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노인군에서 교차소음자극 전·후의 일과성음 유발이음향방사 비교

Transient Evoked Otoaocustic Emissions Before and After Alternate Stimulation in Elderly Group

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초록

The purpose of this study was to investigate Transient Evoked Otoacoustic Emissions (TEOAEs) with alternate stimulation for elderly group and suggest probability between tinnitus and efferent system. Twenty-eight subjects (56ears) ranging from 65 to 86 years old were participated. The pure tone threshold average (0.5, 1, 2 kHz) of theright ear was 32.22±14.65 dB HL and the left was 28.83±11.64 dB HL. There were nineteen subjects without tinnitus and the others had various tinnitus. Four out of tinnitus group had spontaneous right unilateral type, two out of them had bilateral type, while the others had intermittent tinnitus in somewhere of head. Alternate stimulation for contralateral suppression of TEOAEs was broad band noise of 70 dB SPL. Contralateral suppressions of TEOAEswere recorded in almost all subjects used every frequency (1, 1.4, 2, 2.8, 4 kHz), and TEOAEs suppressions wereshown significantly on left ears of all subjects (t = -2.06, p = .049). TEOAEs of female were lower than male's inalmost frequencies except 4 kHz, but TEOAEs differences of suppression were not appeared significantly between male and female (p > .05). Alternate TEOAEs suppressions were investigated in all frequencies without tinnitus group and varied in each frequency with tinnitus group. These results were achieved using a small pool of subjects but exposed a possibility for clinical application of TEOAEs associated with the efferent system.

Abstract

The purpose of this study was to investigate Transient Evoked Otoacoustic Emissions (TEOAEs) with alternate stimulation for elderly group and suggest probability between tinnitus and efferent system. Twenty-eight subjects (56ears) ranging from 65 to 86 years old were participated. The pure tone threshold average (0.5, 1, 2 kHz) of theright ear was 32.22±14.65 dB HL and the left was 28.83±11.64 dB HL. There were nineteen subjects without tinnitus and the others had various tinnitus. Four out of tinnitus group had spontaneous right unilateral type, two out of them had bilateral type, while the others had intermittent tinnitus in somewhere of head. Alternate stimulation for contralateral suppression of TEOAEs was broad band noise of 70 dB SPL. Contralateral suppressions of TEOAEs were recorded in almost all subjects used every frequency (1, 1.4, 2, 2.8, 4 kHz), and TEOAEs suppressions were shown significantly on left ears of all subjects (t = -2.06, p = .049). TEOAEs of female were lower than male's inalmost frequencies except 4 kHz, but TEOAEs differences of suppression were not appeared significantly between male and female (p > .05). Alternate TEOAEs suppressions were investigated in all frequencies without tinnitus group and varied in each frequency with tinnitus group. These results were achieved using a small pool of subjects but exposed a possibility for clinical application of TEOAEs associated with the efferent system.

참고문헌 (18)

  1. 김지연, "주파수 미세구조(frequency fine structure)에서 대측 억제 전후의 변조이음향방사 측정", Audiology and Speech Research, 8(2), pp.165~176 (2012), 한국청각언어재활학회
  2. 이종엽, "이명에서 와우 원심신경계의 기능", 석사, 이비인후과학, pp.2007
  3. 장현경, "정상 성인에서 대역교차소음이 DPOAE Suppression 기능에 미치는 영향", 청능재활, 2, pp.147~154 (2006)
  4. 조수진, "정상인의 반대측 귀 자극음이 일과성유발이음향방사에 미치는 영향", 청능재활, 2, pp.160~164 (2006)
  5. 한치성, "정상인에서 반대측 차폐음이 유발이음향방사에 미치는 영향", 석사, 의학, pp.2000
  6. Berlin, C. L., "Contralateral suppression of non-linear click-evoked otoacoustic emissions", Hearing Research, 71, pp.1~11 (1993)
  7. Brashears, S. M., "Olivocochlear efferent suppression in classical musicians", Journal of the American Academy of Audiology, 14(6), pp.314~324 (2003)
  8. Burguetti, F. A., "Efferent auditory system: Its effect on auditory processin", Brazilian Journal of Otorhinolaryngology, 74(5), pp.737~745 (2008)
  9. Fernandes, Lda. C., "Tinnitus and normal hearing: A study on the transient otoacoustic emissions suppression", Brazilian Journal of Otorharyngology, 75(3), pp.414~419 (2009)
  10. Graham R. L., "Contralateral suppression of transient evoked otoacoustic emission: Intra-individual variability in tinnitus and normal subjects", British Journal of Audiology, 28, pp.235~245 (1994)
  11. Guinan, J. J. Jr., "Olivocochlear efferents: Anatomy, physiology, function, and the measurement of efferents effects in humans", Ear and Hearing, 27(6), pp.589~607 (2006)
  12. Guinan, J. J. Jr., "Olivocochlear efferent function: issues regarding methods and the interpretation of results", Frontiers in Systems Neuroscience, 8(142), pp.1~5 (2014)
  13. Hood, L. J., "Otoacoustic emissions: clinical applications (ch. 11)" (2007), Thieme
  14. Khalfa, S., "Functional asymmetry of medial olivocochlear system in humans. Towards a peripheral auditory lateralization", Neuroreport, 7(5), pp.993~996 (1996)
  15. Parthasarathy, T. K., "Aging and contralateral suppression effects on transient evoked otoacoustic emissions", Journal of the American Academy of Audiology, 12(2), pp.80~85 (2001)
  16. Quaranta, N., "Effect of ageing on otoacoustic emissions and efferent suppression in humans", Audiology, 40(6), pp.308~312 (2001)
  17. Zenner H. P., "Cochlear-motor, transduction and signal-transfer tinnitus: Models for three types of cochlear tinnitus", European Archives of Oto-Rhino-Laryngology, 249, pp.447~454 (1993)
  18. Velenovsky, D. S., "Otoacoustic emissions: Clinical applications (ch. 6)" (2007), Thieme

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