Acoustic reflectometry for assessment of hearing loss in children with middle ear effusion
We sought associations between acoustic reflectometry and hearing loss in ears with and without middle ear effusion in 137 New Zealand children ages 3 to 16 years. Reflectometry was significantly associated with conductive hearing loss. These associations were present in the entire sample; correlati...
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| Veröffentlicht in: | The Pediatric infectious disease journal 1990-12, Vol.9 (12), p.870-872 |
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| container_end_page | 872 |
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| container_issue | 12 |
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| container_title | The Pediatric infectious disease journal |
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| creator | TEELE, DAVID W STEWART, IAN A TEELE, JOHN H SMITH, DALE K TREGONNING, SIMON J |
| description | We sought associations between acoustic reflectometry and hearing loss in ears with and without middle ear effusion in 137 New Zealand children ages 3 to 16 years. Reflectometry was significantly associated with conductive hearing loss. These associations were present in the entire sample; correlation coefficients varied between 0.31 at 2000 Hz (P < 0.001) and 0.55 for a three frequency pure tone average (P < 0.001). The associations persisted for the sample of ears deemed to be filled entirely by effusion; correlation coefficients varied between 0.27 at 4000 Hz (P = 0.026) and 0.47 at 500 Hz (P < 0.001). Using a reflectivity of 6.0 or greater to detect a three frequency pure tone average loss of 30 dB or more, the sensitivity was 88% and the specificity was 44%. The technique of acoustic reflectometry should be explored and extended to permit rational decisions about management of middle ear effusions. |
| doi_str_mv | 10.1097/00006454-199012000-00002 |
| format | Article |
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Reflectometry was significantly associated with conductive hearing loss. These associations were present in the entire sample; correlation coefficients varied between 0.31 at 2000 Hz (P < 0.001) and 0.55 for a three frequency pure tone average (P < 0.001). The associations persisted for the sample of ears deemed to be filled entirely by effusion; correlation coefficients varied between 0.27 at 4000 Hz (P = 0.026) and 0.47 at 500 Hz (P < 0.001). Using a reflectivity of 6.0 or greater to detect a three frequency pure tone average loss of 30 dB or more, the sensitivity was 88% and the specificity was 44%. The technique of acoustic reflectometry should be explored and extended to permit rational decisions about management of middle ear effusions.</description><identifier>ISSN: 0891-3668</identifier><identifier>EISSN: 1532-0987</identifier><identifier>DOI: 10.1097/00006454-199012000-00002</identifier><identifier>PMID: 2277742</identifier><identifier>CODEN: PIDJEV</identifier><language>eng</language><publisher>Baltimore, MD: Williams & Wilkins</publisher><subject>Adolescent ; Audiometry, Pure-Tone ; Biological and medical sciences ; Child ; Child, Preschool ; Female ; Hearing Loss, Conductive - diagnosis ; Hearing Loss, Conductive - etiology ; Hearing Tests - methods ; Humans ; Male ; Medical sciences ; Otitis Media with Effusion - complications ; Otorhinolaryngology. Stomatology ; Predictive Value of Tests ; Reflex, Acoustic ; Regression Analysis</subject><ispartof>The Pediatric infectious disease journal, 1990-12, Vol.9 (12), p.870-872</ispartof><rights>Williams & Wilkins 1990. All Rights Reserved.</rights><rights>1992 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3842-e9275f9b7a4828ad00a5a609dbda9760eb0ddeb3bd81df3064427e42038792833</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5561492$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2277742$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>TEELE, DAVID W</creatorcontrib><creatorcontrib>STEWART, IAN A</creatorcontrib><creatorcontrib>TEELE, JOHN H</creatorcontrib><creatorcontrib>SMITH, DALE K</creatorcontrib><creatorcontrib>TREGONNING, SIMON J</creatorcontrib><title>Acoustic reflectometry for assessment of hearing loss in children with middle ear effusion</title><title>The Pediatric infectious disease journal</title><addtitle>Pediatr Infect Dis J</addtitle><description>We sought associations between acoustic reflectometry and hearing loss in ears with and without middle ear effusion in 137 New Zealand children ages 3 to 16 years. Reflectometry was significantly associated with conductive hearing loss. These associations were present in the entire sample; correlation coefficients varied between 0.31 at 2000 Hz (P < 0.001) and 0.55 for a three frequency pure tone average (P < 0.001). The associations persisted for the sample of ears deemed to be filled entirely by effusion; correlation coefficients varied between 0.27 at 4000 Hz (P = 0.026) and 0.47 at 500 Hz (P < 0.001). Using a reflectivity of 6.0 or greater to detect a three frequency pure tone average loss of 30 dB or more, the sensitivity was 88% and the specificity was 44%. The technique of acoustic reflectometry should be explored and extended to permit rational decisions about management of middle ear effusions.</description><subject>Adolescent</subject><subject>Audiometry, Pure-Tone</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Hearing Loss, Conductive - diagnosis</subject><subject>Hearing Loss, Conductive - etiology</subject><subject>Hearing Tests - methods</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Otitis Media with Effusion - complications</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Predictive Value of Tests</subject><subject>Reflex, Acoustic</subject><subject>Regression Analysis</subject><issn>0891-3668</issn><issn>1532-0987</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU2PFCEQhonRrOPqTzDhYLy1Fh_dwHGzcdVkEy968UJoKByU7l6hO5P99zLOODe5EKqegrwPhFAG7xgY9R7aGmQvO2YMMN5O3bHEn5Ad6wXvwGj1lOxAG9aJYdDPyYtafzZCSAZX5IpzpZTkO_L9xi9bXZOnBWNGvy4TruWRxqVQVyvWOuG80iXSPbqS5h80L7XSNFO_TzkUnOkhrXs6pRAy0sZQjHGraZlfkmfR5Yqvzvs1-Xb34evtp-7-y8fPtzf3nRda8g4NV300o3JSc-0CgOvdACaMwRk1AI4QAo5iDJqFKFpsyRVKDkIrw7UQ1-Tt6d6HsvzesK52StVjzm7Gls1q4AIEqAbqE-hLy9Dy2oeSJlceLQN71Gr_abUXrX9LvI2-Pr-xjROGy-DZY-u_Ofdd9S7H4maf6gXr-4FJc8TkCTssecVSf-XtgMU2tXnd2_99qvgDpzqPOQ</recordid><startdate>199012</startdate><enddate>199012</enddate><creator>TEELE, DAVID W</creator><creator>STEWART, IAN A</creator><creator>TEELE, JOHN H</creator><creator>SMITH, DALE K</creator><creator>TREGONNING, SIMON J</creator><general>Williams & Wilkins</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199012</creationdate><title>Acoustic reflectometry for assessment of hearing loss in children with middle ear effusion</title><author>TEELE, DAVID W ; STEWART, IAN A ; TEELE, JOHN H ; SMITH, DALE K ; TREGONNING, SIMON J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3842-e9275f9b7a4828ad00a5a609dbda9760eb0ddeb3bd81df3064427e42038792833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Adolescent</topic><topic>Audiometry, Pure-Tone</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Hearing Loss, Conductive - diagnosis</topic><topic>Hearing Loss, Conductive - etiology</topic><topic>Hearing Tests - methods</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Otitis Media with Effusion - complications</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Predictive Value of Tests</topic><topic>Reflex, Acoustic</topic><topic>Regression Analysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>TEELE, DAVID W</creatorcontrib><creatorcontrib>STEWART, IAN A</creatorcontrib><creatorcontrib>TEELE, JOHN H</creatorcontrib><creatorcontrib>SMITH, DALE K</creatorcontrib><creatorcontrib>TREGONNING, SIMON J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Pediatric infectious disease journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>TEELE, DAVID W</au><au>STEWART, IAN A</au><au>TEELE, JOHN H</au><au>SMITH, DALE K</au><au>TREGONNING, SIMON J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acoustic reflectometry for assessment of hearing loss in children with middle ear effusion</atitle><jtitle>The Pediatric infectious disease journal</jtitle><addtitle>Pediatr Infect Dis J</addtitle><date>1990-12</date><risdate>1990</risdate><volume>9</volume><issue>12</issue><spage>870</spage><epage>872</epage><pages>870-872</pages><issn>0891-3668</issn><eissn>1532-0987</eissn><coden>PIDJEV</coden><abstract>We sought associations between acoustic reflectometry and hearing loss in ears with and without middle ear effusion in 137 New Zealand children ages 3 to 16 years. Reflectometry was significantly associated with conductive hearing loss. These associations were present in the entire sample; correlation coefficients varied between 0.31 at 2000 Hz (P < 0.001) and 0.55 for a three frequency pure tone average (P < 0.001). The associations persisted for the sample of ears deemed to be filled entirely by effusion; correlation coefficients varied between 0.27 at 4000 Hz (P = 0.026) and 0.47 at 500 Hz (P < 0.001). Using a reflectivity of 6.0 or greater to detect a three frequency pure tone average loss of 30 dB or more, the sensitivity was 88% and the specificity was 44%. The technique of acoustic reflectometry should be explored and extended to permit rational decisions about management of middle ear effusions.</abstract><cop>Baltimore, MD</cop><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>Williams & Wilkins</pub><pmid>2277742</pmid><doi>10.1097/00006454-199012000-00002</doi><tpages>3</tpages></addata></record> |
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| identifier | ISSN: 0891-3668 |
| ispartof | The Pediatric infectious disease journal, 1990-12, Vol.9 (12), p.870-872 |
| issn | 0891-3668 1532-0987 |
| language | eng |
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| subjects | Adolescent Audiometry, Pure-Tone Biological and medical sciences Child Child, Preschool Female Hearing Loss, Conductive - diagnosis Hearing Loss, Conductive - etiology Hearing Tests - methods Humans Male Medical sciences Otitis Media with Effusion - complications Otorhinolaryngology. Stomatology Predictive Value of Tests Reflex, Acoustic Regression Analysis |
| title | Acoustic reflectometry for assessment of hearing loss in children with middle ear effusion |
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