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A DPOAE assessment of outer hair cell integrity in ears with age-related hearing loss
Journal article   Peer reviewed

A DPOAE assessment of outer hair cell integrity in ears with age-related hearing loss

Margarete A Ueberfuhr, Hannah Fehlberg, Shawn S Goodman and Robert H Withnell
Hearing research, Vol.332, pp.137-150
02/2016
DOI: 10.1016/j.heares.2015.11.006
PMID: 26631688

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Abstract

Distortion product otoacoustic emissions (DPOAEs) were used to assess outer hair cell (OHC) integrity in human ears with age-related hearing loss. Sound pressure measurements were made in the ear canal over the stimulus range 40–90 dB SPL (L2), with L1 = 0.45*L2 + 44 with F2 = 2 and 3 or 4 kHz. Model-generated DPOAE I/O functions were fit to DPOAE data to quantify the contribution of loss of nonlinearity (OHC loss) to the hearing loss. Results suggest OHC loss as a contributing cause of age-related hearing, regardless of audiogram configuration. It seems likely that OHC and strial pathology co-exist in ears with AHL. •DPOAEs can be used to assess OHC integrity.•A loss of cochlear amplification can be modeled with/without a loss of nonlinearity.•In humans, it seems likely that OHC and strial pathology co-exist in ears with AHL.
Otoacoustic emission Model Presbycusis

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