Unwanted sounds generated with test tone presentation can spoil extended high-frequency audiometry

2010 ◽  
Vol 128 (4) ◽  
pp. EL157-EL162 ◽  
Author(s):  
Kenji Kurakata ◽  
Tazu Mizunami ◽  
Kazuma Matsushita ◽  
Kimio Shiraishi
Keyword(s):  
High Frequency ◽  
Test Tone ◽  
Tone Presentation ◽  
High Frequency Audiometry

Early Changes in Auditory Function As a Result of Platinum Chemotherapy: Use of Extended High-Frequency Audiometry and Evoked Distortion Product Otoacoustic Emissions

2007 ◽  
Vol 25 (10) ◽  
pp. 1190-1195 ◽  
Author(s):  
Kristin R. Knight ◽  
Dale F. Kraemer ◽  
Christiane Winter ◽  
Edward A. Neuwelt
Keyword(s):  
High Frequency ◽  
Otoacoustic Emissions ◽  
Distortion Product Otoacoustic Emissions ◽  
Auditory Function ◽  
Cochlear Function ◽  
Serial Measurement ◽  
Distortion Product ◽  
High Frequency Audiometry ◽  
Platinum Based Chemotherapy ◽  
Platinum Chemotherapy

Purpose The objective is to describe progressive changes in hearing and cochlear function in children and adolescents treated with platinum-based chemotherapy and to begin preliminary evaluation of the feasibility of extended high-frequency audiometry and distortion product otoacoustic emissions for ototoxicity monitoring in children. Patients and Methods Baseline and serial measurement of conventional pure-tone audiometry (0.5 to 8 kHz) and evoked distortion product otoacoustic emissions (DPOAEs) were conducted for 32 patients age 8 months to 20 years who were treated with cisplatin and/or carboplatin chemotherapy. Seventeen children also had baseline and serial measurement of extended high-frequency (EHF) audiometry (9 to 16 kHz). Audiologic data were analyzed to determine the incidence of ototoxicity using the American Speech-Language-Hearing Association criteria, and the relationships between the different measures of ototoxicity. Results Of the 32 children, 20 (62.5%) acquired bilateral ototoxicity in the conventional frequency range during chemotherapy treatment, and 26 (81.3%) had bilateral decreases in DPOAE amplitudes and dynamic range. Of the 17 children with EHF audiometry results, 16 (94.1%) had bilateral ototoxicity in the EHF range. Pilot data suggest that EHF thresholds and DPOAEs show ototoxic changes before hearing loss is detected by conventional audiometry. Conclusion EHF audiometry and DPOAEs have the potential to reveal earlier changes in auditory function than conventional frequency audiometry during platinum chemotherapy in children.

The Role of High-Frequency Audiometry in Early Detection of Ototoxicity

1985 ◽  
Vol 24 (6) ◽  
pp. 387-395 ◽  
Author(s):  
W. A. Dreschler ◽  
R.J.A.M. v.d. Hulst ◽  
R. A. Tange ◽  
N. A. M. Urbanus
Keyword(s):  
Early Detection ◽  
High Frequency ◽  
High Frequency Audiometry

scholarly journals High-frequency audiometry in young and older adults when conventional audiometry is normal

2006 ◽  
Vol 72 (5) ◽  
pp. 665-672 ◽  
Author(s):  
Isabella Monteiro de Castro Silva ◽  
Maria Ângela Guimarães Feitosa
Keyword(s):  
Older Adults ◽  
High Frequency ◽  
High Frequency Audiometry

A Quasi-Free-Field Transducer System for High-Frequency Audiometry

1977 ◽  
Vol 6 (2) ◽  
pp. 91-95 ◽  
Author(s):  
Dorrit Osterhammel ◽  
P. Osterhammel ◽  
K. Terkildsen
Keyword(s):  
High Frequency ◽  
Free Field ◽  
High Frequency Audiometry

Identifying Subclinical Hearing Loss: Extended Audiometry and Word Recognition in Noise

2021 ◽  
pp. 1-10
Author(s):  
Ward R. Drennan
Keyword(s):  
Word Recognition ◽  
Significant Relationship ◽  
High Frequency ◽  
Recognition Task ◽  
Normal Hearing ◽  
Normal Range ◽  
Closed Set ◽  
Age Related ◽  
High Frequency Audiometry ◽  
Hearing Problems

<b><i>Introduction:</i></b> Normal-hearing people often have complaints about the ability to recognize speech in noise. Such disabilities are not typically assessed with conventional audiometry. Suprathreshold temporal deficits might contribute to reduced word recognition in noise as well as reduced temporally based binaural release of masking for speech. Extended high-frequency audibility (&#x3e;8 kHz) has also been shown to contribute to speech perception in noise. The primary aim of this study was to compare conventional audiometric measures with measures that could reveal subclinical deficits. <b><i>Methods:</i></b> Conventional and extended high-frequency audiometry was done with 119 normal-hearing people ranging in age from 18 to 72. The ability to recognize words in noise was evaluated with and without differences in temporally based spatial cues. A low-uncertainty, closed-set word recognition task was used to limit cognitive influences. <b><i>Results:</i></b> In normal-hearing listeners, word recognition in noise ability decreases significantly with increasing pure-tone average (PTA). On average, signal-to-noise ratios worsened by 5.7 and 6.0 dB over the normal range, for the diotic and dichotic conditions, respectively. When controlling for age, a significant relationship remained in the diotic condition. Measurement error was estimated at 1.4 and 1.6 dB for the diotic and dichotic conditions, respectively. Controlling for both PTA and age, EHF-PTAs showed significant partial correlations with SNR50 in both conditions (<i>ρ</i> = 0.30 and 0.23). Temporally based binaural release of masking worsened with age by 1.94 dB from 18 to 72 years old but showed no significant relationship with either PTA. <b><i>Conclusions:</i></b> All three assessments in this study demonstrated hearing problems independently of those observed in conventional audiometry. Considerable degradations in word recognition in noise abilities were observed as PTAs increased within the normal range. The use of an efficient words-in-noise measure might help identify functional hearing problems for individuals that are traditionally normal hearing. Extended audiometry provided additional predictive power for word recognition in noise independent of both the PTA and age. Temporally based binaural release of masking for word recognition decreased with age independent of PTAs within the normal range, indicating multiple mechanisms of age-related decline with potential clinical impact.

scholarly journals Hearing Thresholds Changes after MRI 1.5T of Head and Neck

2019 ◽  
Vol 2019 ◽  
pp. 1-4 ◽  
Author(s):  
Maryam Bahaloo ◽  
Mohammad Hossein Davari ◽  
Mohammad Sobhan ◽  
Seyyed Jalil Mirmohammadi ◽  
Mohammad Taghi Jalalian ◽  
...  
Keyword(s):  
Head And Neck ◽  
High Frequency ◽  
Repeated Measures ◽  
Hearing Threshold ◽  
Significant Shift ◽  
Auditory Thresholds ◽  
Hearing Thresholds ◽  
High Frequency Audiometry ◽  
Significant Difference ◽  
Before And After

Introduction. Exposure to high intensity noise produced by MRI is a cause for concern. This study was conducted to determine the temporary and permanent effects of exposure to noise created by performing MRI on the hearing threshold of the subjects using conventional and extended high frequency audiometry. Methods. This semiexperimental study was performed on 35 patients referred to Shahid Rahnemoun Hospital for head and neck MRI due to different clinical conditions. The hearing threshold of patients was measured before, immediately after, and 24 hours after performing 1.5 Tesla MRI using conventional and extended high frequency audiometry. SPSS version 18 was used to compare the mean hearing thresholds before and after MRI using paired T test and repeated measures analysis. Results. Comparison of auditory thresholds in conventional and extended high frequencies before and immediately after MRI showed a significant shift at 4 KHz (P = 0.008 and P = 0.08 for right and left ears), 6 KHz (P = 0.03 and P = 0.01 for right and left ears), and 14 KHz (P =0.03 and P = 0.31 for right and left ears). However, there was no significant difference between audiometric thresholds before and 24 hours after MRI. Conclusion. Noise due to 1.5 Tesla MRI can only cause transient threshold shift.

Extended High Frequency Audiometry in Pre-school Children

1998 ◽  
Vol 37 (5) ◽  
pp. 285-294 ◽  
Author(s):  
Wolfgang Reuter ◽  
Uwe Schonfeld ◽  
Ulrich Mansmann ◽  
Rudi Fischer ◽  
Manfred Gross
Keyword(s):  
School Children ◽  
High Frequency ◽  
High Frequency Audiometry
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