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Otoakustische Emissionen (OAE)

  • Chapter
Objektive Audiometrie im Kindesalter

Zusammenfassung

Das Kapitel beschreibt die praktische Messung der otoakustischen Emissionen (OAE) sowie ihre Bewertung und audiologische Interpretation, in Bezug sowohl auf die von linearen Anteilen bereinigten transitorisch (mit Klick-Reizen) evozierten OAE (TEOAE) als auch auf die auf nichtlinearen Verzerrungen des Innenohres beruhenden otoakustischen Distorsionsprodukte (DPOAE). Breiten Raum nimmt die Beurteilung der Messbedingungen in Bezug auf Sondenlage und Störsignaleinfluss ein. Mit Hilfe der Begriffe Stabilität, Restrauschen, Reproduzierbarkeit und Signal/Rausch-Verhältnis gelingt die Unterscheidung zwischen objektiv abwesenden Reizantworten und solchen, die sich dem Nachweis entziehen. Der in Screening-Geräten angewendete automatische Signalnachweis beruht auf signalstatistischen Verfahren, die auf eine hohe Sensitivität getrimmt sind. Frequenzspezifität und Wachstumsfunktionen werden diskutiert, ebenso wie die auf der efferenten Steuerung der Haarzellen beruhende und bei der Erkennung bestimmter Funktionsstörungen sehr aufschlussreiche kontralaterale Suppression der OAE durch kontralaterale akustische Stimulation.

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Authors and Affiliations

  1. Audiologie und Pädaudiologie, Uniklinik Köln; Klinik für HNO-Heilkunde, Kopf- und Hals-Chirurgie, Kerpener Str. 62, 50937, Köln, Deutschland

    M. Walger Prof. Dr. rer. nat.

  2. Funktionsbereich Audiologie, Univ.-HNO-Klinik Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Deutschland

    S. Hoth Prof. Dr. rer. nat.

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  1. M. Walger Prof. Dr. rer. nat.
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Walger, M., Hoth, S. (2014). Otoakustische Emissionen (OAE). In: Objektive Audiometrie im Kindesalter. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-44936-9_4

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