Pediatric applications of wideband acoustic immittance measures

Hunter, Lisa L., Prieve, Beth A., Kei, Joseph and Sanford, Chris A. (2013) Pediatric applications of wideband acoustic immittance measures. Ear and Hearing, 34 SUPPL. 1: S36-S42. doi:10.1097/AUD.0b013e31829d5158

Author Hunter, Lisa L.
Prieve, Beth A.
Kei, Joseph
Sanford, Chris A.
Title Pediatric applications of wideband acoustic immittance measures
Journal name Ear and Hearing   Check publisher's open access policy
ISSN 0196-0202
Publication date 2013-07-01
Sub-type Article (original research)
DOI 10.1097/AUD.0b013e31829d5158
Volume 34
Issue SUPPL. 1
Start page S36
End page S42
Total pages 7
Place of publication Philadelphia, PA, United States
Publisher Lippincott Williams & Wilkins
Language eng
Abstract Wideband acoustic immittance (WAI) measures have potential capability to improve newborn hearing screening outcomes and middle ear diagnosis for infants and children. To fully capitalize on these immittance measures for pediatric hearing care, developmental and pathologic effects need to be fully understood. Published literature on wideband immittance (reflectance, absorbance, tympanometry, and acoustic reflexes) is reviewed in this article to determine pathologic effects in newborns, infants, and children relative to standard audiologic tests such as otoacoustic emissions (OAEs), standard tympanometry, air and bone conduction auditory brainstem response, and otoscopy. Infants and children with surgically confirmed otitis media with effusion have lower absorbance in the mid-frequency range (1 to 3 kHz) for the affected ear(s). Newborns that do not pass OAE screening at birth also have lower absorbance for frequencies from 1 to 3 kHz, suggesting that nonpass results are frequently associated with middle ear issues at birth. In Newborn Hearing Screening Programs, WAI may help to interpret hearing screening results. Conclusions are limited by the fact that the true status of the middle ear and cochlea are not known for newborns and infants in studies that use OAE or tympanometry as the reference standard. Likelihood ratios for reflectance against surgery gold standards range from diagnostically suggestive to informative. Although some of the results are promising, limited evidence and methodological considerations restrict the conclusions that can be drawn regarding the diagnostic accuracy of WAI technologies in infants and children. Additional investigations using stronger gold standard comparisons are needed to determine which tools can most accurately predict middle ear status in the pediatric population.
Keyword Conductive Hearing-Loss
Middle-Ear Disorders
Energy Reflectance
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Health and Rehabilitation Sciences Publications
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Citation counts: TR Web of Science Citation Count  Cited 9 times in Thomson Reuters Web of Science Article | Citations
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