Abstract
Objective To study and analyze the diagnostic value of auditory brainstem response (ABR) and distortion product otoacoustic emission (DPOAE) in infants with secretory otitis media. Methods From June 2016 to June 2018, 65 infants (120 ears) with secretory otitis media who were treated at the First People's Hospital of Taizhou were selected.All the 120 ears were diagnosed by ABR wave test and DPOAE test machine.The results of different diagnostic methods were observed and compared. Results Among 65 cases (120 ears), 60 ears (50.00%) with mildly abnormality, 43 ears (35.83%) with moderate abnormality and 17 ears (14.17%) with normal ABR wave Ⅴ response threshold.There was no statistically significant difference in Ⅰ-Ⅴ wave interval between the mild abnormal group and the normal group (P>0.05), but Ⅰ-Ⅴ wave interval in the moderate abnormal group[(4.27±0.27)ms in moderate abnormal group] was significantly shorter than that in the normal group[(4.75±0.31)ms] and the mild abnormal group[(4.73±0.21)ms], the differences were statistically significant(t=5.949, 9.722, all P<0.05). The Ⅴ response threshold of bone-guided ABR wave was normal in 108 ears(90.00%, 108/120). The Ⅴ latency of bone guided wave was (8.16±0.22)ms, and abnormal in 12 ears (10.00%, 12/120). With the increase of the gas conduction reaction threshold, the bone conduction ABR reaction threshold also increased, but it was not as obvious as the air conduction.The wave Ⅴ latency in the normal BRT group was significantly lower than that in the abnormal group (compared with mild abnormal group, t=17.400, P<0.05; compared with moderate abnormal group, t=130.015, P<0.05). DPOAE test failed 86 ears (71.67%, 86/120), passed through 34 ears (28.33%, 34/120). Conclusion The latency of ABR wave I is sensitive to the diagnosis of secretory otitis media in infants.The combination of DPOAE and ABR is helpful to the early diagnosis of the disease.ABR and DPOAE tests have high value and are worthy of popularizing in clinic. Key words: Otitis media; Evoked potentials, auditory, brain stem; Distortion product otoacoustic emissions; Air-guided ABR waves; Bone-guided ABR waves; Wave I latency
Published Version
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
