Clinical application of otoacoustic emission in neonates

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Otoacoustic emissions (OAEs) are low level sounds produced by the inner ear as part of the normal hearing process. OAEs are reduced or absent in cases of certain types of hearing losses, and it is expected that the measurement of OAEs is useful for screening hearing in subjects for whom hearing can not be directly tested, e.g. neonates, infants, and young children. Therefore, an attempt is made to investigate whether it is possible to clarify the presence of hearing impairment in the early stage in neonates by this technique (Figure1).
Figure 2 shows the waveforms of OAEs recording with click stimuli in the external auditory meatus of premature babies. When emission level is low, cochlear dysfunction is suspected.



Fig.1. Measurement of OAEs in neonates.





Fig.2. OAEs in premature babies.
(a) An example of Transiently Evoked OAEs (TEOAEs) showing a high emission level. (b) An example of TEOAEs showing a low emission level, which may indicate cochlea dysfunction.



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