Author : Jacob Pitaro
Publisher :
ISBN 13 :
Total Pages : pages
Book Rating : 4.:/5 (87 download)
Book Synopsis Wideband Measurements in Newborns by : Jacob Pitaro
Download or read book Wideband Measurements in Newborns written by Jacob Pitaro and published by . This book was released on 2013 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: "Introduction: Current newborn hearing screening include testing with otoacoustic emission and automated auditory brainstem response. Unfortunately, both tests are affected by the presence of material in the ear canal and middle ear such as vernix, meconium and amniotic fluid. The primary objective of this study was to perform wideband measurements and otoscopy on newborns in order to determine whether occlusion of the ear canal affects the wideband measurements. A secondary objective was to compare the wideband measurements obtained after birth to those taken at 14 to 28 days later. A third objective was to obtain additional wideband normative data in newborns. Materials and Methods: Newborns from a well-baby nursery were enrolled. Wideband measurements under both ambient and pressurized conditions and otoscopy were done immediately after the hearing screening and between 14 and 28 days later. Occlusion of the ear canal as seen on otoscopy was described on a scale of 0 to 100% in increments of 10.Results: A total of 156 babies were enrolled. On the first measurement, a statistically significant difference in reflectance was found between 0-70% and 80-100% occlusion groups and between 6 groups of frequencies between 250 Hz and 8 kHz. There was no significant difference in reflectance between the right and the left ears. A comparison of reflectance under pressurised conditions between the first and second measurements has shown a higher reflectance at the negative pressure region during the first few days of life. Conclusion: Significant increase in reflectance occurs when 70% to 80% of the ear-canal diameter is occluded. A trend of higher reflectance appears to be present when the canal is pressurized to negative values. A comparison of reflectance between the present study and previous studies is given." --