Effects of Body Position on Cochlear Function in Infants: An Otoacoustic Emission Study

Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):934-937. doi: 10.1007/s12070-023-04327-7. Epub 2023 Nov 10.

Abstract

Background: Otoacoustic Emission (OAE) is frequently recorded in various body positions for infants. However, little is available about whether these deviations will produce non-pathological effects on the clinical results. The current study assessed body position's effect on infants' inner ear function.

Methods: Sixty normally hearing infants participated in an analytical cross-sectional study. Distortion-product OAEs (DPOAEs) were measured in the supine, side-lying, and upright positions. The DPOAE amplitude and signal-to-noise ratio (SNR) were recorded across the 1500 to 6000 Hz range.

Results: The mean DPOAE amplitude and SNR values were significantly greater in the upright position than supine and side-lying positions (p < 0.05). These differences were more pronounced in the 3000 to 6000 Hz range. The effects of gender and ear asymmetry on DPOAEs were not statistically significant.

Conclusion: Our findings suggested that the upright position could be regarded as the best position for assessing DPOAEs in infants.

Keywords: Body position; Infants; Otoacoustic emissions.