Oto-acoustic emissions (OAEs) are an audiometric diagnostic test that allows quick objective measure of hair cell function in the inner ear. It is a reflection of hearing function at the interface of conductive and sensorineural components in the human ear. Unfortunately, it is not commonly used due to the unique expertise and niche equipment required to successfully carry it out. This article is to further shed light about the use of such tests to junior doctors so that such resources can be better utilised. It also reviews the current and possible future applications of OAEs at the frontiers in otology today.
KempDT. Stimulated acoustic emissions from within the human auditory system. J Acoust Soc Am1978;64(5):1386–91 doi: 10.1121/1.382104.
2.
KempDT. Evidence of mechanical nonlinearity and frequency selective wave amplification in the cochlea. Arch Otorhinolaryngol1979;224(1–2):37–45 doi: 10.1007/BF00455222.
3.
American Academy of Pediatrics, Joint Committee on Infant Hearing. Year 2007 position statement: Principles and guidelines for early hearing detection and intervention programs. Pediatrics2007;120(4):898–921 doi: 10.1542/peds.2007-2333.
4.
BerningerEWestlingB. Outcome of a universal newborn hearing-screening programme based on multiple transient-evoked otoacoustic emissions and clinical brainstem response audiometry. Acta Otolaryngol2011;131(7):728–39 doi: 10.3109/00016489.2011.554440.
5.
AkinpeluOVPelevaEFunnellWRDanielSJ. Otoacoustic emissions in newborn hearing screening: A systematic review of the effects of different protocols on test outcomes. Int J Pediatr Otorhinolaryngol2014;78(5):711–7 doi: 10.1016/j.ijporl.2014.01.021.
NortonSJGorgaM PWidenJEFolsomRCSiningerYCone-WessonB. Identification of neonatal hearing impairment: Evaluation of transient evoked otoacoustic emission, distortion product otoacoustic emission, and auditory brain stem response test performance. Ear Hear2000;21(5):508–28 doi: 10.1097/00003446-200010000-00013.
8.
BergALPrieveBASerpanosYCWheatonMA. Hearing screening in a well-infant nursery: Profile of automated abr-fail/oae-pass. Pediatrics2011;127(2):269–75 doi: 10.1542/peds.2010-0676.
9.
TaylorCLBrooksRP. Screening for hearing loss and middle-ear disorders in children using teoaes. Am J Audiol2000;9(1):50–5 doi: 10.1044/1059-0889(2000/001).
10.
ErenbergALemonsJSiaCTrunkelDZiringP. Newborn and infant hearing loss: Detection and intervention. American academy of pediatrics. Task force on newborn and infant hearing, 1998–1999. Pediatrics1999;103(2):527–30 doi: 10.1542/peds.103.2.527.
11.
BarkerSELesperanceMMKilenyPR. Outcome of newborn hearing screening by ABR compared with four different DPOAE pass criteria. Am J Audiol2000;9(2):142–8 doi: 10.1044/1059-0889(2000/017).
12.
DoyleKJRodgersPFujikawaSNewmanE. External and middle ear effects on infant hearing screening test results. Otolaryngol Head Neck Surg2000;122(4):477–81 doi: 10.1067/mhn.2000.102573.
Yoshinaga-ItanoCApuzzoML. The development of deaf and hard of hearing children identified early through the high-risk registry. Am Ann Deaf1998;143(5):416–24 doi: 10.1353/aad.2012.0118.
15.
Yoshinaga-ItanoCSedeyALCoulterDKMehlAL. Language of early- and later-identified children with hearing loss. Pediatrics1998;102(5):1161–71.
16.
FilipoRBoscoEBarchettaCManciniP. Cochlear implantation in deaf children and adolescents: Effects on family schooling and personal well-being. Int J Pediatr Otorhinolaryngol1999;49(1 Suppl):S183–7 doi: 10.1016/S0165-5876(99)00212-8.
17.
LowWKPangKYHoLYLimSBJosephR. Universal newborn hearing screening in Singapore: The need, implementation and challenges. Ann Acad Med Singapore2005;34(4):301–6.
18.
NarneVKPrabhuP PChatniS. Time-frequency analysis of transient evoked-otoacoustic emissions in individuals with auditory neuropathy spectrum disorder. Hear Res2014;313:1–8 doi: 10.1016/j.heares.2014.04.005.
19.
NorrixLWVelenovskyDS. Auditory neuropathy spectrum disorder (ANSD): A review. J Speech Lang Hear Res2014;57(4):1564–76 doi: 10.1044/2014_JSLHR-H-13-0213.
20.
TelischiFFRothJStagnerBBLonsbury-MartinBLBalkanyTJ. Patterns of evoked otoacoustic emissions associated with acoustic neuromas. Laryngoscope1995;105(7 Pt 1):675–82 doi: 10.1288/00005537-199507000-00002.
21.
KagoyaRShinogamiMKohnoMYamasobaT. Distortion-product otoacoustic emission tests evaluate cochlear function and differentiate cochlear and vestibular schwannoma. Otolaryngol Head Neck Surg2013;148(2):267–71 doi: 10.1177/0194599812469502.
22.
McMillanG PReavisKMKonrad-MartinDDilleMF. The statistical basis for serial monitoring in audiology. Ear Hear2013;34(5):610–8 doi: 10.1097/AUD.0b013e31828a21b3.
23.
ReavisKMPhillipsDSFaustiSAGordonJSHeltWJWilmingtonD. Factors affecting sensitivity of distortion-product otoacoustic emissions to ototoxic hearing loss. Ear Hear2008;29(6):875–93 doi: 10.1097/AUD.0b013e318181ad99.
24.
American academy of audiology clinical practice guidelines on ototoxicity monitoring oct 2009;.
25.
ReavisKMMcMillanGAustinDGallunFFaustiSAGordonJS. Distortion-product otoacoustic emission test performance for ototoxicity monitoring. Ear Hear2011;32(1):61–74 doi: 10.1097/AUD.0b013e3181e8b6a7.
26.
KopelmanJBudnickASSessionsRBKramerMBWongGY. Ototoxicity of high-dose cisplatin by bolus administration in patients with advanced cancers and normal hearing. Laryngoscope1988;98(8 Pt 1):858–64 doi: 10.1288/00005537-198808000-00014.
27.
StavroulakiPApostolopoulosNSegasJTsakanikosMAdamopoulosG. Evoked otoacoustic emissions–an approach for monitoring cisplatin induced ototoxicity in children. Int J Pediatr Otorhinolaryngol2001;59(1):47–57 doi: 10.1016/S0165-5876(01)00455-4.
28.
AttiasJHorovitzGEl-HatibNNagerisB. Detection and clinical diagnosis of noise-induced hearing loss by otoacoustic emissions. Noise Health2001;3(12):19–31.
29.
SistoRChelottiSMoriconiLPellegriniSCitroniAMonechiV. Otoacoustic emission sensitivity to low levels of noise-induced hearing loss. J Acoust Soc Am2007;122(1):387–401 doi: 10.1121/1.2737668.
30.
BaradarnfarMHKaramifarKMehrparvarAHMollasadeghiAGharaviMKarimiG. Amplitude changes in otoacoustic emissions after exposure to industrial noise. Noise Health2012;14(56):28–31 doi: 10.4103/1463-1741.93329.
31.
MillerJA LapsleyMarshallLHellerLMHughesLM. Low-level otoacoustic emissions may predict susceptibility to noise-induced hearing loss. J Acoust Soc Am2006;120(1):280–96 doi: 10.1121/1.2204437.
32.
CuevaRA. Preoperative, intraoperative, and postoperative auditory evaluation of patients with acoustic neuroma. Otolaryngol Clin North Am2012;45(2):285–90 doi: 10.1016/j.otc.2011.12.002.
33.
MorawskiKNamyslowskiGLisowskaGBazowskiPKwiekSTelischiFF. Intraoperative monitoring of cochlear function using distortion product otoacoustic emissions (dpoaes) in patients with cerebellopontine angle tumors. Otol Neurotol2004;25(5):818–25 doi: 10.1097/00129492-200409000-00028.
34.
KimAHEdwardsBMTelianSAKilenyPRArtsHA. Transient evoked otoacoustic emissions pattern as a prognostic indicator for hearing preservation in acoustic neuroma surgery. Otol Neurotol2006;27(3):372–9 doi: 10.1097/00129492-200604000-00014.
35.
MertesIBGoodmanSS. Short-latency transient-evoked otoacoustic emissions as predictors of hearing status and thresholds. J Acoust Soc Am2013;134(3):2127–35 doi: 10.1121/1.4817831.
36.
ShafferLADharS. DPOAE component estimates and their relationship to hearing thresholds. J Am Acad Audiol2006;17(4):279–92 doi: 10.3766/jaaa.17.4.6.
37.
NeelySTJohnsonTAKopunJDierkingDMGorgaM P. Distortion-product otoacoustic emission input/output characteristics in normal-hearing and hearing-impaired human ears. J Acoust Soc Am2009;126(2):728–38 doi: 10.1121/1.3158859.
38.
PolingGLSiegelJHLeeJLeeJDharS. Characteristics of the 2f1-f2 distortion product otoacoustic emission in a normal hearing population. J Acoust Soc Am2014;135(1):287–99 doi: 10.1121/1.4845415.
39.
ReuvenMLNeelySTKopunJGRasetshwaneDMAllenJBTanH. Effect of calibration method on distortion-product otoacoustic emission measurements at and around 4 kHz. Ear Hear2013;34(6):779–88 doi: 10.1097/AUD.0b013e3182994f15.