Preliminary Observation of the Effect of Negative Pressure and Effusion in Tympanic Cavity on the Elicitation of DPOAE

HAO Xin-ping; WANG Jie; CHEN Biao; CHEN Jing; LIU Hui; FU Xin-xing

doi:10.3969/j.issn.1672-4933.2023.05.011

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Preliminary Observation of the Effect of Negative Pressure and Effusion in Tympanic Cavity on the Elicitation of DPOAE

Clinical Research | 更新时间：2023-11-03

- Preliminary Observation of the Effect of Negative Pressure and Effusion in Tympanic Cavity on the Elicitation of DPOAE
- Chinese Scientific Journal of Hearing and Speech Rehabilitation Vol. 21, Issue 5, Pages: 492-495(2023)
- 作者机构：
  
  1.首都医科大学附属北京同仁医院耳鼻咽喉头颈外科/耳鼻咽喉头颈科学教育部重点实验室北京 100730
  2.北京市耳鼻咽喉科研究所北京 100005
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2023.05.011
  CLC：
- Published：15 September 2023，
  
  Received：28 June 2023，
- 稿件说明：
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郝欣平,王杰,陈彪等.鼓室负压及积液对畸变产物耳声发射引出影响的初步观察[J].中国听力语言康复科学杂志,2023,21(05):492-495.

HAO Xin-ping,WANG Jie,CHEN Biao,et al.Preliminary Observation of the Effect of Negative Pressure and Effusion in Tympanic Cavity on the Elicitation of DPOAE[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(05):492-495.
郝欣平,王杰,陈彪等.鼓室负压及积液对畸变产物耳声发射引出影响的初步观察[J].中国听力语言康复科学杂志,2023,21(05):492-495. DOI： 10.3969/j.issn.1672-4933.2023.05.011.

HAO Xin-ping,WANG Jie,CHEN Biao,et al.Preliminary Observation of the Effect of Negative Pressure and Effusion in Tympanic Cavity on the Elicitation of DPOAE[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2023,21(05):492-495. DOI： 10.3969/j.issn.1672-4933.2023.05.011.

摘要

目的

探索环境压与鼓室峰压补偿下畸变产物耳声发射（DPOAE）检测在分泌性中耳炎患者中的引出情况。

方法

本研究为前瞻性研究设计，收集于2023年1月～2023年4月在北京同仁医院耳鼻咽喉科诊断为分泌性中耳炎且C型鼓室图行鼓膜切开术的患者，符合纳入与排除标准的病例25例，共30侧耳。均行环境压与鼓室峰值负压补偿下的DPOAE检测。患者年龄22岁～75岁，平均年龄53.97岁。男性15例，女性10例。右耳13例，左耳17例.均为鼓膜切开术确认是否存在鼓室积液者。

结果

30侧C型鼓室图患者25侧术中发现明显积液存在；5侧术中未见明显积液。30侧患耳中环境压DPOAE仅1侧引出，10侧鼓室峰值负压补偿下DPOAE在不同频率可以引出。

结论

对于鼓室图为C型的分泌性中耳炎患者，部分环境压DPOAE引不出者峰压补偿DPOAE在不同的频率可以引出。

Abstract

Objectives

To explore the detection of distortion product otoacoustic emission (DPOAE) in patients with otitis media with effusion under the ambient and compensated tympanic peak pressure.

Methods

This is a prospective study. Patients were enrolled in this study

who were diagnosed with secretory otitis media and underwent myringotomy in the Department of Otorhinolaryngology

Beijing Tongren Hospital from January 2023 to April 2023. A total of 25 cases (30 ears) met the inclusion and exclusion criteria. DPOAE was measured under the ambient and negative compensated tympanic peak pressure. The age of the patients ranged from 22 to 75 years (mean 53.97 years)

including 15 males and 10 females. 13 cases of right ear and 7 of left ear went through myringotomy to confirm the presence of tympanic effusion.

Results

25 of 30 ears with type C tympanograms were found to have obvious effusion

while 5 with no obvious effusion during the operation. Only 1 ear could be elicited in the ambient pressure DPOAE test

and 10 ears could be elicited in the compensated tympanic peak pressure DPOAE test at different frequencies.

Conclusion

It could be elicited at different frequencies under compensated tympanic peak pressure for patients suffered from secretory otitis media with type C tympanogram

whose DPOAE cannot be measured under the ambient pressure.

关键词

分泌性中耳炎鼓室负压畸变产物耳声发射

Keywords

Otitis media with effusionNegative pressureDistortion product otoacoustic emission

references

程晓华,黄丽辉,亓贝尔,等. 616例学龄前儿童听力筛查结果分析[J]. 听力学及言语疾病杂志, 2018, 26(01): 1-4.

孙建军,倪鑫,龚树生,等. 儿童分泌性中耳炎诊断和治疗指南 (2021)[J]. 中华耳鼻咽喉头颈外科杂志, 2021, 56(6): 556-567.

周广杰,童步升. 宽频声导抗与分泌性中耳炎中耳积液黏稠度及气骨导差的相关性研究[J]. 中华耳科学杂志, 2020, 18(03): 449-453.

Topolska MM, Hassman E, Baczek M. The effects of chronic otitis media with effusion on the measurement of distortion products of otoacoustic emissions: presurgical and postsurgical examination[J]. Clin Otolaryngol Allied Sci, 2000, 25(4): 315-320.

Amedee RG. The effects of chronic otitis media with effusion on the measurement of transiently evoked otoacoustic emissions[J]. Laryngoscope, 1995, 105(6): 589-595.

Watters GW, Jones JE, Freeland AP. The predictive value of tympanometry in the diagnosis of middle ear effusion[J]. Clin Otolaryngol Allied Sci, 1997, 22(4): 343-345.

Wang L, Wang J, Zhang L, et al. Vibration of Tympanic Membrane Influenced by Middle Ear Fluid[J]. Ear Nose Throat J, 2022, 1455613221086023.

Ueda H, Nakata S, Hoshino M. Effects of effusion in the middle ear and perforation of the tympanic membrane on otoacoustic emissions in guinea pigs[J]. Hear Res, 1998, 122(1-2): 41-46.

Jerger J. Clinical experience with impedance audiometry[J]. Arch Otolaryngol, 1970, 92(4): 311-324.

Hof JR, Anteunis L, Chenault MN, et al. Otoacoustic emissions at compensated middle ear pressure in children: Emisiones otoacústicas con presión compensada del oído medio en niños[J]. International Journal of Audiology, 2005, 44(6): 317-320.

Hof JR, Dijk P, Chenault MN, et al. A two-step scenario for hearing assessment with otoacoustic emissions at compensated middle ear pressure (in children 1-7 years old)[J]. Int J Pediatr Otorhinolaryngol, 2005, 69(5): 649-655.

Sun XM, Shaver MD. Effects of negative middle ear pressure on distortion product otoacoustic emissions and application of a compensation procedure in humans[J]. Ear Hear, 2009, 30(2): 191-202.

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