[Application of distortion product otoacoustic emissions in detection of pseudohypacusis and exaggerated hearing loss].
OBJECTIVE
To explore the role of differential diagnosis of distortion product otoacoustic emissions (DPOAE) in pseudohypacusis and exaggerated hearing loss.


METHODS
Detection and analysis of DPOAE were made by ILO96 Otodynamics Analyzer in the patients complaining of post-traumatic hearing loss and in cooperative in pure tone threshold (PTT) examination.


RESULTS
The detective results of DPOAE in 102 patients (121 ears) in cooperative in PTT examination revealed that pseudohypacusis was 66.12% (80/121 ears), exaggerated hearing loss was 33.88% (41/121 ears). The reactive threshold value determined by auditory brainstem response (ABR) in these patients confirmed that the results of DPOAE were objective and reliable.


CONCLUSIONS
DPOAE can be used as a routine examination method in differential diagnosis of the post-traumatic hearing loss. It gives an objective and reliable diagnosis and differential diagnosis for the pseudohypacusis and exaggerated hearing loss.
Li
Fude
F
Department of Otorhinolaryngology, Tianjin First Central Hospital, Tianjin, 300192, China. li_fude@163.com
Liang
Ruimin
R
Chen
Chen
C
Song
Wei
W
D000293:Adolescent; D000328:Adult; D001301:Audiometry, Pure-Tone; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D034381:Hearing Loss / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017084:Otoacoustic Emissions, Spontaneous; D055815:Young Adult