Abstract
The aim of this study was to investigate the profile of transient evoked and distortion product otoacoustic emissions in patients of otosclerosis and to assess any change in otoacoustic emission profile after surgical intervention. This prospective study under tertiary referral centre setting included 31 patients suffering from otosclerosis, who underwent surgical intervention in the form of stapedotomy. Air-bone gap on pure tone audiometry, pre-operative profile and postoperative profile of transient evoked and distortion product otoacoustic emissions at 1 month and 3 months were the main outcome measures of the subjects. The patients demonstrated subjective improvement in hearing and significant closure of air-bone gap on pure tone audiometry. There was statistically significant improvement in amplitudes of both transient-evoked and distortion product emissions in the low frequency range, after surgery. Cochran’s Q test was applied to compare the statistical significances among preoperative values, 1 month values and 3 months values for the recorded otoacoustic emissions. It was observed that despite significant improvement in hearing, OAEs were not detected in all patients and correlation with behavioural thresholds was poor. As a result of these findings, the following conclusions can be drawn. The profile of otoacoustic emissions in patients of otosclerosis is variable and does not correlate with hearing thresholds. All patients showed improvement in amplitudes of OAEs after surgical intervention and there was further improvement between the followup profile at 1 month and 3 months, but this was not found to be statistically significant. However, further studies with larger number of patients of otosclerosis can perhaps establish baseline profile of the evoked OAEs and the effect of fixation of stapes on reverse transmission of OAEs.
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References
Brownell WE (1990) Outer hair cell electromotility and otoacoustic emissions. Ear Hear 11:82–92
Kemp DT (1986) Otoacoustic emissions, travelling waves and cochlear mechanics. Hear Res 22:95–104
Lonsbury-Martin BL, Whitehead ML, Martin GK (1991) The clinical application of otoacoustic emissions. J Speech Hear Res 34:964–981
Culpepper B (1997) Neonatal screening via evoked otoacoustic emissions. In: Robinette MS, Glattke TJ (eds) Otoacoustic emissions: clinical applications. Thieme, New York, pp 233–270
Hotz MA, Harris FP, Probst R (1994) Otoacoustic emissions: an approach for monitoring aminoglycoside-induced ototoxicity. Laryngoscope 104:1130–1134
Hotz MA, Probst R, Harris FP, Hauser R (1993) Monitoring the effect of noise exposure using transiently evoked otoacoustic emissions. Acta Otolaryngol 113:478–482
Lonsbury-Martin BL, Martin GK (1990) The clinical utility of distortion product otoacoustic emissions. Ear Hear 11:144–154
Probst R, Lonsbury-Martin BL, Martin GK (1991) A review of otoacoustic emissions. J Acoust Soc Am 89:2027–2067
Martin GK, Ohlms LA, Franklin DJ, Harris FP (1990) Distortion product emissions in humans III. Influence of sensorineural hearing loss. Ann Otol Rhinol Laryngol 99:30–42
Tilanus SC, Stenis DV, Snik AFM (1995) Otoacoustic emission measurements in evaluation of the immediate effect of ventilation tube insertion in children. Ann Otol Rhinol Laryngol 104:297–300
Shea JJ (1988) Thirty years of stapes surgery. J Laryngol Otol 102:14–19
Plinkert PK, Bootz F, Vojieck T (1994) Influence of static middle ear pressure on transiently evoked otoacoustic emissions and distortion products. Eur Arch Otorhinolaryngol 251(2):95–99
Lieberum B, Held B, Schrader M (1996) Otoacoustic emissions (TEOAE and DPOAE) after middle ear operation. Laryngorhinootol 75:18–22
Herzog M, Shehata-Dielers WE, Dieler R (2001) Transient evoked and distortion product otoacoustic emission following successful stapes surgery. Eur Arch Otorhinolaryngol 258:61–66
Rossi G, Solero P (1994) Evoked otoacoustic emission (EOAE) and bone conduction stimulation. Acta Otolaryngol 251:95–99
Filipo R, Attanasio G, Barbaro M, Viccaro M, Musacchio A (2007) Distortion product otoacoustic emission in otosclerosis: intraoperative findings. In: Arnold W, Hausler R (eds) Otosclerosis and stapes surgery. Advances in Otorhinolaryngology, vol 65, Karger, Basel, pp 133–136
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Singh, P.P., Gupta, N. & Verma, P. Transient Evoked and Distortion Product Otoacoustic Emission Profile in Patients of Otosclerosis: A Preliminary Report. Indian J Otolaryngol Head Neck Surg 64, 25–30 (2012). https://doi.org/10.1007/s12070-011-0148-3
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DOI: https://doi.org/10.1007/s12070-011-0148-3