메니에르병 환자에서 변조이음향방사 잠복기에 관한 연구 |
이미숙1, 장현숙2, 문고정3, 서용규4 |
1한림대학교 일반대학원 언어청각학전공 2한림대학교 자연과학대학 언어청각학부 3분당제생병원 이비인후과 4가야대학교 언어치료청각학과 |
The Latency of Distortion Product Otoacoustic Emissions
in Patients with Meniere’s Disease |
Mee-Sook Lee1, Hyun-Sook Jang2, Ko-Jung Moon3, Yong-Gyu Seo4 |
1Graduate Program in Audiology, Chunchon, Korea 2Section of Audiology, Audiology and Speech Pathology, Chunchon, Korea 3Department of Otolaryngology, Bundang Jaesaeng Hospital, Bundang, Korea 4Speech Language Pathology & Audiology, Kaya University, Kimhae, Korea |
Correspondence |
Mee-Sook Lee ,Tel: (019) 671-3589, Fax: (055) 330-1038, Email: zzanfms@hanmail.net
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Received: July 23, 2006; Accepted: September 10, 2006. Published online: December 31, 2006. |
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ABSTRACT |
Meniere’s disease is a disease of membranous inner ear characterized by deafness, vertigo and usually tinnitus and has as its pathologic
correlate hydropic disease of the endolymphatic hydrops. There is no test that conclusively establishes the diagnosis of Meniere’s
disease. As part of a diagnostic protocol, EcochG (SP/AP ratio) test has been proposed as a viable objective test. Otoacoustic emission
(OAEs) originate from very specific location in the cochlea are closely linked to the function of outer hair cells. Thus, the
latency and amplitude of Distortion Product Otoacoustic Emission (DPOAEs), afford valuable information about cochlear processes
such as study of traveling wave propagation. However, most DPOAE studies deal with amplitude aspect. In this study, investigate the
DPOAE latency between normal hearing group and patients with Meniere’s disease group verify it’s statistical significance.
DPOAEs latency for 25 patients (7 male and 18 female) with unilateral Meniere’s disease diagnosed patients were analyzed in this
study. The patients ranged in age from 20-66 (mean 37.9 years) In all ears with pure tone threshold better than 30dBHL from 500
Hz to 8 kHz. The result were as follow: SOAEs were present in 17 of the 25 Meniere’s disease ears (68%) among the 17 ears with
SOAEs the number of emission per varied from one to five, and they were distributed in the range of 903-6,067 Hz, levels ranged
from -22.0 to 0.7 dBSPL. The prevalence of SOAEs in the Meniere’s disease ear tended to be greater than in the normal ear. The
latency decreased as frequency increases up to 8 kHz for both in patients with Meniere’s disease and control groups. The mean value
of DPOAE latency for normal ears was significant prolonged than that of ears with Meniere’s disease ears in 1 kHz, 2 kHz (p<.05).
There was no gender effect for all frequencies (p>.05). There was no significant relationship between DPOAE latency and presence
of SOAEs in patients with Meniere’s disease. |
Key Words:
DPOAEs·SOAEs·Meniere’s disease. |
중심단어:
변조이음향방사· 자발이음향방사· 메니에르질환. |
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