Wideband acoustic immittance in children with Down syndrome: prediction of middle-ear dysfunction, conductive hearing loss and patent PE tubes.

Wideband acoustic immittance in children with Down syndrome: prediction of middle-ear dysfunction, conductive hearing loss and patent PE tubes.
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DOI:
10.1080/14992027.2017.1314557
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发表时间:
2017-09
影响因子:
2.7
通讯作者:
Shott SR
Shott SR
中科院分区:
医学3区
文献类型:
--
作者:
Hunter LL;Keefe DH;Feeney MP;Brown DK;Meinzen-Derr J;Elsayed AM;Amann JM;Manickam V;Fitzpatrick D;Shott SR

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本研究的目的是评估加压宽带声阻抗(WAI)测试在唐氏综合征(DS)儿童和典型发育儿童(TD)中的预测传导性听力损失(CHL)和压力均衡管(PETs)通畅的价值。听力学诊断采用听力学、畸变积耳声发射、226 hz鼓室测量和耳镜检查相结合的方法。WAI结果在诊断类别(正常,CHL和PET)和组之间(TD和DS)进行比较。纳入DS患儿(n=40,平均年龄6.4岁)和TD患儿(n=48,平均年龄5.1岁)。与NH组相比,TD组和DS组CHL在1-4 kHz处的宽带吸光度显著降低。在0.25 ~ 1.5 kHz之间,专利pet耳的宽带吸光度和群延迟(GD)均大于未专利pet耳。宽带吸光度测试在预测TD组和DS组CHL和专利pet方面的效果相似。宽带吸光度和组延迟显示了TD儿童和DS儿童的特定模式,可以帮助检测明显CHL的存在,评估pet的通畅程度,并提供听力范围内频率特定的信息。
The purpose of this study was to evaluate pressurized wideband acoustic immittance (WAI) tests in children with Down syndrome (DS) and in typically developing children (TD) for prediction of conductive hearing loss (CHL) and patency of pressure equalizing tubes (PETs). Audiologic diagnosis was determined by audiometry in combination with distortion-product otoacoustic emissions, 226-Hz tympanometry and otoscopy. WAI results were compared for ears within diagnostic categories (Normal, CHL and PET) and between groups (TD and DS). Children with DS (n=40; mean age 6.4 yrs.), and TD children (n=48; mean age 5.1 yrs.) were included. Wideband absorbance was significantly lower at 1–4 kHz in ears with CHL compared to NH for both TD and DS groups. In ears with patent PETs, wideband absorbance and group delay (GD) were larger than in ears without PETs between 0.25–1.5 kHz. Wideband absorbance tests performed similarly for prediction of CHL and patent PETs in TD and DS groups. Wideband absorbance and group delay revealed specific patterns in both TD children and those with DS that can assist in detection of the presence of significant CHL, assess the patency of PETs, and provide frequency-specific information in the audiometric range.
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