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23 Cards in this Set

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Static Compliance
A measurement of the mobility of the tympanic membrane
How high the ear drum moved
Tympanometry
measurement of the pressure compliance function of the tympanic membrane
Acoustic reflex
contraction of one or both of the middle ear muscles in response to a loud sound
put loud sound in ear and measure loud sound responding back
Loudspeaker
Emits a pure tone known as the incident wave (usually 220 Hz, but must use higher frquency 660 or 1000 for testing newborns)
Microphone
Records the sound in the ear canal (incident wave and the reflected wave from te eardrum)
Air Pump
Creates either a + or - air presure in the ear canal; calibrated in mm H2O or daPa
Type A
normal Pressure (+/- 100 mm H2O)
Normal Compliance
Conditions:
Normal Hearing
SNHL
about 75% people with normal hearing have Type A Tympanogram. Normal compliance level 4-1.4 or even higher.
Type A.S
Normal pressure (+/- 100 mm H2O
Low compliance
Conditions:
Otosclerosis
Thickened/Scarred eardrum
Peak is much lower from type A. Peak is around .1,.2,.3
S stands for Stiffness
Type C
Negative pressure (<-150 mmH2O)
Normal compliance
Conditions:
Eustacian tube dysfunctioning
Eustacian tube blocked
Type B
(no canal volume 0.00 ml)
Flat tympanogram
Conditions:
Cerum
Probe tip against canal wall
Type B
(Normal canal volume 0.4-1.5 ml)
Flat typmpanogram
Conditions:
Otitis Media
fluid filled behind middl eardrum
Type B
(High canal volume >2.0 ml)
Flat tympanogram
Conditions:
perforated eardrum
Patent ventilating tube
Jerger
Name of tympanogram classification
Acoustic reflex
Contracting of the middle ear muscles, primarily the stapedius muscles, to loud sounds.
Ipsilateral
Stimulates one ear; records in the same ear.
Contralateral
Stimulates one ear; records in the opposite ear.
Acoustic Reflexs two modes of presentation
Ipsilateral and Contralateral
Patient must be completely silent during test ( no talking, chewing gum or movement of jaw)
Normal hearing
70-90 dB HTL
Conductive hearing loss
Absent
Mild SNHL (<40 dB HTL)
70-90 dB HTL
Mod-Profound SNHL
Absent
Retrocochlear loss
Elevated or absent
Otoacoustic Emission
●Sounds emanating from the cochlea that can be detected in the external auditory canal with probetube microphone
● Low-level sounds emitted by the cochlea, either spontaneously or as an echo or other soun evoked by an auditory stimulus, related to the function of the outer hair cells (OHCs) of the cochlea