변조이음향방사 억제 측정에 미치는 대측 자극 소음 강도의 영향

서지정보

· 발행기관 : 한국청각언어재활학회
· 수록지 정보 : 청능재활 / 11권 / 3호
· 저자명 : 신진배, 김지연, 남의철, 김진숙

목차

INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSIONS
REFERENCES

초록

영어초록

As an objective and non-invasive method to evaluate functional state of medial olivo cochlear (MOC) system, there has been
growing interest in contralateral suppression of distortion product otoacoustic emission (DPOAE). Also, MOC system can be
quantified by measuring the difference DPOAE amplitude recorded in the presence of contralateral acoustic stimulation (CAS).
The purpose of this study is to identify the optimal CAS level for measuring the DPOAE contralateral suppression. In order
to do that, the effect of gender, direction of ear, and the CAS level of the DPOAE suppression for normal hearing adults
were tested. Data were collected from the thirty six ears of the eighteen subjects with normal hearing in the both ears ranged
from 21 to 26 years of age. DPOAE was tested by ILO 292 analyzer in DP-gram function. For each measurement, primary
tones frequencies were ratio f2/f1 = 1.22(f1 < f2) and intensities were L1 = 65 dB SPL, L2 = 50 dB SPL. 2f1-f2 DPOAE
was elicited using two pure tones and frequencies were measured in the range of 1,000 Hz to 6,727 Hz. Broad band noise
was used for CAS of DPOAE. CAS was delivered through a TDH 39 headphone that was placed in the participant’s
contralateral ear. CAS level was randomly presented at 50, 60, 65, 70, and 80 dB SPL. The results showed that, first, there
was no significant effect of the direction of ear for DPOAE suppression (p > .05). The results showed that the DPOAE
suppression was not significantly different between male and female (p > .05). However, the means and SDs of DPOAE
suppression for 5 different CAS levels, 50, 60, 65, 70, and 80 dB SPL, were .66(±1.20), 1.02(±1.23), 1.47(±1.73), 1.58(±1.70),
and 1.21(±1.46) dB. As the CAS levels increased, the majority of DPOAE suppression increased generally until 70 dB SPL.
Taken together, the results of this study showed that CAS at different levels induced mainly DPOAE amplitude suppression.
The amount of suppression increased as the CAS level was increased with the rolling phenomenon at 80 dB SPL than 70 dB
SPL in CAS level. Consequently, the 70 dB SPL or more level appears to generate the acoustic reflex in normal ears, and
the 70 dB SPL or less CAS level is expected to be efficient for observing decent DPOAE suppression.

참고자료

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