Acoustic stapedial reflex in normal adults: biological behavior and determination of threshold levels

ORL J Otorhinolaryngol Relat Spec. 2008;70(3):176-84. doi: 10.1159/000124291. Epub 2008 Apr 8.

Abstract

Objective: To record acoustic reflex thresholds for admittance (Y) and its components, susceptance (B) and conductance (G) in healthy subjects and to establish normative data.

Study design: Acoustic reflex threshold was determined in 100 healthy persons, divided into 5 age groups of 20 persons each (20-29, 30-39, 40-49, 50-59 and 60-69 years old). Detection was performed for Y, B, and G at 226-, 678- and 1,000-Hz probe tones, using 500-, 1,000-, 2,000- and 4,000-Hz stimuli.

Results: Statistically significant differences in acoustic reflex thresholds were revealed between different components, stimuli and tones. The lowest threshold level was recorded for Y at 226 Hz using stimulus 1,000 Hz. Four percent missing values were observed at 226 Hz. Subjects belonging to different age groups had different reflex thresholds.

Conclusion: Inclusion of acoustic reflex detection for B and G offers more detailed information about the middle ear status compared with Y alone, and appears to be sensitive in detecting subtle diseases.

Publication types

  • Comparative Study

MeSH terms

  • Acoustic Stimulation / methods
  • Adult
  • Aged
  • Aging / physiology*
  • Differential Threshold
  • Female
  • Humans
  • Male
  • Middle Aged
  • Reference Values
  • Reflex, Acoustic / physiology*
  • Stapedius / physiology*