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Neave-DiToro D, Bergen M, Silman S, Emmer MB. Presence of ipsilateral acoustic reflex artifact may result in clinical misidentification. Int J Audiol 2021; 61:437-440. [PMID: 34106808 DOI: 10.1080/14992027.2021.1931486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVE Upon calibration of a specific commercially available immittance device, an artifact was consistently measured in a calibration cavity when in ipsilateral acoustic reflex mode. These results were replicated in a controlled fashion, raising concerns about how clinical results might potentially be misinterpreted. DESIGN Responses were measured from an Interacoustics Titan and Grason-Stadler Tympstar Pro immittance device coupled to a 0.2 cc and, separately, to a 1.0 cc calibration cavity when in ipsilateral acoustic reflex mode. The procedure was repeated with the same outcomes. RESULTS Clinically significant responses ordinarily associated with presence of an ipsilateral acoustic reflex were obtained in a 0.2 cc and 1 cc coupler with stimuli presented at 0.5 kHz, 1 kHz, and 2 kHz with one of the Interacoustics Titan, but were not obtained in the same conditions with the Grason-Stadler Tympstar Pro. CONCLUSIONS A commercially available immittance device yielded clinically-significant responses to ipsilateral acoustic reflex stimuli within calibration cavities of various sizes. Results suggest that false-positive responses may be obtained when certain immittance devices are used clinically, producing possible misleading or incorrect clinical impressions and assessment.
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Affiliation(s)
- Dorothy Neave-DiToro
- Department of Communication Arts, Sciences, and Disorders, Brooklyn College, City University of New York (CUNY), Brooklyn, NY, USA.,Doctor of Audiology Program, Graduate Center, CUNY, New York, NY, USA
| | - Michael Bergen
- Department of Communication Arts, Sciences, and Disorders, Brooklyn College, City University of New York (CUNY), Brooklyn, NY, USA.,Doctor of Audiology Program, Graduate Center, CUNY, New York, NY, USA
| | - Shlomo Silman
- Department of Communication Arts, Sciences, and Disorders, Brooklyn College, City University of New York (CUNY), Brooklyn, NY, USA.,Doctor of Audiology Program, Graduate Center, CUNY, New York, NY, USA.,Speech-Language-Hearing Sciences, Graduate Center, CUNY, New York, NY, USA
| | - Michele B Emmer
- Department of Communication Arts, Sciences, and Disorders, Brooklyn College, City University of New York (CUNY), Brooklyn, NY, USA.,Doctor of Audiology Program, Graduate Center, CUNY, New York, NY, USA
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Plack CJ, Chilton H, Munro KJ. ManCAD100: 100 Years of Audiology and Deaf Education at Manchester. Trends Hear 2019; 23:2331216519886239. [PMID: 31774038 PMCID: PMC6901734 DOI: 10.1177/2331216519886239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2019] [Accepted: 10/06/2019] [Indexed: 11/17/2022] Open
Abstract
In 2019, the Manchester Centre for Audiology and Deafness celebrates its 100th anniversary. To mark the centenary, this special issue is a collection of papers that showcases current research in Manchester Centre for Audiology and Deafness. The Editorial provides a brief history and description of the Centre and an overview of the special issue.
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Affiliation(s)
- Christopher J. Plack
- Manchester Centre for Audiology and Deafness, The University of
Manchester, Manchester Academic Health Science Centre, UK
- NIHR Manchester Biomedical Research Centre, Central Manchester
University Hospitals NHS Foundation Trust, Manchester Academic Health Science
Centre, UK
| | - Helen Chilton
- Manchester Centre for Audiology and Deafness, The University of
Manchester, Manchester Academic Health Science Centre, UK
| | - Kevin J. Munro
- Manchester Centre for Audiology and Deafness, The University of
Manchester, Manchester Academic Health Science Centre, UK
- NIHR Manchester Biomedical Research Centre, Central Manchester
University Hospitals NHS Foundation Trust, Manchester Academic Health Science
Centre, UK
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