title: Frequency-specific information from click evoked otoacoustic emissions in noise-induced hearing loss.
abstract: Click evoked otoacoustic emissions (CEOAEs), pure-tone audiograms (PTAs), and Bekesy sweep frequency audiograms were recorded from 15 ears of 11 subjects with noise-induced hearing loss. For all ears, hearing threshold levels > or = 30 dB HL were found at the high frequencies. The aims of the study were to examine whether the decomposition of CEOAEs into narrow band components could identify hearing loss in a frequency-specific manner and to what extent audiometric thresholds could be predicted. CEOAEs were parcelled into 0.5-kHz-wide components by means of the wavelet transform. Reproducibility of CEOAE components was compared with audiometric threshold at corresponding frequencies. A general trend of low reproducibility for increasing audiometric thresholds was found. A reproducibility value of 60 per cent was found to best separate normal and elevated thresholds. The presence of a CEOAE component at a given frequency was always associated with audiometric thresholds < or = 20-25 dB HL. On the other hand, the absence of a component was equally associated either with normal or abnormal hearing levels. Large inter-subject variability was observed. A weak linear relationship was found between reproducibility and audiometric thresholds at corresponding frequencies, indicating that analysis of narrow band CEOAE components is valuable for separating normal from hearing-impaired ears but cannot replace the audiogram.
authors.affiliation: Department of Biomedical Engineering, Polytechnic of Milan, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Tognola
authors.forename: F
authors.initials: F
authors.lastname: Grandori
authors.forename: P
authors.initials: P
authors.lastname: Avan
authors.forename: P
authors.initials: P
authors.lastname: Ravazzani
authors.forename: P
authors.initials: P
authors.lastname: Bonfils
mesh_terms: D000161:Acoustic Stimulation / Q000379:methods*; D000328:Adult; D001301:Audiometry, Pure-Tone / Q000379:methods; D001309:Auditory Threshold / Q000502:physiology; D003051:Cochlea / Q000502:physiology; D006317:Hearing Loss, Noise-Induced / Q000175:diagnosis*; D006801:Humans; D008875:Middle Aged; D008954:Models, Biological; D017084:Otoacoustic Emissions, Spontaneous / Q000502:physiology*