[Behavior of the stapedius reflex in long-term acoustic stimulation]. 1982

H Weidauer, and T Lenarz

The present examination shows the action of the acoustic reflex on stimulation with a pure tone of 500 cps which lies 10 dB above the reflex threshold by impedance measurement. The duration of stimulation lasts 5 min. The test results of persons with normal hearing, persons with cochlear and retrocochlear lesions were measured according to the amount, the duration, the beginning, and the speed of reflex decay. The preliminary results permit the following conclusions: Persons with noise-induced hearing loss show no reflex decay for the entire duration of stimulation. Persons with normal hearing show a reflex decay after 2 min. After another 135 sec a constant reflex amplitude is attained. Subjects with cochlear lesions which are not caused by noise show similar reflex behavior. The amount of decay is larger, and the decay begins earlier. Persons with retrocochlear lesions show heterogeneous results, but the average amplitudinal decay is rapid and exceeds 50 per cent. The underlying mechanisms are discussed. In our opinion muscle fatigue plays an important role, which is absent in noise-induced hearing loss due to a permanent muscle training caused by the chronic noise exposure. The main result for audiology lies in the possibility to distinguish clearly between noise-induced hearing loss and other forms of cochlear lesions.

UI MeSH Term Description Entries
D012000 Recruitment Detection, Audiologic Tests for measuring loudness recruitment. Alternate Binaural Loudness Balance Test,Loudness Recruitment Detection,Short Increment Sensitivity Index,Audiologic Recruitment Detection,Detection, Audiologic Recruitment,Detection, Loudness Recruitment,Recruitment Detection, Loudness
D012022 Reflex, Acoustic Intra-aural contraction of tensor tympani and stapedius in response to sound. Acoustic Reflex
D006311 Hearing Disorders Conditions that impair the transmission of auditory impulses and information from the level of the ear to the temporal cortices, including the sensorineural pathways. Distorted Hearing,Dysacusis,Paracousis,Paracusis,Hearing Disorder,Hearing, Distorted
D006313 Hearing Loss, Central Hearing loss due to disease of the AUDITORY PATHWAYS (in the CENTRAL NERVOUS SYSTEM) which originate in the COCHLEAR NUCLEI of the PONS and then ascend bilaterally to the MIDBRAIN, the THALAMUS, and then the AUDITORY CORTEX in the TEMPORAL LOBE. Bilateral lesions of the auditory pathways are usually required to cause central hearing loss. Cortical deafness refers to loss of hearing due to bilateral auditory cortex lesions. Unilateral BRAIN STEM lesions involving the cochlear nuclei may result in unilateral hearing loss. Central Hearing Loss,Cortical Deafness,Deafness, Cortical
D006317 Hearing Loss, Noise-Induced Hearing loss due to exposure to explosive loud noise or chronic exposure to sound level greater than 85 dB. The hearing loss is often in the frequency range 4000-6000 hertz. Acoustic Trauma,Hearing Loss, Noise Induced,Noise-Induced Hearing Loss
D006319 Hearing Loss, Sensorineural Hearing loss resulting from damage to the COCHLEA and the sensorineural elements which lie internally beyond the oval and round windows. These elements include the AUDITORY NERVE and its connections in the BRAINSTEM. Deafness Neurosensory,Deafness, Neurosensory,Deafness, Sensoryneural,Neurosensory Deafness,Sensorineural Hearing Loss,Sensoryneural Deafness,Cochlear Hearing Loss,Hearing Loss, Cochlear,Deafnesses, Neurosensory,Deafnesses, Sensoryneural,Neurosensory Deafnesses,Sensoryneural Deafness,Sensoryneural Deafnesses
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000158 Acoustic Impedance Tests Objective tests of middle ear function based on the difficulty (impedance) or ease (admittance) of sound flow through the middle ear. These include static impedance and dynamic impedance (i.e., tympanometry and impedance tests in conjunction with intra-aural muscle reflex elicitation). This term is used also for various components of impedance and admittance (e.g., compliance, conductance, reactance, resistance, susceptance). Audiometry, Impedance,Electroacoustic Impedance Tests,Impedance Tests, Acoustic,Tympanometry,Acoustic Impedance Test,Electroacoustic Impedance Test,Impedance Audiometry,Impedance Test, Acoustic,Impedance Test, Electroacoustic,Impedance Tests, Electroacoustic,Test, Acoustic Impedance,Test, Electroacoustic Impedance,Tests, Acoustic Impedance,Tests, Electroacoustic Impedance
D000161 Acoustic Stimulation Use of sound to elicit a response in the nervous system. Auditory Stimulation,Stimulation, Acoustic,Stimulation, Auditory

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