본문 바로가기
KERD
논문KCI 등재

아동의 중이 검사 주파수(226, 678, 1,000 Hz) 영향 분석: 일반 및 특수학교대상 아동을 중심으로

Effects of 3 Frequencies (226, 678, 1,000 Hz) on Tympanograms of the Children: For the Typical and Special School Children

김진숙|이승완|김건구|김춘혁
한국청각언어재활학회 (Korean Academy of Audiology)|2017.01|Audiology and Speech Research|제13권 제1호|pp. 78-87

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

자극주파수·고막운동도 검사·일반초등학교 대상 군·특수학교 대상 군.Stimulus frequenciesTympanometryRegular school-age groupSpecial school-age group.

초록

Purpose: This study was to determine effects of three stimulus frequencies on tympanometry and to compare with Distortion Produtct Otoacoustic Emission (DPOAE) for regular and special school-age children. Methods: A total number of 182 school-age children, 152 recruited from regular elementary school and 30 from special school, participated. All participants were evaluated by tympanogram and DPOAE. Tympanograms were tested by 226, 678, and 1,000 Hz and analyzed with static compliance (SC) and earcanal volume (EV). Results: Depending on three stimulus frequencies, SCs and EVs were 0.49, 1.45, and 1.26 ml and 0.92, 2.98, 4.52 cm3 in regular school-age group and 0.56, 1.58, 1.29 ml and 0.98, 3.0, 4.48 cm3 in special school-age group. There were statistical significant differences among three frequencies but no difference between regular and special school-age groups for both SCs and EVs (p < 0.05). The pass and fail rate of DPOAE was 87.2% and 12.8% for regular school-age group and 57.6% and 42.4% for special school-age group, showing a statistical significant difference between groups (p < 0.05). Agreement rate between tympanograms and DPOAE results was the highest in 678 Hz. Conclusion: While there was no difference in middle ear status between groups, DPOAE results referred that the inner ear status could be poor for the special school-age group. Therefore, more interests of hearing status should be aroused to the special school-age children. Additionally, the 678 Hz seems to be more useful for screening school-age children. Further, more data with pure tone examination be supplemented for the certain conclusion.

Abstract

Purpose: This study was to determine effects of three stimulus frequencies on tympanometry and to compare with Distortion Produtct Otoacoustic Emission (DPOAE) for regular and special school-age children. Methods: A total number of 182 school-age children, 152 recruited from regular elementary school and 30 from special school, participated. All participants were evaluated by tympanogram and DPOAE. Tympanograms were tested by 226, 678, and 1,000 Hz and analyzed with static compliance (SC) and earcanal volume (EV). Results: Depending on three stimulus frequencies, SCs and EVs were 0.49, 1.45, and 1.26 ml and 0.92, 2.98, 4.52 cm3 in regular school-age group and 0.56, 1.58, 1.29 ml and 0.98, 3.0, 4.48 cm3 in special school-age group. There were statistical significant differences among three frequencies but no difference between regular and special school-age groups for both SCs and EVs (p < 0.05). The pass and fail rate of DPOAE was 87.2% and 12.8% for regular school-age group and 57.6% and 42.4% for special school-age group, showing a statistical significant difference between groups (p < 0.05). Agreement rate between tympanograms and DPOAE results was the highest in 678 Hz. Conclusion: While there was no difference in middle ear status between groups, DPOAE results referred that the inner ear status could be poor for the special school-age group. Therefore, more interests of hearing status should be aroused to the special school-age children. Additionally, the 678 Hz seems to be more useful for screening school-age children. Further, more data with pure tone examination be supplemented for the certain conclusion.

참고문헌 (44)

  1. Alaerts, J., "Evaluation of middle ear function in young children : Clinical guidelines for the use of 226-and 1, 000-Hz tympanometry", Otology and Neurotology, 28(6), pp.727~732 (2007)
  2. Anderson, H., "Experiments with an objective method of testing the middle ear function : Preliminary report", Acta Oto-Laryngologica, 46(5), pp.381~385 (1956)
  3. Brooks, D. N., "An objective method of detecting fluid in the middle ear", International Audiology, 7(3), pp.280~286 (1968)
  4. Calandruccio, L., "Normative multifrequency tympanometry in infants and toddlers", Journal of the American Academy of Audiology, 17(7), pp.470~480 (2006)
  5. de Resende, L. M., "Tympanometry with 226 and 1, 000 Hertz tone probes in infants", Brazilian Journal of Otorhinolaryngology, 78(1), pp.95~102 (2012)
  6. Diefendorf, A. O., "Down syndrome : A multidisciplinary perspective", Journal of the American Academy of Audiology, 6(1), pp.39~46 (1995)
  7. Feeney, M. P., "Contralateral acoustic reflex thresholds for tonal activators using wideband energy reflectance and admittance", Journal of Speech, Language, and Hearing Research, 46(1), pp.128~136 (2003)
  8. 한규희, "영유아 삼출성 중이염의 진단: 226 Hz 음을 이용한 통상적인 임피던스 청력검사의 함정", 대한이비인후과학회지 두경부외과학, 55(7), pp.410~414 (2012), 대한이비인후과학회[DOI]
  9. Handžić-Ćuk, J., "Hearing levels and age in cleft palate patients", International Journal of Pediatric Otorhinolaryngology, 37(3), pp.227~242 (1996)
  10. Harris, P. K., "The use of tympanometry and pneumatic otoscopy for predicting middle ear disease", Am J Audiol, 14(1), pp.3~13 (2005)
  11. Holte, L., "Aging effects in multifrequency tympanometry", Ear and Hearing, 17(1), pp.12~18 (1996)
  12. Hunter, L. L., "Wideband reflectance associated with otitis media in infants and children with cleft palate", International Journal of Audiology, 47(Suppl 1), pp.57~61 (2008)
  13. Iacovou, E., "Multi-frequency tympanometry : Clinical applications for the assessment of the middle ear status", Indian Journal of Otolaryngology and Head and Neck Surgery, 65(3), pp.283~287 (2013)
  14. Kei, J., "High-frequency(1000 Hz)tympanometry in normal neonates", Journal of the American Academy of Audiology, 14(1), pp.20~28 (2003)
  15. 김진숙, "고막운동측정 결과에 영향을 주는 요인: 자극음의 주파수, 속도, 방향", Communication Sciences and Disorders, 8(2), pp.179~195 (2003), 한국언어청각임상학회
  16. Kim, K. S., "Introduction to Audiology", pp.121~140 (2014), Hakjisa
  17. Ko, D. H., "Anatomy and Physiology of Speech Organs", pp.363~421 (2009), Sohwa
  18. Kuo, C. L., "Grommets for otitis media with effusion in children with cleft palate : A systematic review", Pediatrics, 134(5), pp.983~994 (2014)
  19. 권순우, "청각장애학생의 고등학교 통합교육 환경에서의 학교생활 적응에 대한 사례 연구", 언어치료연구, 13(2), pp.27~48 (2004), 한국언어치료학회
  20. Lee, M. S., "The latency of distortion product otoacoustic emissions in patients with middle ear effusion", Audiology, 2(2), pp.155~159 (2006)
  21. Lewis, M. P., "A comparison of tympanometry with 226Hz and 1000Hz probe tones in children with Down syndrome", International Journal of Pediatric Otorhinolaryngology, 75(12), pp.1492~1495 (2011)
  22. Lidén, G., "Automatic tympanometry in clinical practice", Audiology, 13(2), pp.126~139 (1974)
  23. Lilly, D. J., "Multiple frequency, multiple component tympanometry : New approaches to an old diagnostic problem", Ear and Hearing, 5(5), pp.300~308 (1984)
  24. Margolis, R. H., "Screening tympanometry : criteria for medical referral : Original papers", Audiology, 26(4), pp.197~208 (1987)
  25. Margolis, R. H., "Tympanometry in newborn infants—1 kHz norms", Journal of the American Academy of Audiology, 14(7), pp.383~392 (2003)
  26. The acoustic impedance measured on normal and pathological ears: Orientating studies on the applicability of impedance measurement in otological diagnosis, "Metz, O.", Einar Munksgaard, ~ (1946)
  27. 민병란, "청각장애 아동의 언어지연이 정서이해 발달에 미치는 영향", Communication Sciences and Disorders, 9(3), pp.177~191 (2004), 한국언어청각임상학회
  28. "National Health Insurance Corporation. Need to be careful for 『Tympanic membrane perforation』 After water play during summer" (2015)[URL]
  29. Paradise, J. L., "Otitis media in 2253 Pittsburgh-area infants : prevalence and risk factors during the first two years of life", Pediatrics, 99(3), pp.318~333 (1997)
  30. Popelka, G. R., "Growth of the 2f1-f2 distortion product otoacoustic emission for low-level stimuli in human neonates", Ear and Hearing, 16(2), pp.159~165 (1995)
  31. Prieve, B. A., "TB-ABR, OAE & middle ear measures in sleeping infants", Presented at the 18th American Academy of Audiology Convention (2006)
  32. Prieve, B. A., "Identification of conductive hearing loss in young infants using tympanometry and wideband reflectance", Ear and Hearing, 34(2), pp.168~178 (2013)
  33. Reed, V., "An Introduction to Children with Language Disorders" (2005), Allyn and Bacon
  34. Roeser R. J., "Audiology : Diagnosis", pp.335~355 (2007), Thieme
  35. Rovers, M. M., "Otitis media", The Lancet, 363(9407), pp.465~473 (2004)
  36. Smurzynski, J., "Longitudinal measurements of distortion-product and click-evoked otoacoustic emissions of preterm infants : Preliminary results", Ear and Hearing, 15(3), pp.210~223 (1994)
  37. Son, E. J., "Classification of trace patterns of 226-and 1000-Hz tympanometry in healthy neonates", Auris Nasus Larynx, 39(5), pp.455~460 (2012)
  38. Teele, D. W., "Epidemiology of otitis media during the first seven years of life in children in greater Boston : A prospective, cohort study", Journal of Infectious Diseases, 160(1), pp.83~94 (1989)
  39. Terkildsen, K. N. U. T., "The influence of pressure variations on the impedance of the human ear drum", The Journal of Laryngology and Otology, 73(7), pp.409~418 (1959)
  40. Vander Werff, K. R., "Test-retest reliability of wideband reflectance measures in infants under screening and diagnostic test conditions", Ear and Hearing, 28(5), pp.669~681 (2007)
  41. Vanhuyse, V. J., "On the W-notching of tympanograms", Scandinavian Audiology, 4(1), pp.45~50 (1975)
  42. Wet Swanepoel, D., "High frequency immittance for neonates : A normative study", Acta Oto-Laryngologica, 127(1), pp.49~56 (2007)
  43. Wiley, T. L., "Tympanometric measures in older adults", Journal of the American Academy of Audiology, 7(4), pp.260~268 (1996)
  44. Yockel, N. J., "A comparison of audiometry and audiometry with tympanometry to determine middle ear status in school-age children", The Journal of School Nursing, 18(5), pp.287~292 (2002)

관련 논문AI추천

영유아 삼출성 중이염의 진단: 226 Hz 음을 이용한 통상적인 임피던스 청력검사의 함정이준호, 한규희대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2012 · 제55권 제7호High Frequency Tympanometry (1,000 Hz) for Neonates with Normal and Abnormal Transient Evoked Otoacoustic EmissionsMaryam Emadi, Masoud Bolandi, Mohammad Rezaei, Morteza Hamidi Nahrani대한청각학회 · Journal of Audiology & Otology2016 · 제20권 제3호전남지역 영유아 및 아동의 청각선별검사신은영한국청각언어재활학회 · Audiology and Speech Research2015 · 제11권 제2호신생아청각선별검사 결과에서 1000 Hz 고실도검사의 유용성김민정, 김진환, 류성훈, 박수경, 박지훈, 성태정, 이형민, 장지원대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2016 · 제59권 제11호광대역 고막 흡수도 검사의 정상치 및 중이 질환에서의 측정값 비교류광희, 조양선대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2017 · 제60권 제2호Can Wideband Tympanometry Predict the Prognosis of Otitis Media With Effusion?Ketenci Ibrahim, Özyürek Duygu Demirkan, Şahin Mehmet Ilhan, Ünlü Yaşar, Vural Alperen, Zararsız Gökmen대한청각학회 · Journal of Audiology & Otology2025 · 제29권 제2호

이 간행물의 다른 논문 (9건)

주관적 이명의 재활 방법신진배, 김동창, 진인기, 이경주pp. 1-8변동형 소음 하 문장인지 평가 도구의 비교이동운, 이재희pp. 9-18한국어 버전 일상생활 청각행동 설문지의 신뢰도와 타당도윤건석, 장현숙, 최재희pp. 19-27청각장애 장노년기의 삶의 질 척도를 위한 문항 개발김진숙, 박성일pp. 28-40상황별 말더듬 자기평가 도구의 타당도 및 신뢰도신문자, 이수복pp. 41-49
원문 보기