title: [Evoked otoacoustic emissions and their modification by contralateral acoustic stimulation].
abstract: The active vibration of the basilar membrane as well as evoked otoacoustic emissions (EOAE) are probably based on the motile properties of cochlear outer hair cells (OHC). In the present study we examined the effects of contralateral acoustic stimulation on ipsilateral EOAE and thereby the active cochlear micromechanics. Contralateral white noise with intensities below 30 dB HL enhanced the EOAE amplitude, whereas higher sound levels reduced the evoked acoustic emissions. Similar effects of contralateral acoustic stimuli on ipsilateral EOAE were observed in patients with a conductive hearing loss. However, the required sound levels were higher compared to probands with normal hearing. In controls with unilateral deaf patients white noise up to 60 dB HL did not alter the EOAE amplitude. We concluded, that in patients with normal hearing or unilateral conductive hearing loss, effects of contralateral acoustic stimulation on evoked ipsilateral sound emissions may be due to the activation of crossed olivo-cochlear efferents reaching the OHCs.
authors.affiliation: Universitäts-HNO-Klinik Tübingen.
authors.forename: P K
authors.initials: PK
authors.lastname: Plinkert
authors.forename: T
authors.initials: T
authors.lastname: Lenarz
mesh_terms: D000161:Acoustic Stimulation; D000328:Adult; D001306:Auditory Pathways / Q000503:physiopathology; D003055:Cochlear Microphonic Potentials / Q000502:physiology*; D003056:Cochlear Nerve / Q000503:physiopathology; D003638:Deafness / Q000503:physiopathology*; D004007:Dichotic Listening Tests; D004292:Dominance, Cerebral / Q000502:physiology*; D006314:Hearing Loss, Conductive / Q000503:physiopathology*; D006801:Humans; D008144:Loudness Perception / Q000502:physiology; D009847:Olivary Nucleus / Q000503:physiopathology
vernacular_title: Evozierte otoakustische Emissionen und ihre Beeinflussung durch kontralaterale akustische Stimulation.