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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 39(10); 1996 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1996;39(10): 1669-77.
Effects of Noise on Distortion Product Otoacoustic Emission Measurement
Jung Hak Lee, MD, Sang Hyun Lee, MD, and Moon Suh Park, MD
Department of Otolaryngology, College of Medicine, Hallym University, Seoul, Korea
소음이 변조이음향방사 측정에 미치는 영향
이정학 · 이상현 · 박문서
한림대학교 의과대학 이비인후과학교실
ABSTRACT

The effects of ambient noise on Distortion Product Otoacoustic Emission(DPOAE) measurement were systematically examined in 20 normally-hearing adults as a function of averaging time and test frequency. 2f1-f2 DPOAEs were measured at nine ambient noise levels from the baseline to 65dBA. For each noise level, measurements were made at four different averaging times for 0.7-6kHz. Findings indicated that, to achieve a preselected DPOAE-to-noise ratio (D/N) for DPOAE presence, longer averaging times were required as noise level increased and as frequency decreased. In most cases, the minimum D/N value required for 95% specificity increased as averaging time and frequency increased ; however, as noise level increased, the vlaue decreased. Results also indicated that noise levels of 40-50dBA affected D/N considerably in the low frequencies. In the high frequencies, however, even 60-65dBA of noise did not affect the D/N. It is suggested that (1) for reliable and efficient DPOAE measurement, test frequencies, especially below 2kHz, be selected carefully considering the ambient noise level and spectrum in a testing site and appropriate averaging time be used, and (2) criterion value for normal response be selected considering parametric factors such as ambient noise, averaging time and frequency.

Keywords: Distortion product otoacoustic emission(DPOAE)Ambient noiseAveragingDPOAE-to-noise ratio(D/N)Screening test.
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