Semin Hear 2001; 22(4): 415-426
DOI: 10.1055/s-2001-19114
Copyright © 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Screening with Otoacoustic Emissions beyond the Newborn Period

Robert J. Nozza
  • Section of Audiology, Temple University School of Medicine, Philadelphia, Pennsylvania
Further Information

Publication History

Publication Date:
18 December 2001 (online)

ABSTRACT

The use of otoacoustic emissions for the screening of hearing loss in newborns has proven to be quite successful. Because the identification of hearing loss is so important for infants and children beyond the newborn period, it is reasonable to consider the efficacy and utility of otoacoustic emission screening at all ages of childhood. In this article, overviews of the basic principles of screening and research related to otoacoustic emissions and their measurement in infants and young children are presented. Particular emphasis is placed on the advantages and disadvantages of using otoacoustic emissions to screen for hearing loss in what may be unfavorable environmental conditions and/or in a population characterized by a high prevalence of middle ear disease.

REFERENCES

  • 1 Decreton S J, Hanssens K, De Sloovere M. Evoked otoacoustic emissions in infant hearing screening.  Int J Pediatr Otorhinolaryngol . 1991;  21 235-247
  • 2 Driscoll C, Kei J, McPherson B. Transient evoked otoacoustic emissions in 6-year-old school children: a comparison with pure tone screening and tympanometry.  Int J Pediatr Otolaryngol . 2001;  57 67-76
  • 3 McPherson B, Smyth V. Hearing screening for school children with otitis media using otoacoustic emission measures.  Asia Pac J Speech Lang Hear . 1997;  2 69-82
  • 4 McPherson B, Kei J, Smyth V, Latham S, Loscher J. Feasibility of community-based hearing screening using transient evoked otoacoustic emissions.  Public Health . 1998;  112 147-152
  • 5 Nozza R, Sabo D, Mandel E. A role for otoacoustic emissions in screening for hearing impairment and middle ear disorders in school-age children.  Ear Hear . 1997;  18 227-239
  • 6 Shi S, Kei J, Murdoch B. Paediatric hearing screening in the community: a comparison of outcomes from transient evoked and distortion product otoacoustic emission measures.  Scand Audiol . 2000;  29 83-92
  • 7 Cadman D, Chambers L, Feldman W, Sackett D. Assessing the effectiveness of community screening programs.  JAMA . 1984;  252 1580-1585
  • 8 Thorner R M, Remein Q R. Principles and procedures in the evaluation of screening for disease. In: Chaiklin JB, Ventry IM, Dixon RF, eds. Hearing Measurement: A Book of Readings 2nd ed. Reading, MA: Addison-Wesley 1982: 408-422
  • 9 Weinstein M, Fineberg H. Clinical Decision Making.  Philadelphia: WB Saunders; 1980
  • 10 American Academy of Audiology. Position statement: identification of hearing loss and middle ear dysfunction in preschool and school-age children.  Audiol Today . 1997;  9(3) 21-23
  • 11 American Speech-Language-Hearing Association. Guidelines for Audiologic Screening Rockville, MD: American Speech-Language-Hearing Association; 1997
  • 12 Attias J. Evaluating childrens hearing by DPOAEs at 1-10 kHz.  J Basic Clin Physiol Pharmacol . 2000;  11 201-214
  • 13 Driscoll C, Kei J, McPherson B. Transient evoked otoacoustic emissions in 6-year-old school children: a normative study.  Scand Audiol . 2000;  29 103-110
  • 14 Glattke T, Pafitis I A, Cummiskey C, Herer G R. Identification of hearing loss in children and young adults using measures of transient evoked otoacoustic emission reproducibility.  Am J Audiol . 1995;  4 71-86
  • 15 Harrison W, Norton S. Characteristics of transient evoked otoacoustic emissions in normal-hearing and hearing-impaired children.  Ear Hear . 1999;  20 75-86
  • 16 Prieve B. Otoacoustic emissions in infants and children: basic characteristics and clinical application.  Semin Hear . 1992;  13(1) 37-51
  • 17 Prieve B, Fitzgerald T, Schulte L. Basic characteristics of click-evoked otoacoustic emissions in infants and children.  J Acoust Soc Am . 1997;  102 2860-2870
  • 18 Prieve B, Fitzgerald T, Schulte L, Kemp D. Basic characteristics of distortion product otoacoustic emissions in infants and children.  J Acoust Soc Am . 1997;  102 2871-2879
  • 19 Spektor Z, Leonard G, Kim D, Jung M, Smurzynski J. Otoacoustic emissions in normal and hearing-impaired children and normal adults.  Laryngoscope . 1991;  101 965-976
  • 20 Widen J. Evoked otoacoustic emissions in evaluating children. In: Robinette M, Glattke T, eds. Otoacoustic Emissions: Clinical Applications New York: Thieme 1997: 271-306
  • 21 Margolis R, Trine M. Influence of middle-ear disease on otoacoustic emissions. In: Robinette M, Glattke T, eds. Otoacoustic Emissions: Clinical Applications New York: Thieme 1997: 130-150
  • 22 Owens J, McCoy M, Lonsbury-Martin B, Martin G. Influence of otitis media on evoked otoacoustic emissions in children.  Semin Hear . 1992;  13(1) 53-66
  • 23 Owens J, McCoy M, Lonsbury-Martin B, Martin G. Otoacoustic emissions in children with normal ears, middle ear dysfunction and ventilating tubes.  Am J Otol . 1993;  14 34-40
  • 24 Lonsbury-Martin B, Martin G, McCoy M, Whitehead M. Otoacoustic emissions testing in young children: middle-ear influences.  Am J Otol . 1994 (Suppl 1);  15 13-20
  • 25 Koivunen P, Uhari M, Laitakari K, Olli-Pekka A, Luotonen J. Otoacoustic emissions and tympanometry in children with otitis media.  Ear Hear . 2000;  21 212-217
  • 26 Topolska M, Hassman E, Baczek M. The effects of chronic otitis media with effusion on the measurement of distortion products of otoacoustic emissions: presurgical and postsurgical examination.  Clin Otolaryngol . 2000;  25 315-320
  • 27 Marshall L, Heller L, Westhusin L. Effect of negative middle-ear pressure on transient-evoked otoacoustic emissions.  Ear Hear . 1997;  18 218-226
  • 28 Trine M, Hirsch J, Margolis R. The effect of middle ear pressure on transient evoked otoacoustic emissions.  Ear Hear . 1993;  14 401-407
  • 29 Naeve S, Margolis R, Levine S, Fournier E. Effect of ear-canal air pressure on evoked otoacoustic emissions.  J Acoust Soc Am . 1992;  91 2091-2095
  • 30 Zhang M, Abbas P J. Effects of middle ear pressure on otoacoustic emission measures.  J Acoust Soc Am . 1997;  102 1032-1037
  • 31 Nozza R J, Bluestone C D, Kardatzke D, Bachman R. Identification of middle ear effusion using aural acoustic admittance and otoscopy.  Ear Hear . 1994;  15 310-323
  • 32 Lonsbury-Martin B, Martin G, McCoy M, Whitehead M. Testing otoacoustic emissions in newborns, infants, toddlers, and children. In: Gerber S, ed. The Handbook of Pediatric Audiology Washington, DC: Gallaudet University Press 1997: 173-205
  • 33 Norton S J, Widen J E. Evoked otoacoustic emissions in normal-hearing infants and children: emerging data and issues.  Ear Hear . 1990;  11 121-127
  • 34 Vohr B R, Carty L, Moore P, Letourneau K. The Rhode Island Hearing Assessment Program: experience with statewide hearing screening (1993- 1996).  J Pediatr . 1998;  133 353-357
    >