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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 18(3); 1975 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1975;18(3): 15-26.
Clinical Studies with Impedance Autiometry - (I) On the Three Basic Measurements -
KT Noh, MD, and YG Min, MD
Department of Otolaryngology, College of Medicine, Seoul National, Seoul, Korea
Impedance Audiometry의 臨床的 硏究 - (I) 正常人 및 難聽者에서의 基本測定値에 대한 考察 -
盧寬澤 · 閔陽基
서울大學校 醫科大學 耳鼻咽喉科學敎室
ABSTRACT

The development of impedance audiometry during the past decade had added new scope and dimension to clinical audiology. After introduction of the impedance audiometry, the measurement of sound conducting system in combination with the development of otoneurology and microsurgery played an important role in diagnosis of hearing disturbance. Based on the pioneering efforts of Metz (1946), who first introduced the concept of impedance audiometry, Terkildsen and others pioneered the application of the electroacoustic approach, culminating in the present commercially available electroacoustic bridge (Madsen ZO 70, 72). In Korea, still there is no report about this, so we measured the normal value of Korean by using Madsen ZO 70 and afford it as a base of further study in sound conduction system of middle ear. The results are as follows ; 1) The tympanograms in normal and sensori-neural hearing loss cases were mostly in type A curves. 2) The range of acoustic impedances in normal cases were 621Ω to 4320Ω (mean. 1972Ω), and the range of static compliances in normal cases were 0.2 cc to 1.4 cc (mean. 0.69 cc). 3) Stapedial reflex thresholds were 96 dB at 500 Hz, 97 dB at 1,000 Hz, 99 dB at 2,000 Hz, and 96 dB at 4,000 Hz in normal and sensori-neural hearing loss cases in mild and moderate degrees. S.R was mostly absent in sensorineural hearing loss cases in severe degree.

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