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An investigation was undertaken to measure medial olivocochlear (MOC) reflexes in anesthetized rats before and after sectioning of the middle-ear muscles. Distortion product otoacoustic emission (DPOAE) magnitude and phase temporal responses were measured ipsilaterally to study MOC-mediated BDPOAE onset adaptation^and in the presence of a contralateral noise to study MOC-mediated contralateral Bsuppression^(terms as used by previous researchers). Distortion product otoacoustic emission onset adaptation and contralateral suppression had predictable changes in direction of magnitude and phase that were dependent on the inputYoutput function. After sectioning of the middle-ear muscles (MEMs), DPOAE onset adaptation and contralateral suppression were greatly reduced, and there were little, if any, changes in phase. These Bresidualĉ hanges were interpreted as a result of the MOC reflex. The results suggest that what appears to be DPOAE onset adaptation and contralateral suppression can be mediated primarily by MEM reflexes. When studying MOC effects on otoacoustic emissions (OAEs) using acoustic stimulation, it is necessary to make recordings over a span of stimulus levels. In addition, looking at both magnitude and phase of the OAE may help separate what is due to the MOC reflex from MEM reflex.

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4. Laryngoscope, 128:1445-1452, 2018.

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The Journal of International Advanced Otology (J Int Adv Otol) is an international, peer reviewed, open access publication that is fully sponsored and owned by the European Academy of Otology and Neurotology and the Politzer Society. The journal is published triannually in April, August, and December and its publication language is English.The scope of the Journal is limited with otology, neurotology, audiology (excluding linguistics) and skull base medicine.The Journal of International Advanced Otology aims to publish manuscripts at the highest clinical and scientific level. J Int Adv Otol publishes original articles in the form of clinical and basic research, review articles, short reports and a limited number of case reports. Controversial patient discussions, communications on emerging technology, and historical issues will also be considered for publication.Target audience of J Int Adv Otol includes physicians and academics who work in the fields of otology, neurotology, audiology and skull base medicine.

Purpose To investigate the prevalence of reversal nystagmus in individuals with benign paroxysmal positional vertigo (BPPV). Study Design Prevalence of reversal nystagmus was assessed in 28 subjects with unilateral posterior canal BPPV, canalithiasis type. Six trials of Dix-Hallpike testing were completed for each subject. Results Reversal nystagmus was present in 129 out of 167 Dix-Hallpike maneuvers that were performed (77.2%). In 19 trials where nystagmus was absent with the dependent position of Dix-Hallpike testing, reversal nystagmus was nonetheless demonstrated in 11 trials (57.9%). Conclusion Reversal nystagmus is commonly demonstrated in individuals with posterior canal BPPV, canalithiasis type. It is frequently evoked even when there is no nystagmus with the dependent position of Dix-Hallpike testing. Observation of reversal nystagmus may enhance the identification of BPPV during Dix-Hallpike testing.