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  • Title: [The clinical value of click stimuli on the measurement of ipsilateral acoustic reflex thresholds].
    Author: Guo YL, Dai BQ, Li QR, Zhong NC.
    Journal: Lin Chuang Er Bi Yan Hou Ke Za Zhi; 2000 Jul; 14(7):301-2. PubMed ID: 12563879.
    Abstract:
    OBJECTIVE: To define that click can substitute for pure tone as a stimulus to measure ipsilateral acoustic reflex thresholds, and to find out the effect of probe frequency on acoustic reflex thresholds. METHOD: Using middle ear analyzer (GSI 33, version 2), we measured 23 normal voluntary participants (46 ears) for getting the pure-tone generated ipsilateral acoustic reflex thresholds at different probe frequency and the click evoked ipsilateral acoustic reflex thresholds at click rate 100/s and 180/s for every ear. RESULT: For pure tone, the ipsilateral acoustic reflex thresholds at 500 Hz, 1000 Hz, 2000 Hz, were (84.35 +/- 6.96) dB, (84.65 +/- 5.93) dB, (87.96 +/- 6.36) dB by using 226 Hz probe; (93.13 +/- 6.54) dB, (92.70 +/- 6.33) dB, (93.35 +/- 5.99) dB by using 678 Hz probe; (86.52 +/- 4.72) dB, (87.48 +/- 5.00) dB, (88.30 +/- 6.16) dB by using 1000 Hz probe. For click, the ipsilateral acoustic reflex thresholds at click rate 100/s and 180/s were (89.78 +/- 6.83) dB, (92.07 +/- 7.42) dB by using 226 Hz probe; (90.44 +/- 6.76) dB, (90.65 +/- 6.38) dB by using 678 Hz probe; (88.04 +/- 6.87) dB, (88.69 +/- 7.42) dB by using 1000 Hz probe. The acoustic reflex thresholds for 678 Hz probe were higher than those obtained with 226 Hz and 1000 Hz probes. CONCLUSION: There were no artifact appearance while stimulus had been click at low rate, so click can be used for the measurement of ipsilateral acoustic reflex thresholds.
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