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宽频声导抗测试在耳科疾病诊断中的临床研究进展
Clinical Research Progress of Wideband Absorbance Tympanometry in the Diagnosis of Otological Disorders

DOI: 10.12677/acm.2025.154998, PP. 806-813

Keywords: 宽频声导抗,中耳功能,疾病诊断
Wideband Absorbance Tympanometry
, Middle Ear Function, Disease Diagnosis

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Abstract:

宽频声导抗(wideband absorbance tympanometry, WBT)利用226~8000 Hz的宽频探测音评估中耳和内耳功能,关键指标包括能量吸收率(wideband absorbance, WBA)、吸收声能(absorbed acoustic energy, AE)、反射声能(reflected acoustic energy, RE)、平均鼓室图(average tympanogram, AT)和中耳共振频率(middle ear resonance frequency, RF)等,为耳科疾病诊断提供了更全面的信息。本文综述了WBT的基本原理、影响声能吸收率的因素(如年龄、性别、种族等),以及其在耳科疾病诊断中的临床应用和未来发展。
Wideband absorbance tympanometry (WBT) utilizes a broadband probe tone ranging from 226 to 8000 Hz to assess middle and inner ear function. Key metrics include wideband absorbance (WBA), absorbed acoustic energy (AE), reflected acoustic energy (RE), average tympanogram (AT), and middle ear resonance frequency (RF), among others, providing comprehensive information for the diagnosis of otologic diseases. This article reviews the fundamental principles of WBT, factors influencing energy absorbance (such as age, sex, and ethnicity), as well as its clinical applications in otologic diagnosis and future directions for development.

References

[1]  Margolis, R.H., Saly, G.L. and Keefe, D.H. (1999) Wideband Reflectance Tympanometry in Normal Adults. The Journal of the Acoustical Society of America, 106, 265-280.
https://doi.org/10.1121/1.427055
[2]  刁明芳, 孙建军. 电声学/电生理学听力检测在儿童分泌性中耳炎诊断中的应用[J]. 听力学及言语疾病杂志, 2022, 30(2): 143-145.
[3]  宋红芳, 王伟星. 宽频声导抗在听力正常成年人中的应用[J]. 中国医疗器械信息, 2021, 27(1): 46-49.
[4]  Jiang, W., Mu, Y., Zhao, F. and Wang, P. (2024) Advancements in Pediatric Audiological Assessments Using Wideband Acoustic Immittance: A Review. Audiology Research, 14, 684-700.
https://doi.org/10.3390/audiolres14040058
[5]  林丁丁, 林少莲, 林有辉, 等. 正常婴儿宽频声导抗声能吸收率特点及相关影响因素分析[J]. 听力学及言语疾病杂志, 2022, 30(5): 523-527.
[6]  Rye, M.S., Blackwell, J.M. and Jamieson, S.E. (2012) Genetic Susceptibility to Otitis Media in Childhood. The Laryngoscope, 122, 665-675.
https://doi.org/10.1002/lary.22506
[7]  Rosenfeld, R.M., Shin, J.J., Schwartz, S.R., Coggins, R., Gagnon, L., Hackell, J.M., et al. (2016) Clinical Practice Guideline: Otitis Media with Effusion (Update). OtolaryngologyHead and Neck Surgery, 154, S1-S41.
https://doi.org/10.1177/0194599815623467
[8]  邢宇轩, 蒋雯, 仝悦, 等. 听力正常青年人宽频声导抗能量吸收率的初步研究[J]. 山东大学耳鼻喉眼学报, 2020, 34(1): 38-41.
[9]  王伟星, 宋红芳. 宽频声导抗在听力正常成年人中的应用[J]. 中国医疗器械信息, 2021, 27(1): 46-49.
[10]  亓贝尔, 刘佳星, 文铖, 等. 听力正常新生儿宽频声导抗特征值初探[J]. 临床耳鼻咽喉头颈外科杂志, 2018, 32(4): 244-249.
[11]  Werner, L.A., Levi, E.C. and Keefe, D.H. (2010) Ear-Canal Wideband Acoustic Transfer Functions of Adults and Two-to Nine-Month-Old Infants. Ear & Hearing, 31, 587-598.
https://doi.org/10.1097/aud.0b013e3181e0381d
[12]  赵哲劢炜, 林颖, 任寸寸, 等. 分泌性中耳炎患耳的宽频声导抗特征研究[J]. 听力学及言语疾病杂志, 2021, 29(6): 635-638.
[13]  Guo, Q., Yao, H., Sun, X., et al. (2021) Study of the Wideband Absorbance in Chinese Pre-School Children with Normal Hearing. Audiology, Speech & Language Pathology, 29, 373-377.
[14]  Durante, A.S., Santos, M., Roque, N.M.C.D.F., Gameiro, M.S., Almeida, K.D. and Sousa Neto, O.M.D. (2019) Wideband Acoustic Absorbance in Children with down Syndrome. Brazilian Journal of Otorhinolaryngology, 85, 193-198.
https://doi.org/10.1016/j.bjorl.2017.12.006
[15]  Aithal, S., Aithal, V., Kei, J. and Manuel, A. (2019) Effect of Negative Middle Ear Pressure and Compensated Pressure on Wideband Absorbance and Otoacoustic Emissions in Children. Journal of Speech, Language, and Hearing Research, 62, 3516-3530.
https://doi.org/10.1044/2019_jslhr-h-18-0426
[16]  Kollara, L., Perry, J.L. and Hudson, S. (2016) Racial Variations in Velopharyngeal and Craniometric Morphology in Children: An Imaging Study. Journal of Speech, Language, and Hearing Research, 59, 27-38.
https://doi.org/10.1044/2015_jslhr-s-14-0236
[17]  Downing, C., Kei, J., Driscoll, C., Choi, R. and Scott, D. (2021) Wideband Tympanometry Findings in School-Aged Children: Effects of Age, Gender, Ear Laterality, and Ethnicity. Ear & Hearing, 43, 1245-1255.
https://doi.org/10.1097/aud.0000000000001197
[18]  Keefe, D.H., Bulen, J.C., Arehart, K.H. and Burns, E.M. (1993) Ear-Canal Impedance and Reflection Coefficient in Human Infants and Adults. The Journal of the Acoustical Society of America, 94, 2617-2638.
https://doi.org/10.1121/1.407347
[19]  高墨梅, 尹德佩, 樊明月, 等. 宽频声导抗在不同年龄段儿童分泌性中耳炎的特征值分析[J]. 临床耳鼻咽喉头颈外科杂志, 2022, 36(3): 180-184.
[20]  Shahnaz, N., Aithal, S. and Bargen, G.A. (2023) Wideband Acoustic Immittance in Children. Seminars in Hearing, 44, 46-64.
https://doi.org/10.1055/s-0043-1763294
[21]  Cinamon, U. (2009) The Growth Rate and Size of the Mastoid Air Cell System and Mastoid Bone: A Review and Reference. European Archives of Oto-Rhino-Laryngology, 266, 781-786.
https://doi.org/10.1007/s00405-009-0941-8
[22]  Feeney, M.P. (2014) Wideband Acoustic Immittance Measurements of Middle Ear Function. Journal of the American Academy of Audiology, 25, 424-424.
https://doi.org/10.3766/jaaa.25.5.1
[23]  Eby, T.L. and Nadol, J.B. (1986) Postnatal Growth of the Human Temporal Bone. Annals of Otology, Rhinology & Laryngology, 95, 356-364.
https://doi.org/10.1177/000348948609500407
[24]  Lavigne-Rebillard, M. and Pujol, R. (1990) Auditory Hair Cells in Human Fetuses: Synaptogenesis and Ciliogenesis. Journal of Electron Microscopy Technique, 15, 115-122.
https://doi.org/10.1002/jemt.1060150204
[25]  Mozaffari, M., Nash, R. and Tucker, A.S. (2021) Anatomy and Development of the Mammalian External Auditory Canal: Implications for Understanding Canal Disease and Deformity. Frontiers in Cell and Developmental Biology, 8, Article 317354.
https://doi.org/10.3389/fcell.2020.617354
[26]  Peng, S., Li, G., Yin, H., et al. (2023) A Preliminary Study on Wideband Acoustic Immittance of Infants with Normal Bilateral Middle Ear Function at the Age of 1-5 Months. Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery, 37, 231-234.
[27]  Wali, H.A., Mazlan, R. and Kei, J. (2019) A Longitudinal Analysis of Pressurized Wideband Absorbance Measures in Healthy Young Infants. Ear and Hearing, 40, 1233-1241.
https://doi.org/10.1097/aud.0000000000000707
[28]  孙靖, 付勇, 徐彬, 等. 宽频声导抗应用于评估0-24月龄婴幼儿中耳功能检查的临床研究[J]. 中华耳科学杂志, 2021, 19(2): 258-264.
[29]  Hougaard, D.D., Lyhne, N.M., Skals, R.K. and Kristensen, M. (2020) Study on Wideband Tympanometry and Absorbance within a Danish Cohort of Normal Hearing Adults. European Archives of Oto-Rhino-Laryngology, 277, 1899-1905.
https://doi.org/10.1007/s00405-020-05909-9
[30]  Aithal, V., Aithal, S., Kei, J., Anderson, S. and Wright, D. (2020) Predictive Accuracy of Wideband Absorbance at Ambient and Tympanometric Peak Pressure Conditions in Identifying Children with Surgically Confirmed Otitis Media with Effusion. Journal of the American Academy of Audiology, 277, 1899-1905.
https://doi.org/10.3766/jaaa19012
[31]  Karuppannan, A. and Barman, A. (2021) Wideband Absorbance Tympanometry: A Novel Method in Identifying Otosclerosis. European Archives of Oto-Rhino-Laryngology, 278, 4305-4314.
https://doi.org/10.1007/s00405-020-06571-x
[32]  Nourizadeh, N., Ghezi, A., Afzalzadeh, M., Khaniki, S.H., Behzad, H., Kafashan, S., et al. (2024) Evaluation of Diagnostic Accuracy of Wideband Tympanometry Absorbance for Otosclerosis. Indian Journal of Otolaryngology and Head & Neck Surgery, 76, 5119-5125.
https://doi.org/10.1007/s12070-024-04876-5
[33]  Liang, J., Xiao, L., Sun, X.Y. and Zou, B. (2021) Characteristics of the Wideband Absorbance of Acoustic Energy in Children (3-7 Years Old) with Otitis Media with Effusion. International Journal of Pediatric Otorhinolaryngology, 140, Article 110496.
https://doi.org/10.1016/j.ijporl.2020.110496
[34]  王璐, 汪玮, 施乐娟, 等. 分泌性中耳炎儿童宽频声导抗测试声能吸收率特征研究[J]. 听力学及言语疾病杂志, 2021, 29(4): 365-369.
[35]  Şahin, M.I., Özyürek, D.D., Vural, A., Zararsız, G., Ketenci, I. and Ünlü, Y. (2022) Can Wideband Tympanometry Predict the Prognosis of Otitis Media with Effusion? Journal of Audiology and Otology, 26, 12-18.
https://doi.org/10.7874/jao.2021.00633
[36]  Merchant, G.R., Al-Salim, S., Tempero, R.M., Fitzpatrick, D. and Neely, S.T. (2021) Improving the Differential Diagnosis of Otitis Media with Effusion Using Wideband Acoustic Immittance. Ear & Hearing, 42, 1183-1194.
https://doi.org/10.1097/aud.0000000000001037
[37]  Senturk, M., Ardic, F.N., Tumkaya, F. and Kara, C.O. (2023) Wideband Tympanometry and Absorbance for Diagnosing Middle Ear Fluids in Otitis Media with Effusion. The Journal of International Advanced Otology, 19, 140-148.
https://doi.org/10.5152/iao.2023.22697
[38]  张旭, 田萌, 张磊. 中耳炎患儿宽频声导抗与中耳积液黏稠度、气骨导差的相关性分析[J]. 医学理论与实践, 2023, 36(11): 1932-1934.
[39]  陈肇臻, 刘华涛, 卓明英, 等. 唇腭裂患儿分泌性中耳炎宽频声导抗分析[J]. 实用临床医学, 2023, 24(2): 58-61+80.
[40]  肖龙开, 刘爱国, 马华良, 等. 镫骨底板开窗术治疗耳硬化症进展[J]. 中华耳科学杂志, 2023, 21(3): 390-395.
[41]  陈露静, 兰兰, 黄鑫, 等. 耳硬化症和中耳畸形患者的宽频声导抗研究[J]. 中华耳科学杂志, 2020, 18(1): 57-62.
[42]  汪晓锋, 苏文玲, 骆献阳. 宽频声导抗对耳硬化症及先天性听骨链畸形的诊断价值[J]. 中国耳鼻咽喉头颈外科, 2023, 30(1): 10-12.
[43]  张瑞宁, 赵禹, 刘后广, 等. 中耳畸形对能量吸收率影响的数值研究[J]. 生物医学工程学杂志, 2021, 38(1): 89-96.
[44]  Karuppannan, A., Barman, A. and Mamatha, N.M. (2024) Wideband Absorbance Pattern and its Diagnostic Value in Adults with Middle Ear Effusions and Tympanic Membrane Perforation. The Journal of International Advanced Otology, 20, Article 158.
[45]  Soares, J.C., Urosas, J.G., Calarga, K.S., Pichelli, T.S., Limongi, S.C.O., Shahnaz, N., et al. (2016) Wideband Reflectance in Down Syndrome. International Journal of Pediatric Otorhinolaryngology, 87, 164-171.
https://doi.org/10.1016/j.ijporl.2016.06.022
[46]  Kaya, Ş., Çiçek Çınar, B., Özbal Batuk, M., Özgen, B., Sennaroğlu, G., Genç, G.A., et al. (2020) Wideband Tympanometry Findings in Inner Ear Malformations. Auris Nasus Larynx, 47, 220-226.
https://doi.org/10.1016/j.anl.2019.09.001
[47]  Saoji, A.A., Shapiro, S.B., Finley, C.C., Koka, K. and Cassis, A.M. (2020) Changes in Wide-Band Tympanometry Absorbance Following Cochlear Implantation. Otology & Neurotology, 41, e680-e685.
https://doi.org/10.1097/mao.0000000000002625
[48]  Li, A., Du, H., Gao, J., Xu, Y., Zhao, N., Gao, S., et al. (2023) Characteristics of Large Vestibular Aqueduct Syndrome in Wideband Acoustic Immittance. Frontiers in Neuroscience, 17, Article 1185033.
https://doi.org/10.3389/fnins.2023.1185033
[49]  丁璐, 王晨露, 史文迪. 大前庭水管综合征患者鼓膜吸收率特征初探[J]. 中华耳科学杂志, 2021, 19(1): 16-20.
[50]  Zhang, L., Wang, J., Zhao, F. and Li, Y. (2020) Inner Ear Pressure Evaluation Using Wideband Tympanometry in Children with Large Vestibular Aqueduct Syndrome (LVAS): A Pilot Study. International Journal of Pediatric Otorhinolaryngology, 128, Article 109690.
https://doi.org/10.1016/j.ijporl.2019.109690

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