title: A longitudinal study of distortion product otoacoustic emission ipsilateral suppression and input/output characteristics in human neonates.
abstract: Past work has shown that distortion product otoacoustic emission (DPOAE) (2f1-f2) ipsilateral suppression and input/output (I/O) characteristics are not adult-like in prematurely born neonates [Abdala, J. Acoust. Soc. Am. 110, 1465-1476 (2001)]. These age differences are most pronounced at f2 = 6000 Hz and have been interpreted to indicate a subtle immaturity in human cochlear function prior to term birth. It is still not clear, however, whether term-born neonates are completely adult-like in cochlear function. To study this question, DPOAE suppression and I/O functions for f2 = 6000 Hz were measured in a group of prematurely born neonates at weekly intervals over a period of 7-8-weeks, a group of normal-hearing adults, and during a one-time test session in a group of term-born neonates. Results show that there was no significant change in suppression tuning, suppression growth, and various I/O characteristics across test session for premature neonates, but there was an age-group effect; even once prematurely born neonates reached the equivalence of term-like status (38-40-weeks postconceptional weeks), they continued to show narrower suppression tuning than adults, shallower suppression growth for low-frequency side suppressor tones, and an elevated amplitude saturation plateau on the I/O function. Term-born neonates showed DPOAE results that were comparable to those measured from premature neonates and unlike adult findings. These results suggest that a subtle immaturity in cochlear function persists into the postnatal period.
authors.affiliation: Children's Auditory Research and Evaluation Center, House Ear Institute, 2100 West Third Street, Los Angeles, California 90057, USA. cabdala@hei.org
authors.forename: Carolina
authors.initials: C
authors.lastname: Abdala
mesh_terms: D000328:Adult; D003051:Cochlea / Q000254:growth & development; D005260:Female; D007839:Functional Laterality / Q000502:physiology; D005865:Gestational Age; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature / Q000502:physiology*; D008137:Longitudinal Studies; D008297:Male; D017084:Otoacoustic Emissions, Spontaneous / Q000502:physiology*; D012016:Reference Values; D012815:Signal Processing, Computer-Assisted / Q000295:instrumentation*; D013018:Sound Spectrography; D014159:Transducers