Journal article
Detecting high-frequency hearing loss with click-evoked otoacoustic emissions
The Journal of the Acoustical Society of America, Vol.129(1), pp.245-261
01/2011
DOI: 10.1121/1.3514527
PMCID: PMC3055286
PMID: 21303007
Abstract
In contrast to clinical click-evoked otoacoustic emission (CEOAE) tests that are inaccurate above 4-5 kHz, a research procedure measured CEOAEs up to 16 kHz in 446 ears and predicted the presence/absence of a sensorineural hearing loss. The behavioral threshold test that served as a reference to evaluate CEOAE test accuracy used a yes-no task in a maximum-likelihood adaptive procedure. This test was highly efficient between 0.5 and 12.7 kHz: Thresholds measured in 2 min per frequency had a median standard deviation (SD) of 1.2-1.5 dB across subjects. CEOAE test performance was assessed by the area under the receiver operating characteristic curve (AUC). The mean AUC from 1 to 10 kHz was 0.90 (SD = 0.016). AUC decreased to 0.86 at 12.7 kHz and to 0.7 at 0.5 and 16 kHz, possibly due in part to insufficient stimulus levels. Between 1 and 12.7 kHz, the medians of the magnitude difference in CEOAEs and in behavioral thresholds were <4 dB. The improved CEOAE test performance above 4-5 kHz was due to retaining the portion of the CEOAE response with latencies as short as 0.3 ms. Results have potential clinical significance in predicting hearing status from at least 1 to 10 kHz using a single CEOAE response.
Details
- Title: Subtitle
- Detecting high-frequency hearing loss with click-evoked otoacoustic emissions
- Creators
- Douglas Keefe - Boys Town National Research Hospital, 555 North 30th Street, Omaha, Nebraska 68131Shawn Goodman - Boys Town National Research Hospital, 555 North 30th Street, Omaha, Nebraska 68131John Ellison - Boys Town National Research Hospital, 555 North 30th Street, Omaha, Nebraska 68131Denis Fitzpatrick - Boys Town National Research Hospital, 555 North 30th Street, Omaha, Nebraska 68131Michael Gorga - Boys Town National Research Hospital, 555 North 30th Street, Omaha, Nebraska 68131
- Resource Type
- Journal article
- Publication Details
- The Journal of the Acoustical Society of America, Vol.129(1), pp.245-261
- Publisher
- Acoustical Society of America
- DOI
- 10.1121/1.3514527
- PMID
- 21303007
- PMCID
- PMC3055286
- ISSN
- 0001-4966
- eISSN
- 1520-8524
- Grant note
- DC03784 / NIH DC04662 / NIH
- Date published
- 01/2011
- Academic Unit
- Communication Sciences and Disorders
- Record Identifier
- 9984002466902771
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