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J Wiebe Horst

Publications and source records attributed to J Wiebe Horst.

2 recordsLinked to original sources

Quantification of audiogram fine-structure as a function of hearing threshold.

We investigated the amount of fine-structure in the audiograms of patients with Menière's disease. Both ears (often an affected and an unaffected ear) were investigated. Data are presented from 39 ears of 21 patients with hearing thresholds varying from about 0 to 70 dB HL. The fine-structure was measured in the frequency range from 500 to 3500 Hz; this agrees with a part of the basilar membrane from 10 to 22.5 mm from the apex. The fine-structure was characterized by means of the number of peaks N(p) and the sum S(p) of the heights of all the peaks in an audiogram. From these quantities, we also determined average peak height H(p). We found a negative correlation between hearing loss and strength of fine-structure, i.e. the higher the thresholds the smaller N(p) and S(p) as well as H(p). Also N(p) and H(p) were correlated, i.e. the more peaks the higher the average peak height. The summated peak height S(p)=N(p)H(p) showed a strong dependence on the hearing loss. In cases of strong fine-structure, S(p) reached values around 200 dB.

Adult↗

Audiogram fine structure and spontaneous otoacoustic emissions in patients with Menière's disease.

The incidence of and inter-relationship between audiogram fine structure and spontaneous otoacoustic emissions (SOAEs) was investigated in patients with Menière's disease. This project is a part of a comprehensive longitudinal study in which a range of tests of cochlear and vestibular function in patients who suffer from Menière's disease, is carried out and repeated over time. In this paper we present preliminary data from both ears (in most cases an affected and an unaffected ear) of 13 patients. The thresholds in these 26 ears ranged from normal to 80 dB HL. SOAEs could be measured in only four ears; these ears had near-normal thresholds. Data from seven ears had to be excluded because of the possibility of cross-over effects. In 16 out of the 19 remaining ears, audiogram fine structure was found. Our data confirm that (1) SOAEs correspond to behavioural sensitivity peaks. (2) There is no simple relationship between SOAE level and height of sensitivity peaks. (3) Sensitivity peaks may occur at frequencies without measurable SOAEs. In addition, our data show that: (1) Audiogram fine structure may occur in ears without observable SOAEs. (2) Fine structure can be present in ears without normal thresholds. (3) There is a weak tendency for fine structure to be more pronounced in ears with milder hearing loss.

Adult↗