Wideband Acoustic Immittance in Children with Down Syndrome: Prediction of Middle-ear Dysfunction, Conductive Hearing Loss and Patent PE Tubes

Overview

Journal Int J Audiol

Publisher Informa Healthcare

Specialty Otorhinolaryngology

Date 2017 Apr 25

PMID 28434272

Citations 7

Authors

Lisa L Hunter

Douglas H Keefe

M Patrick Feeney

David K Brown

Jareen Meinzen-Derr

Alaaeldin M Elsayed

Julia M Amann

Vairavan Manickam

Denis Fitzpatrick

Sally R Shott

Affiliations

Soon will be listed here.

Abstract

Objective: The purpose of this study was to evaluate pressurised wideband acoustic immittance (WAI) tests in children with Down syndrome (DS) and in typically developing children (TD) for prediction of conductive hearing loss (CHL) and patency of pressure equalising tubes (PETs).

Design: Audiologic diagnosis was determined by audiometry in combination with distortion-product otoacoustic emissions, 0.226 kHz tympanometry and otoscopy. WAI results were compared for ears within diagnostic categories (Normal, CHL and PET) and between groups (TD and DS).

Study Sample: Children with DS (n = 40; mean age 6.4 years), and TD children (n = 48; mean age 5.1 years) were included.

Results: Wideband absorbance was significantly lower at 1-4 kHz in ears with CHL compared to NH for both TD and DS groups. In ears with patent PETs, wideband absorbance and group delay (GD) were larger than in ears without PETs between 0.25 and 1.5 kHz. Wideband absorbance tests were performed similarly for prediction of CHL and patent PETs in TD and DS groups.

Conclusions: Wideband absorbance and GD revealed specific patterns in both TD children and those with DS that can assist in detection of the presence of significant CHL, assess the patency of PETs, and provide frequency-specific information in the audiometric range.

Citing Articles

Wideband Acoustic Immittance in Children.

Shahnaz N, Aithal S, Bargen G Semin Hear. 2023; 44(1):46-64.

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Middle ear pathologies in children living with HIV: A scoping review.

Sebothoma B, Maluleke M S Afr J Commun Disord. 2022; 69(1):e1-e7.

PMID: 36453796 PMC: 9724139. DOI: 10.4102/sajcd.v69i1.934.

Observational Study to Preliminarily Characterize the Audiological Profile of Children With Down Syndrome.

Porter H, Buss E, Merchant G, Leibold L J Speech Lang Hear Res. 2022; 65(11):4498-4506.

PMID: 36179216 PMC: 9940888. DOI: 10.1044/2022_JSLHR-22-00023.

Preserving Wideband Tympanometry Information With Artifact Mitigation.

Eberhard K, Ravicz M, Merchant G, Masud S, Maison S, Neely S Ear Hear. 2021; 43(2):563-576.

PMID: 34387582 PMC: 8855961. DOI: 10.1097/AUD.0000000000001117.

Peripheral Auditory Involvement in Childhood Listening Difficulty.

Hunter L, Blankenship C, Lin L, Sloat N, Perdew A, Stewart H Ear Hear. 2020; 42(1):29-41.

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