[Eigenvalue analysis of wideband acoustic immittance in secretory otitis media in children of different ages].

Abstract

Objective:The characteristic values of broadband acoustic immittance of children of different ages during secretory otitis media were collected resonance frequency and absorption rate of middle ear in children of different ages were compared. Methods:Eighty-two children with secretory otitis media were selected for the broadband acoustic immittance test, including 62 cases （83 ears） in the young effusion group（[3.5±0.7]months）, and 20 cases （40 ears） in the older effusion group（[4.0±0.6]years old）. 82 normal children were selected for broadband acoustic immittance test in the same environment, including 62 cases （124 ears） in the younger normal group and 20 cases （40 ears） in the older normal group. The resonance frequency and absorptivity of different age groups under broadband peak pressure were compared, and the frequency absorptivity curve was drawn for analysis. Results:The resonance frequencies of older normal group and younger normal group, older effusion group and older normal group, younger effusion group and younger normal group, older effusion group and younger effusion group were statistically significant（P<0.001）. Analysis of sound energy absorption rate at different ages. There was significant difference in sound energy absorption rate between older normal group and younger normal group at 226-1155 / 4757-8000 Hz（P<0.001）. The difference of full frequency sound energy absorption rate between the older effusion group and the older normal group was statistically significant（P<0.001）, among which the difference of 866-1542 / 2520-4362 Hz absorption rate was the largest. The difference of full frequency sound energy absorption rate between young effusion group and young normal group was statistically significant（P<0.001）, and the difference of 1091-2245 / 3776-5494 Hz absorption rate was the largest. Conclusion:Middle ear effusion in children of different ages has different performance under broadband acoustic immittance peak pressure, and has its own characteristic acoustic energy absorption frequency band. This study provides a reference basis for the analysis of the characteristics of middle ear sound transmission in children with secretory otitis media in the future.