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OAE = SNHL?

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OAE = oto-acoustic emissions. When you send sound into the ear. The cochlea

responds to the noise (and creates its own sound) and hair cells vibrate,

which stimulate auditory nerves which pass the signal to the brain and it is

processed.

When the sound is presented into the ear and the cochlea does not respond in

any way - because there are no hair cells or because part of the cochlea is

damaged, The output sent back into the OAE machine is measured.

This is how they can determine a SNHL from the OAE.

Angie in KS

>

> What is the correlation to the OAE and having SNHL?

>

> -Robin

>

>

>

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Robin wrote:

What is the correlation to the OAE and having SNHL?

***

The OAE measures the response of the inner ear nerve endings to pure tones

sent into the ear. Our audiologist explained it this way:

Sound is created by sound waves moving through the air. When sound waves

enter the ear, they move into the inner ear and stimulate the hair cells

(which then stimulate the nerve endings to tell the brain that sound is

present).

When the hair cells are stimulated, they move in response. That movement

triggers sound waves of their own, which move *out* of the ear. The OAE is

designed to pick up the sound generated by this action, compare it to

" normal " benchmarks, and determine if the response sounds are within normal

parameters.

's loss was confirmed to be SNL in nature by this test. No causes of a

conductive loss were readily apparent, so we did the OAE. His right ear

charted exactly as expected (I got to be there and see it as it happened -

it was tracked on a laptop computer in the lab). His left ear had no

response whatsoever - a complete flatline. This also played a large role in

's diagnosis of a complete loss in his left ear.

I hope this helps!

Kris

Mom to (7 y.o., Profound/Complete SNL, Left Ear) and Ethan (6 y.o.,

hearing).

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>> His left ear had no

response whatsoever - a complete flatline. This also played a large role in

's diagnosis of a complete loss in his left ear.<<

Hi Kris. Up till this week, I would have probably not participated in this

discussion, but today I will. Last week, I had my annual audiogram to track

my very mild hearing loss (which has remained unchanged for the last 3

years - yeah!). This time they did an OAE test on me, which they never have

done. Guess what? I have absent OAE's Bilaterally. So, what does that mean?

I honestly haven't a clue and would have thought as you wrote. I mentioned

it to my Neurologist and he didn't have a clue either. I would have asked

the audiologist who did the test but she didn't mention it to me and was

rushing to get through the tests so she could attend the squadron picnic -

which I will have a chat with someone about. This Saturday, as chance would

have it, my son graduates High School (which is a whole celebration by

itself) and a good friend has asked to sit with us, and he happens to have

his Ph.D. in Audiology, so I'll have a chance to chat with him and get some

answers, which I'll pass along to you all.

Sorry if all I've done is confused the matters.

-Kay

Kay

kay@...

The Listen-Up Web

http://www.listen-up.org

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Thank you Kay, I would really like to hear the answer to this. Bree had

her infamous ENT appt yesterday that we waited for a month to get and

they said " because her OAE was 'passed' that she is fine there is no

HL " . Still trying to better understand how the OAE can tell them that.

She did terrible in the sound booth I have no clue how the lady got the

results she got- couldn't condition her for nothing, tried sound field

all she did was " where'd that dog go? " and waited for the dog to clap

symbols not look up when she heard the sound. And then in the sound

field testing she only did sounds from the right side of Bree only ONE

from the left side. Granted a sound field is not as accurate for Right

vs Left but STILL wouldn't you do both sides?!?!

I don't understand how they think that ONE person can conduct a hearing

test in a booth on a 3yro child. The first 2 hearing tests we had done

at a different place had an audi doing the controls sometimes with a

student and a student or another audi in the booth conditioning her.

Even that was hard in the beginning but in the end she's just say " I

hear-d it " and not have to drop blocks in the bucket. This ENT we went

to yesterday had some boring foam blocks that totally suck they didn't

keep her attention at all!

Thanks for letting me vent.

Robin

In Memphis

Re: OAE = SNHL?

>> His left ear had no

response whatsoever - a complete flatline. This also played a large

role in

's diagnosis of a complete loss in his left ear.<<

Hi Kris. Up till this week, I would have probably not participated in

this

discussion, but today I will. Last week, I had my annual audiogram to

track

my very mild hearing loss (which has remained unchanged for the last 3

years - yeah!). This time they did an OAE test on me, which they never

have

done. Guess what? I have absent OAE's Bilaterally. So, what does that

mean?

I honestly haven't a clue and would have thought as you wrote. I

mentioned

it to my Neurologist and he didn't have a clue either. I would have

asked

the audiologist who did the test but she didn't mention it to me and was

rushing to get through the tests so she could attend the squadron picnic

-

which I will have a chat with someone about. This Saturday, as chance

would

have it, my son graduates High School (which is a whole celebration by

itself) and a good friend has asked to sit with us, and he happens to

have

his Ph.D. in Audiology, so I'll have a chance to chat with him and get

some

answers, which I'll pass along to you all.

Sorry if all I've done is confused the matters.

-Kay

Kay

kay@...

The Listen-Up Web

http://www.listen-up.org

All messages posted to this list are private and confidential. Each

post is the intellectual property of the author and therefore subject to

copyright restrictions.

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Kay,

Congratulations to JD! Have a great time.

Debbie

Listen Up! kay@...> wrote:

This Saturday, as chance would have it, my son graduates High School (which is

a whole celebration by itself) and a good friend has asked to sit with us, and

he happens to have his Ph.D. in Audiology, so I'll have a chance to chat with

him and get some answers, which I'll pass along to you all.

Some men see things as they are and ask why. Others dream things that never were

and ask why not. G.B Shaw

---------------------------------

Yahoo! Messenger with Voice. PC-to-Phone calls for ridiculously low rates.

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Robin,

I'm only a parent that has learned a lot along the way, so keep this in

mind. My understanding is if the OAE's are absent then the loss is considered

to be a SNHL. But if you have the OAE's then you could have a conductive loss

or it may be Auditory Neuropathy (need further testing to determine this). Of

couse you could have absent OAE's in only one ear.

I'm surprised that they did try to do the testing with just one individual

doing the testing. Our first hearing test was done with just one audi and

sat on my lap and watched for moving animals. did surprisingly

well. She was 2 1/2 at the time, so that may have made a difference. I also

remember sounds coming out of both sides of the booth. Our next test a month

later was done with two audi's and we got the same results. We've floated

between one or two audi's at our tests, but for whatever reason my normaly

bouncy child sits fairly well for these tests. Now I will tell you that

didn't always " finish " the complete test eveytime. So it got to the point that

they would do tone testing at one session and voice testing at another.

Do these audi's usually test young children? That can make a HUGE

difference in the outcome. If you are not confident in the tests results than

schedule another test and request the two audi's be present.

Debbie, mom to , 6, moderate SNHL and , 3, hearing

Some men see things as they are and ask why. Others dream things that never were

and ask why not. G.B Shaw

---------------------------------

Talk is cheap. Use Yahoo! Messenger to make PC-to-Phone calls. Great rates

starting at 1¢/min.

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