-ear dysfunction and sensorineural hearing loss. J Acoust Soc Am 2003;113:407–22Google Scholar
6Yeo, S, Park, S, Park, Y, Suh, B. Effect of middle-ear effusion on otoacoustic emissions. J Laryngol Otol 2002;116:794–9Google Scholar
7Zhao, F, Wada, H, Koike, T, Ohyama, K, Kawase, T, Stephens, D. Transient evoked otoacoustic emissions in patients with middle ear disorders. Int J Audiol 2003;42:117–31Google Scholar
8Sun, X, Shaver, M. Effects of negative middle ear pressure on distortion product otoacoustic emissions and application of a compensation procedure in humans. Ear Hear 2009;30:191–202Google Scholar
9Thompson, S, Henin, S, Long, G. Negative middle ear pressure and composite and component distortion product otoacoustic emissions. Ear Hear 2015;36:695–704Google Scholar
10De P Campos, U, Sanches, SG, Hatzopoulos, S, Carvallo, RM, Kochanek, K, Skarżynski, H. Alteration of distortion product otoacoustic emission input/output functions in subjects with a previous history of middle ear dysfunction. Med Sci Monit 2012;18:MT27–31Google Scholar
11Kei, J, Brazel, B, Crebbin, K, Richards, A, Willeston, N. High-frequency distortion product otoacoustic emissions in children with and without middle ear dysfunction. Int J Pediatr Otorhinolaryngol 2007;71:125–33Google Scholar
12Kemp, DT, Ryan, S, Bray, P. A guide to the effective use of otoacoustic emissions. Ear Hear 1990;11:93–105Google Scholar
13World Health Organization. Chronic Suppurative Otitis Media: Burden of Illness and Management Options. Geneva: World Health Organization, 2004Google Scholar
14Yilmaz, S, Karasalihoglu, A, Tas, A, Yagiz, R, Tas, M. Otoacoustic emissions in young adults with a history of otitis media. J Laryngol Otol 2005;120:103–7Google Scholar
15Akdogan, O, Özkan, S. Otoacoustic emissions in children with otitis media with effusion. Int J Pediatr Otorhinolaryngol 2006;70:1941–4Google Scholar
16Dai, C, Cheng, T, Wood, MW, Gan, RZ. Fixation and detachment of superior and anterior malleolar ligaments in human middle ear: experiment and modeling. Hear Res 2007;230:24–33Google Scholar
17Saleem, Y, Ramachandran, S, Ramamurthy, L, Kay, NJ. Role of otoacoustic emissions in children with middle ear effusion and grommets. J Laryngol Otol 2007;121:943–6Google Scholar
18Topolska, MM, Hassman, E, Baczek, M. The effects of chronic otitis media with effusion in the measurement of distortion products of otoacoustic emissions: presurgical and postsurgical examinations. Clin Otolaryngol 2000;25:315–20Google Scholar
19Gehr, D, Janssen, T, Michaelis, C, Deingruber, K, Lamm, K. Middle ear and cochlear disorders result in different DPOAE growth behaviour: implications for the differentiation of sound conductive and cochlear hearing loss. Hear Res 2004;193:9–19Google Scholar