Aural Acoustic-Immittance Measurements

Inter-Aural Differences

¹ Veterans Administration Medical Center Long Beach, California

Bilateral measurements of the aural acoustic-immittance characteristics of the middle-ear transmission systems of 48 subjects were made with an acoustic-admittance meter. The measurements, including static acoustic-immittance, acoustic-reflex thresholds, and acoustic-reflex growth functions, were made using a 220-Hz probe. The contralateral reflex data for three pure tones (500, 1000, and 2000 Hz) and for broadband noise were acquired in 2-dB steps at sound-pressure levels from 84–116 dB (tones) and 66–116 dB (noise) during ascending- and descending-intensity level runs. For all acoustic-immittance measurements, right ear and left ear comparisons were made and found not to be significantly different. The individual subject data then were expressed as the absolute differences between ears. In this manner normative inter-aural immittance differences were defined. The peak static immittance data were analyzed in terms of median inter-aural differences and upper 80% cut-off values. The 80% range for normal immittance values were smaller for a within subject versus an across subject comparison. For acoustic-reflex thresholds, a disparity between ears of >10 dB was suggested as indicative of an abnormality in the auditory mechanism. Finally, the reflex-growth data indicated mean inter-aural absolute differences that ranged to .040–.043 acoustic mmhos (300–400 acoustic ohms) at the higher reflex activator sound-pressure levels.