title: Electrocochleography is more sensitive than distortion-product otoacoustic emission test for detecting noise-induced temporary threshold shift.
abstract: OBJECTIVE
  We investigated and compared the usefulness of the electrocochleography and distortion product otoacoustic emission tests for detecting the earliest noise-induced damage by analyzing the sensitivity and specificity of the 2 tests.
  
  
  METHODS
  A prospective study.
  
  
  METHODS
  After listening to music at 90.3 +/- 4.2 dB in the same night-club for 2 hours continuously, 23 healthy normal ears experienced a temporary threshold shift exceeding 5 dB. Pure-tone audiometry, the distortion product otoacoustic emission test, and electrocochleography were performed before, immediately after, and 24 hours after the exposure.
  
  
  RESULTS
  Before exposure, the measured distortion product/noise floor was 9.8 +/- 10.4, 23.5 +/- 6.4, 18.7 +/- 6.4, and 19.1 +/- 5.6 dB sound pressure level (SPL) at frequencies of 1, 2, 3, and 4 kHz, respectively. Immediately after exposure, it decreased significantly at 2, 3, and 4 kHz to 16.6 +/- 7.6, 12.5 +/- 6.8, and 14.8 +/- 7.7 dB SPL, respectively. Marked increases in the amplitude of the summating potential and summating potential/action potential ratio were recorded from 0.15 +/- 0.06 to 0.32 +/- 0.11 and 0.23 +/- 0.06 to 0.44 +/- 0.08, respectively. The respective sensitivity and specificity of electrocochleography were 76.7% to 88.5% and 91.0% to 100%. Those of the distortion product otoacoustic emission test were 54.8% to 62.2% and 75.5% to 87.0%, respectively.
  
  
  CONCLUSIONS
  Electrocochleography appears to provide more sensitive and specific information than the distortion product otoacoustic emission test for detecting a noise-induced temporary threshold shift.
authors.affiliation: Department of Speech Pathology and Audiology, College of Natural Science, Hallym University, Chunchon, Korea.
authors.forename: Jin Sook
authors.initials: JS
authors.lastname: Kim
authors.forename: Eui-Cheol
authors.initials: EC
authors.lastname: Nam
authors.forename: Sung Il
authors.initials: SI
authors.lastname: Park
mesh_terms: D000328:Adult; D001300:Audiometry, Evoked Response; D001301:Audiometry, Pure-Tone; D001305:Auditory Fatigue; D005260:Female; D006801:Humans; D008297:Male; D009622:Noise; D017084:Otoacoustic Emissions, Spontaneous; D012016:Reference Values; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity