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Sound energy absorbance changes in the elderly with presbycusis with normal outer and middle ear

Objective This study aimed to investigate the wideband tympanometry (WBT) findings in the elderly with presbycusis who have normal outer and middle ears according to otoscopic examination and traditional tympanometry, and to determine whether there is a relationship between the middle ear wideband a...

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Published in:European archives of oto-rhino-laryngology 2023-05, Vol.280 (5), p.2265-2271
Main Authors: Yilmaz, Nihat, Soylemez, Emre, Sanuc, Merve Betul, Bayrak, Muhammed Harun, Sener, Veyis
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description Objective This study aimed to investigate the wideband tympanometry (WBT) findings in the elderly with presbycusis who have normal outer and middle ears according to otoscopic examination and traditional tympanometry, and to determine whether there is a relationship between the middle ear wideband absorbance value and the pure tone air–bone gap (ABG) observed especially at mid-high frequencies in the elderly. Methods The study included 30 elderly with presbycusis (> 65 years old, presbycusis group) and 30 healthy individuals (control group) between the ages of 18 and 55. Pure tone air conduction and bone conduction thresholds of all participants were determined and WBT was applied to all participants. Resonance frequency (RF), absorbance ratios at peak pressure (PPAR) and ambient pressure (APAR) values were analyzed. Results The RF value of the presbycusis group was lower than the control group ( p  
doi_str_mv 10.1007/s00405-022-07742-8
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Methods The study included 30 elderly with presbycusis (&gt; 65 years old, presbycusis group) and 30 healthy individuals (control group) between the ages of 18 and 55. Pure tone air conduction and bone conduction thresholds of all participants were determined and WBT was applied to all participants. Resonance frequency (RF), absorbance ratios at peak pressure (PPAR) and ambient pressure (APAR) values were analyzed. Results The RF value of the presbycusis group was lower than the control group ( p  &lt; 0.05). APAR and PPAR values at 2000 and 4000 Hz and mean absorbance values of the presbycusis group were lower than the control group ( p  &lt; 0.05). APAR was higher at 500 Hz in males than females ( p  &lt; 0.05), but there was no difference between genders in RFs ( p  &gt; 0.05). A moderate negative correlation was observed between ABG and both PPAR and APAR at 4000 Hz in presbycusis group ( p  &lt; 0.05). Conclusion it was determined that there was a decrease in RF and absorbances at 2000 and 4000 Hz in the elderly with presbycusis. Aging affects not only the inner ear but also the conduction mechanism of the middle ear. Our findings may be effective in a more accurate and reliable interpretation of WBT in the elderly with presbycusis.</description><identifier>ISSN: 0937-4477</identifier><identifier>EISSN: 1434-4726</identifier><identifier>DOI: 10.1007/s00405-022-07742-8</identifier><identifier>PMID: 36350367</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Acoustic Impedance Tests ; Adolescent ; Adult ; Aged ; Ear, Middle ; Female ; Head and Neck Surgery ; Humans ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Neurosurgery ; Otology ; Otorhinolaryngology ; Peroxisome Proliferator-Activated Receptors ; Presbycusis - diagnosis ; Sound ; Young Adult</subject><ispartof>European archives of oto-rhino-laryngology, 2023-05, Vol.280 (5), p.2265-2271</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022. 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Methods The study included 30 elderly with presbycusis (&gt; 65 years old, presbycusis group) and 30 healthy individuals (control group) between the ages of 18 and 55. Pure tone air conduction and bone conduction thresholds of all participants were determined and WBT was applied to all participants. Resonance frequency (RF), absorbance ratios at peak pressure (PPAR) and ambient pressure (APAR) values were analyzed. Results The RF value of the presbycusis group was lower than the control group ( p  &lt; 0.05). APAR and PPAR values at 2000 and 4000 Hz and mean absorbance values of the presbycusis group were lower than the control group ( p  &lt; 0.05). APAR was higher at 500 Hz in males than females ( p  &lt; 0.05), but there was no difference between genders in RFs ( p  &gt; 0.05). A moderate negative correlation was observed between ABG and both PPAR and APAR at 4000 Hz in presbycusis group ( p  &lt; 0.05). Conclusion it was determined that there was a decrease in RF and absorbances at 2000 and 4000 Hz in the elderly with presbycusis. Aging affects not only the inner ear but also the conduction mechanism of the middle ear. 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Methods The study included 30 elderly with presbycusis (&gt; 65 years old, presbycusis group) and 30 healthy individuals (control group) between the ages of 18 and 55. Pure tone air conduction and bone conduction thresholds of all participants were determined and WBT was applied to all participants. Resonance frequency (RF), absorbance ratios at peak pressure (PPAR) and ambient pressure (APAR) values were analyzed. Results The RF value of the presbycusis group was lower than the control group ( p  &lt; 0.05). APAR and PPAR values at 2000 and 4000 Hz and mean absorbance values of the presbycusis group were lower than the control group ( p  &lt; 0.05). APAR was higher at 500 Hz in males than females ( p  &lt; 0.05), but there was no difference between genders in RFs ( p  &gt; 0.05). A moderate negative correlation was observed between ABG and both PPAR and APAR at 4000 Hz in presbycusis group ( p  &lt; 0.05). Conclusion it was determined that there was a decrease in RF and absorbances at 2000 and 4000 Hz in the elderly with presbycusis. Aging affects not only the inner ear but also the conduction mechanism of the middle ear. Our findings may be effective in a more accurate and reliable interpretation of WBT in the elderly with presbycusis.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>36350367</pmid><doi>10.1007/s00405-022-07742-8</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-8426-1755</orcidid><orcidid>https://orcid.org/0000-0002-8388-1856</orcidid><orcidid>https://orcid.org/0000-0003-1575-1280</orcidid><orcidid>https://orcid.org/0000-0003-0638-508X</orcidid><orcidid>https://orcid.org/0000-0002-7554-3048</orcidid></addata></record>
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source Springer Nature:Jisc Collections:Springer Nature Read and Publish 2023-2025: Springer Reading List
subjects Acoustic Impedance Tests
Adolescent
Adult
Aged
Ear, Middle
Female
Head and Neck Surgery
Humans
Male
Medicine
Medicine & Public Health
Middle Aged
Neurosurgery
Otology
Otorhinolaryngology
Peroxisome Proliferator-Activated Receptors
Presbycusis - diagnosis
Sound
Young Adult
title Sound energy absorbance changes in the elderly with presbycusis with normal outer and middle ear
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