Monitoring cochlear function intraoperatively using distortion product otoacoustic emissions

F. F. Telischi, M. P. Widick, B. L. Lonsbury-martin, M. J. McCoy

Research output: Contribution to journalArticle

27 Scopus citations

Abstract

Distortion product otoacoustic emissions (DPOAEs) elicited by a bitonal stimulus complex are low-lever sounds that are generated within the cochlea, and are easily measured by a miniature microphone system placed in the external auditory canal. Under conditions of rapid measurement, DPOAEs have been shown in an animal model to be exquisitely sensitive to interruption of the blood supply to the inner ear. Currently, there is no real-time procedure available for monitoring hearing function intraoperatively during neurotologic surgery. The goal of the present study was to determine the utility of DPOAEs in monitoring cochlear status intraoperatively, particularly during procedures commonly used to remove acoustic neuromas. Distortion product otoacoustic emissions were measured pre- and intraoperatively in 11 patients, who were under general anesthesia for a variety of otolaryngologic procedures, including acoustic neuroma resection. High frequency emissions (i.e., ≥4 kHz) were less affected by the elevated levels of acoustic noise present in the operating-room environment, thus permitting emitted responses to be updated as quickly as every 2 seconds. However, a number of technical problems were encountered and addressed during development of the emission monitoring technique. Despite these difficulties, overall, DPOAEs appear to be a promising adjunct to the intraoperative monitoring of auditory function.

Original languageEnglish (US)
Pages (from-to)597-608
Number of pages12
JournalAmerican Journal of Otology
Volume16
Issue number5
StatePublished - 1995

ASJC Scopus subject areas

  • Otorhinolaryngology

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