The recording of cochlear and auditory nerve potentials in humans via Electrocochleography (ECochG) has emerged as a valuable tool for a variety of clinical applications. This review consolidates current research on the use of cochlear potentials Ménière’s disease/ and ECochG in the clinical setting and identifies several areas in need of additional study. Methodological topics discussed include a review of ECochG recording approaches (i.e. trans-tympanic versus extratympanic) and issues related to choice of stimuli (clicks versus tonebursts). The review of current applications for cochlear potentials focuses primarily on the use of ECochG in the identification and treatment of Ménière’s disease/endolymphatic hydrops (MD/ELH). Other uses for ECochG also are presented (e.g. intraoperative monitoring, enhancement of ABR wave I, estimation of hearing sensitivity). Several suggestions are offered to maximize the predictive value of ECochG in the diagnosis of MD/ELH.
Despite advances in modern medicine, contemporary society has experienced a series of epidemics and pandemics of noncommunicable, chronic diseases and communicable, infectious diseases [...]
Transient-evoked otoacoustic emissions (TEOAE) were used to characterize linear and nonlinear cochlear transduction using a new system-identification procedure. In this technique, a computational model of the system is first developed. From the measured stimulus and response records, spectral-density functions and multiple coherence functions are calculated. The coherence functions allow the characterization of linear/nonlinear processes as a function of frequency. Summations of linear and nonlinear coherences provide a goodness-of-fit of the chosen model. Finite impulse response pulses with a bandwidth of 1-8 kHz were used to evoke otoacoustic emissions. Eleven adults with normal hearing served as subjects. Third- and fifth-order polynomial models were used to model the data, and the results indicate that the fifth-order model is a better fit to the TEOAE data. The results of this study suggest that this system-identification procedure can be successfully applied to model cochlear transduction using a broadband stimulus. Most importantly, coherence functions provide useful insights into linear and nonlinear cochlear processes and have the potential to be developed as a clinical measure for monitoring changes in cochlear status.
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