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Auteur M. Patrick Feeney
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Automated Adaptive Wideband Acoustic Reflex Threshold Estimation in Normal-hearing Adults / Kim Schairer in Ear and hearing, Vol.43, n°2 (Mars-avril 2022)
Titre : Automated Adaptive Wideband Acoustic Reflex Threshold Estimation in Normal-hearing Adults Type de document : Article Auteurs : Kim Schairer ; Daniel B. Putterman ; Douglas H. Keefe ; Dennis F. Fitzpatrick ; Angela C. Garinis ; Elizabeth R. Kolberg ; M. Patrick Feeney Année de publication : 2022 Article en page(s) : p. 370-378 Langues : Anglais (eng) Descripteurs : HE Vinci
Immitance acoustique ; Reflexe de l'oreille moyenne ; Reflexion a large bande
Résumé : Objectives: Acoustic stapedius reflex threshold (ART) tests are included in a standard clinical acoustic immittance test battery as an objective cross-check with behavioral results and to help identify site of lesion. In traditional clinical test batteries, middle-ear admittance of a 226 Hz probe is estimated using ear-canal measurements in the presence of a reflex-activating stimulus. In the wideband (WB) acoustic immittance ART test used in this study, the pure-tone probe is replaced by a WB probe stimulus and changes in absorbed power are estimated using ear-canal measurements in the presence of the activator. The ART is defined as the lowest level at which a criterion change in admittance (clinical) or absorbed power (WB) is observed in the presence of the activator. In the present study, ARTs were obtained in adults with normal hearing using the clinical, manual method and with a new WB automated adaptive threshold detection method. It was hypothesized that the WB test would result in lower ARTs than the clinical test because reflex-related changes in power absorbance could be observed across multiple frequency bands in the WB test compared with a single frequency in the traditional test.
Design: Data were collected in a prospective research design. ARTs were obtained in ipsilateral and contralateral conditions using 500, 1000, 2000 Hz, and broadband noise (BBN) activators on a clinical system and on an experimental WB system. The bandwidth of the BBN activator was 125 to 4000 Hz on the clinical system and 200 to 8000 Hz on the wideband system. ARTs were estimated at both tympanometric peak pressure (TPP) and ambient pressure on the WB system. Data were collected in both ears of 39 adults (21 males) of mean age 47.7 years (range 23-72 years). Differences in ARTs among the three threshold estimation methods (clinical, WB at TPP, WB at ambient) were examined using the general linear model repeated measures test in SPSS. Post-hoc pairwise comparisons were completed with Bonferroni correction for multiple comparisons. Statistical significance was defined as p
Results: ARTs obtained on the WB system at TPP and ambient pressure were significantly lower than obtained on the clinical system. ARTs obtained on the WB system at TPP were significantly higher than at ambient pressure in the 500 and 2000 Hz ipsilateral conditions.
Conclusions: WB automated adaptive ARTs in normal-hearing adults were lower than for clinical methods when measured at TPP and ambient pressure. Lower presentation levels required to estimate ART in the WB test may be more tolerable to patients. Patients with ARTs that are not present at the maximum level of a traditional reflex test may have present ARTs with a WB ART test, which may reduce the need to refer for additional testing for possible retrocochlear involvement. Automation of the test may allow clinicians more time to attend to the other requisite tasks of a hearing evaluation and make the system useful for telehealth applications.
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in Ear and hearing > Vol.43, n°2 (Mars-avril 2022) . - p. 370-378[article]Effects of Otosclerosis on Middle Ear Function Assessed With Wideband Absorbance and Absorbed Power / M. Patrick Feeney in Ear and hearing, Vol. 42, n°3 (Mai- Juin 2021)
Titre : Effects of Otosclerosis on Middle Ear Function Assessed With Wideband Absorbance and Absorbed Power Type de document : Article Auteurs : M. Patrick Feeney ; Douglas H. Keefe ; Lisa L. Hunter ; Dennis F. Fitzpatrick ; Daniel B. Putterman ; Angela C. Garinis Année de publication : 2021 Article en page(s) : p. 547-557 Langues : Anglais (eng) Descripteurs : Autres descripteurs
Otosclerose ; Reflectance acoustique
Absorbance acoustique ; Oreille moyenne ; Tympanométrie ; Wideband absorbance (WBA)
Résumé : Objective: Wideband absorbance and absorbed power were evaluated in a group of subjects with surgically confirmed otosclerosis (Oto group), mean age 51.6 years. This is the first use of absorbed power in the assessment of middle ear disorders. Results were compared with control data from two groups of adults, one with normal hearing (NH group) mean age of 31 years, and one that was age- and sex-matched with the Oto group and had sensorineural hearing loss (SNHL group). The goal was to assess group differences using absorbance and absorbed power, to determine test performance in detecting otosclerosis, and to evaluate preoperative and postoperative test results.
Design: Audiometric and wideband tests were performed over frequencies up to 8 kHz. The three groups were compared on wideband tests using analysis of variance to assess group mean differences. Receiver operating characteristic (ROC) curve analysis was also used to assess test accuracy at classifying ears as belonging to the Oto or control groups using the area under the ROC curve (AUC). A longitudinal design was used to compare preoperative and postoperative results at 3 and 6 months.
Results: There were significant mean differences in the wideband parameters between the Oto and control groups with generally lower absorbance and absorbed power for the Oto group at ambient and tympanometric peak pressure (TPP) depending on frequency. The SNHL group had more significant differences with the Oto group than did the NH group in the high frequencies for absorbed power at ambient pressure and tympanometric absorbed power at TPP, as well as for the tympanometric tails. The greatest accuracy for classifying ears as being in the Oto group or a control group was for absorbed power at ambient pressure at 0.71 kHz with an AUC of 0.81 comparing the Oto and NH groups. The greatest accuracy for an absorbance measure was for the comparison between the Oto and NH groups for the peak-to-negative tail condition with an AUC of 0.78. In contrast, the accuracy for classifying ears into the control or Oto groups for static acoustic admittance at 226 Hz was near chance performance, which is consistent with previous findings. There were significant mean differences between preoperative and postoperative tests for absorbance and absorbed power.
Conclusions: Consistent with previous studies, wideband absorbance showed better sensitivity for detecting the effects of otosclerosis on middle ear function than static acoustic admittance at 226 Hz. This study showed that wideband absorbed power is similarly sensitive and may perform even better in some instances than absorbance at classifying ears as having otosclerosis. The use of a group that was age- and sex-matched to the Oto group generally resulted in greater differences between groups in the high frequencies for absorbed power, suggesting that age-related norms in adults may be useful for the wideband clinical applications. Absorbance and absorbed power appear useful for monitoring changes in middle ear function following surgery for otosclerosis.
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in Ear and hearing > Vol. 42, n°3 (Mai- Juin 2021) . - p. 547-557[article]Estimating the acoustic reflex threshold from wideband measures of reflectance, admittance, and power / M. Patrick Feeney in Ear and hearing, Vol.22, n° 4 (Août 2001)
Titre : Estimating the acoustic reflex threshold from wideband measures of reflectance, admittance, and power Type de document : Article Auteurs : M. Patrick Feeney ; Douglas H. Keefe Langues : Anglais (eng) Descripteurs : Autres descripteurs
Admittance acoustique ; Réflexe acoustique
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in Ear and hearing > Vol.22, n° 4 (Août 2001)[article]Evaluation of Cochlear Hearing Disorders: Normative Distortion Product Otoacoustic Emission Measurements / David M. Mills in Ear and hearing, Vol.28, n° 6 (Décembre 2007)
Titre : Evaluation of Cochlear Hearing Disorders: Normative Distortion Product Otoacoustic Emission Measurements Type de document : Article Auteurs : David M. Mills ; M. Patrick Feeney ; George A. Gates Année de publication : 2007 Langues : Anglais (eng) Descripteurs : HE Vinci
Déficience auditive ; Diagnostic auditif ; Produit de distorsion acoustique (PDA)
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in Ear and hearing > Vol.28, n° 6 (Décembre 2007)[article]Hearing Health Care Utilization Following Automated Hearing Screening / Robert L. Folmer in Journal of the American Academy of Audiology (JAAA), Vol. 32, n° 4 (April 2021)
Titre : Hearing Health Care Utilization Following Automated Hearing Screening Type de document : Article Auteurs : Robert L. Folmer ; Gabrielle H. Saunders ; Jay J. Vachhani ; Robert H. Margolis ; George L. Saly ; Bevan Yueh ; Rachel McArdle ; Lawrence L. Feth ; Christina M. Roup ; M. Patrick Feeney Année de publication : 2021 Article en page(s) : p. 235-245 Langues : Anglais (eng) Descripteurs : HE Vinci
Accessibilité des services de santé ; Dépistage auditif ; Perte d'audition
Résumé : Background The study examined follow-up rates for pursuing hearing health care (HHC) 6 to 8 months after participants self-administered one of three hearing screening methods: an automated method for testing of auditory sensitivity (AMTAS), a four-frequency pure-tone screener (FFS), or a digits-in-noise test (DIN), with and without the presentation of a 2-minute educational video about hearing.
Purpose The study aims to determine if the type of self-administered hearing screening method (with or without an educational video) affects HHC follow-up rates.
Research Design The study is a randomized controlled trial of three automated hearing screening methods, plus control group, with and without an educational video. The control group completed questionnaires and provided follow-up data but did not undergo a hearing screening test.
Study Sample The study sample includes 1,665 participants (mean age 50.8 years; 935 males) at two VA Medical Centers and at university and community centers in Portland, OR; Bay Pines, FL; Minneapolis, MN; Mauston, WI; and Columbus, OH.
Data Collection and Analysis HHC follow-up data at 6 to 8 months were obtained by contacting participants by phone or mail. Screening methods and participant characteristics were compared in relation to the probability of participants pursuing HHC during the follow-up period.
Results The 2-minute educational video did not have a significant effect on HHC follow-up rates. When all participants who provided follow-up data are considered (n = 1012), the FFS was the only test that resulted in a significantly greater percentage of HHC follow-up (24.6%) compared with the control group (16.8%); p = 0.03. However, for participants who failed a hearing screening (n = 467), follow-up results for all screening methods were significantly greater than for controls. The FFS resulted in a greater probability for HHC follow-up overall than the other two screening methods. Moreover, veterans had higher follow-up rates for all screening methods than non-veterans.
Conclusion The FFS resulted in a greater HHC follow-up rate compared with the other screening methods. This self-administered test may be more motivational for HHC follow-up because participants who fail the screening are aware of sounds they could not hear which does not occur with adaptive assessments like AMTAS or the DIN test. It is likely that access to and reduced personal cost of audiological services for veterans contributed to higher HHC follow-up rates in this group compared with non-veteran participants.
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in Journal of the American Academy of Audiology (JAAA) > Vol. 32, n° 4 (April 2021) . - p. 235-245[article]
Cote Support Localisation Section Disponibilité Journal of the American Academy of Audiology. Vol. 32, n° 4 (April 2021) Périodique papier Ixelles Rez Consultation sur place uniquement
Exclu du prêtIdentifying otosclerosis with aural acoustical tests of absorbance, group delay, acoustic reflex threshold, and otoacoustic emissions / Douglas H. Keefe in Journal of the American Academy of Audiology (JAAA), Vol.28, n°9 (October 2017)PermalinkWideband acoustic immitance in children with Down syndrome : prediction of middle ear-ear dysfunction, conductive hearing loss and patent PE tubes / Lisa L. Hunter ; Douglas H. Keefe ; M. Patrick Feeney ; [et al.] in International Journal of Audiology IJA, Vol. 56, n° 1-12 (January-December 2017)PermalinkWideband reflectance measures of the ipsilateral acoustic stapedius reflex threshold / M. Patrick Feeney in Ear and hearing, Vol.25, n° 5 (Octobre 2004)Permalink