Detecting Intralabyrinthine Pressure Increase by Postural Manipulation with Wideband Tympanometry and Distortion Product Otoacoustic Emissions
Intracranial pressure increase is known to affect inner ear pressure through the cochlear and vestibular aqueducts. This finding forms a good model for inner ear pressure studies. Standard techniques used to detect this pressure increase are neither reliable nor easily repeatable or cheap. Studies w...
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| Veröffentlicht in: | Turkish Archives of Otorhinolaryngology 2020-12, Vol.58 (4), p.203-207 |
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| container_title | Turkish Archives of Otorhinolaryngology |
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| creator | Yücel, Emrah Ardıç, Fazıl Necdet Tümkaya, Funda Kara, Cüneyt Orhan Topuz, Bülent |
| description | Intracranial pressure increase is known to affect inner ear pressure through the cochlear and vestibular aqueducts. This finding forms a good model for inner ear pressure studies. Standard techniques used to detect this pressure increase are neither reliable nor easily repeatable or cheap. Studies with immitancemetry and otoacoustic emissions have been giving hopeful results. This study aims to confirm the results in the literature with wideband tympanometry and add a new parameter of otoacoustic emissions to inner ear pressure testing.
Wideband tympanometry (WBT) and distortion product otoacoustic emissions (DPOAE) tests were applied to 40 healthy participants in sitting, supine, and Trendelenburg positions. DPOAE were measured under ambient or peak pressure. Resonance frequency, tympanic peak pressure, 1000, 1500, 2000, 3000, 4000, and 6000 Hz frequencies in DPOAE were measured.
The increase in the tympanic peak pressure and the decrease in resonance frequency (RF) due to position change were found statistically significant (p |
| doi_str_mv | 10.5152/tao.2020.5530 |
| format | Article |
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Wideband tympanometry (WBT) and distortion product otoacoustic emissions (DPOAE) tests were applied to 40 healthy participants in sitting, supine, and Trendelenburg positions. DPOAE were measured under ambient or peak pressure. Resonance frequency, tympanic peak pressure, 1000, 1500, 2000, 3000, 4000, and 6000 Hz frequencies in DPOAE were measured.
The increase in the tympanic peak pressure and the decrease in resonance frequency (RF) due to position change were found statistically significant (p<0.01). Signal noise ratio (SNR) decrease at 1 kHz frequency and SNR increase at 2, 3, 6 kHz in the normal protocol, SNR decrease at 1 kHz in the pressurized protocol were found statistically significant (p<0.01).
RF in WBT and 1 kHz DPOAE SNR parameters were found useful in supporting the diagnosis in pathologies that increase intracranial pressure and inner ear pressure. Future research may ease their widespread use in clinical practice as they are non-invasive and rapidly applicable.</description><identifier>ISSN: 2667-7466</identifier><identifier>ISSN: 2667-7474</identifier><identifier>EISSN: 2667-7474</identifier><identifier>DOI: 10.5152/tao.2020.5530</identifier><identifier>PMID: 33554193</identifier><language>eng</language><publisher>Turkey: Turkish Otorhinolaryngology Head and Neck Surgery Society</publisher><subject>inner ear ; intracranial pressure ; Original Investigation ; otoacoustic emission ; resonance frequency analysis ; tympanometry</subject><ispartof>Turkish Archives of Otorhinolaryngology, 2020-12, Vol.58 (4), p.203-207</ispartof><rights>Copyright 2020 by Official Journal of the Turkish Society of Otorhinolaryngology and Head and Neck Surgery.</rights><rights>Copyright 2020 by Official Journal of the Turkish Society of Otorhinolaryngology and Head and Neck Surgery 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c450t-35cb73bb6667ac7ffe907e816ac09fe848493d009152cec7d96629e616dabc03</citedby><orcidid>0000-0002-3213-8106 ; 0000-0003-4230-3141 ; 0000-0003-0819-6135 ; 0000-0001-7895-6190 ; 0000-0003-2219-4283</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7846309/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7846309/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33554193$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yücel, Emrah</creatorcontrib><creatorcontrib>Ardıç, Fazıl Necdet</creatorcontrib><creatorcontrib>Tümkaya, Funda</creatorcontrib><creatorcontrib>Kara, Cüneyt Orhan</creatorcontrib><creatorcontrib>Topuz, Bülent</creatorcontrib><creatorcontrib>Department of Otolaryngology, Pamukkale University School of Medicine, Denizli, Turkey</creatorcontrib><title>Detecting Intralabyrinthine Pressure Increase by Postural Manipulation with Wideband Tympanometry and Distortion Product Otoacoustic Emissions</title><title>Turkish Archives of Otorhinolaryngology</title><addtitle>Turk Arch Otorhinolaryngol</addtitle><description>Intracranial pressure increase is known to affect inner ear pressure through the cochlear and vestibular aqueducts. This finding forms a good model for inner ear pressure studies. Standard techniques used to detect this pressure increase are neither reliable nor easily repeatable or cheap. Studies with immitancemetry and otoacoustic emissions have been giving hopeful results. This study aims to confirm the results in the literature with wideband tympanometry and add a new parameter of otoacoustic emissions to inner ear pressure testing.
Wideband tympanometry (WBT) and distortion product otoacoustic emissions (DPOAE) tests were applied to 40 healthy participants in sitting, supine, and Trendelenburg positions. DPOAE were measured under ambient or peak pressure. Resonance frequency, tympanic peak pressure, 1000, 1500, 2000, 3000, 4000, and 6000 Hz frequencies in DPOAE were measured.
The increase in the tympanic peak pressure and the decrease in resonance frequency (RF) due to position change were found statistically significant (p<0.01). Signal noise ratio (SNR) decrease at 1 kHz frequency and SNR increase at 2, 3, 6 kHz in the normal protocol, SNR decrease at 1 kHz in the pressurized protocol were found statistically significant (p<0.01).
RF in WBT and 1 kHz DPOAE SNR parameters were found useful in supporting the diagnosis in pathologies that increase intracranial pressure and inner ear pressure. Future research may ease their widespread use in clinical practice as they are non-invasive and rapidly applicable.</description><subject>inner ear</subject><subject>intracranial pressure</subject><subject>Original Investigation</subject><subject>otoacoustic emission</subject><subject>resonance frequency analysis</subject><subject>tympanometry</subject><issn>2667-7466</issn><issn>2667-7474</issn><issn>2667-7474</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVkcFu3CAQhq2oVRKlOfZa8QJOscFgXypVSZqulCp7WKlHNIZhl2htVoBb-SX6zGF3k1VzAub_-QbmL4rPFb1pqqb-msDf1LTOp4bRs-KyFkKWkkv-4bQX4qK4jvGZUlpXsqK8Oi8uGGsaXnXssvh3hwl1cuOaLMYUYAv9HNyYNm5EsgwY4xQwSzogRCT9TJY-pikbyS8Y3W7aQnJ-JH9d2pDfzmAPoyGredjB6AdMYSb7wp2LyYeDcxm8mXQiT8mD9lNMTpP7wcWYxfip-GhhG_H6db0qVj_uV7c_y8enh8Xt98dS84amkjW6l6zvRf4jaGktdlRiWwnQtLPY8pZ3zFDa5SFp1NJ0QtQdikoY6DVlV8XiiDUentUuuAHCrDw4dSj4sFaQX6u3qBrDhKCiQdoKbm3bMosaWMetMYwJnlnfjqzd1A9oNB7G-A76XhndRq39HyVbLhjtMqA8AnTwMQa0p7sVVfuYVY5Z7WNW-5iz_8v_DU_ut1DZCy07qL8</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Yücel, Emrah</creator><creator>Ardıç, Fazıl Necdet</creator><creator>Tümkaya, Funda</creator><creator>Kara, Cüneyt Orhan</creator><creator>Topuz, Bülent</creator><general>Turkish Otorhinolaryngology Head and Neck Surgery Society</general><general>Galenos Yayincilik</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-3213-8106</orcidid><orcidid>https://orcid.org/0000-0003-4230-3141</orcidid><orcidid>https://orcid.org/0000-0003-0819-6135</orcidid><orcidid>https://orcid.org/0000-0001-7895-6190</orcidid><orcidid>https://orcid.org/0000-0003-2219-4283</orcidid></search><sort><creationdate>20201201</creationdate><title>Detecting Intralabyrinthine Pressure Increase by Postural Manipulation with Wideband Tympanometry and Distortion Product Otoacoustic Emissions</title><author>Yücel, Emrah ; Ardıç, Fazıl Necdet ; Tümkaya, Funda ; Kara, Cüneyt Orhan ; Topuz, Bülent</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c450t-35cb73bb6667ac7ffe907e816ac09fe848493d009152cec7d96629e616dabc03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>inner ear</topic><topic>intracranial pressure</topic><topic>Original Investigation</topic><topic>otoacoustic emission</topic><topic>resonance frequency analysis</topic><topic>tympanometry</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yücel, Emrah</creatorcontrib><creatorcontrib>Ardıç, Fazıl Necdet</creatorcontrib><creatorcontrib>Tümkaya, Funda</creatorcontrib><creatorcontrib>Kara, Cüneyt Orhan</creatorcontrib><creatorcontrib>Topuz, Bülent</creatorcontrib><creatorcontrib>Department of Otolaryngology, Pamukkale University School of Medicine, Denizli, Turkey</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Turkish Archives of Otorhinolaryngology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yücel, Emrah</au><au>Ardıç, Fazıl Necdet</au><au>Tümkaya, Funda</au><au>Kara, Cüneyt Orhan</au><au>Topuz, Bülent</au><aucorp>Department of Otolaryngology, Pamukkale University School of Medicine, Denizli, Turkey</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Detecting Intralabyrinthine Pressure Increase by Postural Manipulation with Wideband Tympanometry and Distortion Product Otoacoustic Emissions</atitle><jtitle>Turkish Archives of Otorhinolaryngology</jtitle><addtitle>Turk Arch Otorhinolaryngol</addtitle><date>2020-12-01</date><risdate>2020</risdate><volume>58</volume><issue>4</issue><spage>203</spage><epage>207</epage><pages>203-207</pages><issn>2667-7466</issn><issn>2667-7474</issn><eissn>2667-7474</eissn><abstract>Intracranial pressure increase is known to affect inner ear pressure through the cochlear and vestibular aqueducts. This finding forms a good model for inner ear pressure studies. Standard techniques used to detect this pressure increase are neither reliable nor easily repeatable or cheap. Studies with immitancemetry and otoacoustic emissions have been giving hopeful results. This study aims to confirm the results in the literature with wideband tympanometry and add a new parameter of otoacoustic emissions to inner ear pressure testing.
Wideband tympanometry (WBT) and distortion product otoacoustic emissions (DPOAE) tests were applied to 40 healthy participants in sitting, supine, and Trendelenburg positions. DPOAE were measured under ambient or peak pressure. Resonance frequency, tympanic peak pressure, 1000, 1500, 2000, 3000, 4000, and 6000 Hz frequencies in DPOAE were measured.
The increase in the tympanic peak pressure and the decrease in resonance frequency (RF) due to position change were found statistically significant (p<0.01). Signal noise ratio (SNR) decrease at 1 kHz frequency and SNR increase at 2, 3, 6 kHz in the normal protocol, SNR decrease at 1 kHz in the pressurized protocol were found statistically significant (p<0.01).
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| source | DOAJ Directory of Open Access Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | inner ear intracranial pressure Original Investigation otoacoustic emission resonance frequency analysis tympanometry |
| title | Detecting Intralabyrinthine Pressure Increase by Postural Manipulation with Wideband Tympanometry and Distortion Product Otoacoustic Emissions |
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