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Assessing Body Temperature - Tympanic membrane01:14

Assessing Body Temperature - Tympanic membrane

Assessing tympanic membrane temperature involves using a tympanic membrane thermometer (TMT). Here is a step-by-step guide:
Step 1: Begin by practicing good hand hygiene to prevent the transmission of microorganisms.
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Test-Retest Differences in the Wideband Middle Ear Muscle Reflex.

Naomi F Bramhall1,2, Nicole K Whittle1, M Patrick Feeney1,2

  • 1VA National Center for Rehabilitative Auditory Research (NCRAR) Veterans Affairs Portland Health Care System, OR.

American Journal of Audiology
|February 26, 2025
PubMed
Summary
This summary is machine-generated.

This study assessed the test-retest reliability of wideband middle ear muscle reflex (MEMR) measurements. Results show test-retest differences vary with stimulus level, impacting clinical interpretation of cochlear deafferentation.

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Area of Science:

  • Audiology
  • Neuroscience
  • Otoacoustic Emissions

Background:

  • Middle ear muscle reflex (MEMR) assessment is crucial for evaluating middle ear function and identifying retrocochlear lesions.
  • Wideband MEMR offers more detailed frequency information and lower thresholds than traditional tonal probes.
  • Emerging research suggests wideband MEMR may detect noise-induced cochlear synaptopathy, but its clinical use for cochlear deafferentation requires further validation.

Purpose of the Study:

  • To determine the test-retest reliability of wideband middle ear muscle reflex (MEMR) measurements.
  • To establish a baseline for clinical interpretation of wideband MEMR in assessing cochlear deafferentation.
  • To evaluate the impact of stimulus level on MEMR test-retest variability.

Main Methods:

  • 45 adults with normal hearing and tympanograms participated.
  • Wideband MEMR magnitude and threshold were measured twice, with 2 hours to 5 months between sessions.
  • Contralateral broadband noise stimuli were used at elicitor levels from 60 to 100 dB SPL.

Main Results:

  • Test-retest differences in MEMR magnitude and threshold increased with higher elicitor levels.
  • Individual variations in MEMR magnitude and frequency response were observed between test sessions.
  • These findings highlight the need for careful interpretation of wideband MEMR results.

Conclusions:

  • Test-retest differences in contralateral wideband MEMR magnitude and threshold are influenced by elicitor level.
  • Clinicians can use these established differences to aid in the interpretation of wideband MEMR results.
  • Further research is needed to fully integrate wideband MEMR into diagnostic protocols for cochlear deafferentation.