Calculating the Hearing Threshold from the Stapedius Reflex Threshold for Different Sound Stimuli

Niemeyer, W.; Sesterhenn, G.

doi:10.3109/00206097409071701

Cited by 89 publications

(24 citation statements)

References 3 publications

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“…However, if the acoustic refl ex was absent with a sensorineural hearing loss of 60 db, it was more likely to be a retrocochlear hearing loss [21]. Further Niemeyer and Sesterhenn [22] observed that as the severity of hearing loss increased the difference between the pure tone and noise induced refl exes decreased. The method is clearly not as accurate as the objective test using electric response audiometry recordings.…”

Section: Discussionmentioning

confidence: 99%

Assessment of deafmute patients: a study of ten years

Singh

Gupta

Singla

2009

Indian J Otolaryngol Head Neck Surg

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Present prospective study was conducted on 350 patients presenting with chief complaints of impaired hearing and delayed speech from 1996-2006. The aim of the present study was to fi nd out the prevalence of deafmutism in our area, the aetiology of childhood deafness and to ascertain the role of acoustic refl ex test (ART) for hearing screening considering brain stem evoked response audiometry (BSERA) as gold standard. A detailed history, clinical and other relevant systemic examination and investigations were done to fi nd out the cause. All patients were subjected to ART test and BSERA. Male to female ratio was 2.1:1. Prevalence was found to be 5.59 per one lac population in our district. The commonest age of presentation was in the second decade. The causes for childhood deafness were genetic (15.8%), embryopathies (10%), perinatal (10.8%) and postnatal problems (12.5%). In 50.6% cases it was aediopathic. Congenital syndromic abnormalities were found in 5.4% patients. In BSERA 21% patients were found to have residual hearing varying from 60 dB to 100dB. The positive predictive value of ART was found to be low (10.4%). Hence it was recommended that ART should not be used as screening tool for childhood deafness.

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Section: Discussionmentioning

confidence: 99%

Assessment of deafmute patients: a study of ten years

Singh

Gupta

Singla

2009

Indian J Otolaryngol Head Neck Surg

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“…The AR thresholds can be measured using both pure-tone and broadband (BBN) stimuli. Niemeyer and Sesterhenn (1974) found that the use of a BBN activator resulted in a lower reflex threshold than that obtained using pure tones. They suggested that the difference in dB between the two reflex thresholds was an indicator of loudness recruitment in ears with presumed sensorineural hearing losses.…”

Section: Sumariomentioning

confidence: 94%

High frequency immittance findings: Newborn versus six-week-old infants

Mazlan

Kei

Hickson

et al. 2007

International Journal of Audiology

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This study aimed to compare the high frequency (1 kHz) tympanometry (HFT) and acoustic reflex (AR) measures obtained from infants at birth and at 6-7 weeks of age. HFT results and AR thresholds using a 2-kHz tone and broadband noise activators were obtained from 42 healthy full-term neonates (15 boys and 27 girls) at both test sessions, separated by six weeks. The results showed that the mean values of HFT test parameters and AR thresholds obtained at 6-7 weeks were generally greater than those obtained at birth. In particular, the differences in mean values of uncompensated admittance at 200 daPa, uncompensated peak admittance, uncompensated peak susceptance, peak-compensated static admittance, and AR thresholds with a 2 kHz tone and broadband noise were found to be statistically significant. The findings from this study suggest the need to have separate sets of normative HFT and AR data for infants at birth and 6-7 weeks.

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“…However, there does not appear to be any acoustic reflex data published for this population that would substantiate these authors' claim. Because of the growing promise of predicting hearing sensitivity from acoustic reflex data (Niemeyer and Sesterhenn, 1974;Jerger et al, 1974a;Miller et al, 1976), especially with children who are diffi cult to test, we felt it important to verify the presence of the acoustic reflex in a population of children with cerebral palsy. We were especially interested in testing this population because the insult that causes cerebral palsy could cause possible damage to the acoustic reflex arc.…”

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confidence: 99%