What does elevated acoustic reflexes mean?

An elevated or ab- sent acoustic reflex threshold is consistent with a middle ear disorder, hearing loss in the stimulated ear, and/or interruption of neural innervation of the stapedius muscle.

What is contralateral acoustic reflex?

During contralateral acoustic reflex measures, direct interactions of the probe and the activating stimuli are not possible, since the probe is presented to the test ear and the reflex activating stimuli are presented to the contralateral ear.

What is a normal acoustic reflex threshold?

An Acoustic Reflex Threshold test lets the audiologist know whether your child’s acoustic reflex is working correctly. In mammals, the acoustic reflex is triggered by loud noises. In humans, the range is usually between 65 dB and 95 dB. Muscles in the inner ear contract to help protect the eardrum from damage.

What does present acoustic reflexes mean?

The acoustic reflex, also known as the stapedius reflex refers to an involuntary muscle contraction of the stapedius muscle in response to a high-intensity sound sti- mulus.

What triggers the acoustic reflex?

The acoustic reflex threshold (ART) is the sound pressure level (SPL) from which a sound stimulus with a given frequency will trigger the acoustic reflex. The ART is a function of sound pressure level and frequency. People with normal hearing have an acoustic reflex threshold (ART) around 70–100 dB SPL.

Why do we do acoustic reflexes?

Acoustic reflexes measure the stapedius and the tensor tympani reflex generated eardrum movement in response to intense sound. They can be helpful in checking for particular types of hearing loss in situations where patient reliability is questionable. They also occasionally point to central nervous system pathology.

Why do we test acoustic reflexes?

What is impedance matching in the ear?

Impedance matching is one of the important functions of middle ear. The middle ear transfers the incoming vibration from the comparatively large, low impedance tympanic membrane to the much smaller, high impedance oval window. Middle ear is an efficient impedance transformer.

How do I report an acoustic reflex?

How to perform the acoustic reflex decay test

  1. Perform tympanometry and reflex measurements first.
  2. Take the acoustic reflex threshold at 500 Hz or 1000 Hz in the ear you want to test and add 10 dB. This is the stimulus level you will use for testing.
  3. Make sure you have a good probe seal and press start to run the test.

How do you overcome impedance mismatch?

This problem can sometimes be overcome by switching from a low pass L-network to a high pass L-network or vice versa. Another popular technique is using impedance matching transformers. These transform the load impedance as a square of the voltage-transformation ratio.

How does the ear compensate for the impedance problem?

The middle ear (see Figure 13.3) overcomes this problem and ensures transmission of the sound energy across the air-fluid boundary by boosting the pressure measured at the tympanic membrane almost 200-fold by the time it reaches the inner ear.

Can impedance matching?

Impedance matching to minimize reflections is achieved by making the load impedance equal to the source impedance. If the source impedance, load impedance and transmission line characteristic impedance are purely resistive, then reflection-less matching is the same as maximum power transfer matching.