临床听力检测掩蔽的原理分析
Analysis of the Masking Principle in Clinical Audiometry
张梦茜;赵立东;曾宪海;李娟娟
1:深圳市龙岗区耳鼻咽喉医院
2:深圳市耳鼻咽喉研究所
3:中国人民解放军总医院第六医学中心耳鼻咽喉头颈外科医学部
4:听觉与平衡觉全国重点实验室
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[1] BRANSTETTER B K,SILLS J M.Mechanisms of auditory masking in marine mammals[J].Animal Cognition,2022,25(5):1029-1047.
[2] JAMES W.HALL III.Ed.Handbook of auditory evoked responses[M].San Antonio:Pearson Education,Inc,2015:77-111.
[3] YOUNG J,MILCHARD A.Estimates of interaural attenuation in children and the implications for masking in clinical audiometry[J].International Journal of Audiology,2024,63(1):57-62.
[4] LAU R,SMALL S A.Effective masking levels for bone conduction auditory brainstem response stimuli in infants and adults with normal hearing[J].Ear and Hearing,2021,42(2):443-455.
[5] 李剑挥,杨伟炎,郗昕.言语测听中的掩蔽问题[J].听力学及言语疾病杂志,2009,17(2):115-117.
[6] ALTOè A,CHARAZIAK K K,DEWEY J B,et al.The elusive cochlear filter:wave origin of cochlear cross-frequency masking[J].Journal of the Association for Research in Otolaryngology,2021,22(6):623-640.
[7] RAUFER S,VERHULST S.Otoacoustic emission estimates of human basilar membrane impulse response duration and cochlear filter tuning[J].Hearing Research,2016,342:150-160.DOI:10.1016/j.heares.2016.10.016.
[8] 李兴启,孙建和,杨仕明,等.耳蜗病理生理学[M].北京:人民军医出版社,2011:53-199.
[9] 马富银,吴九汇.耳蜗力学研究进展[J].力学与实践,2014,36(6):685-715.
[10] ZHOU W X,NAM J H.Probing hair cell's mechano-transduction using two-tone suppression measurements[J].Scientific Reports,2019,9(1):4626.DOI:10.1038/s41598-019-41112-5.
[11] DEWEY J B,APPLEGATE B E,OGHALAI J S.Amplification and suppression of traveling waves along the mouse organ of corti:evidence for spatial variation in the longitudinal coupling of outer hair cell-generated forces[J].The Journal of Neuroscience,2019,39(10):1805-1816.
[12] 莫福源.听觉的声学现象和原理(2)[J].听力学及言语疾病杂志,2018,26(3):336-338.
[13] PLACK C J.The sense of hearing (third edition)[M].New York:Routledge,2018:66-68.
[14] SOHMER H.Reflections on the role of a traveling wave along the basilar membrane in view of clinical and experimental findings[J].European Archives of Otorhinolaryngology,2015,272(3):531-535.
[15] 李兴启,杨仕明,王秋菊,等.听力学基础与临床研究进展[M].郑州:河南科学技术出版社,2021:42-45.
[16] RASETSHWANE D M,BOSEN E C,KOPUN J G,et al.Comparison of distortion-product otoacoustic emission and stimulus-frequency otoacoustic emission two-tone suppression in humans[J].The Journal of Acoustical Society of America,2019,146(6):4481.DOI:10.1121/1.5139660.
[17] DONG W,OLSON E S.Two-tone suppression of simultaneous electrical and mechanical responses in the cochlea[J].Biophysical Journal,2016,111(8):1805-1815.
[18] NI G,ELLIOTT S J,AYAT M,et al.Modelling cochlear mechanics[J].Biomed Research International,2014,2014:150637.DOI:10.1155/2014/150637.
[19] MUSIEK F E,BARAN J A.The auditory system:anatomy,physiology,and clinical correlates (second edition ed)[M].San Diego:CA:Plural Publishing,2020:356-375.
[20] FRANK M M,GOODRICH L V.Talking back:development of the olivocochlear efferent system[J].Wiley Interdisciplinary Reviews,Developmental Biology,2018,7(6):e324.DOI:10.1002/wdev.324.
[21] SUTHAKAR K,RYUGO D K.Projections from the ventral nucleus of the lateral lemniscus to the cochlea in the mouse[J].The Journal of Comparative Neurology,2021,529(11):2995-3012.
[22] 侯志强,余力生,李兴启.外侧橄榄耳蜗束在内毛细胞下突触复合体中的调控作用[J].听力学及言语疾病杂志,2007,15(5):416-418.
[23] 侯志强,余力生,李兴启.多巴胺对豚鼠耳蜗谷氨酸受体NMDA NR1和NMDA NR2A的调节作用[J].听力学及言语疾病杂志,2010,18(2):153-156.
[24] 侯志强,余力生,李兴启,等.多巴胺对豚鼠听觉传入神经的抑制作用及其频率选择性[J].中华耳鼻咽喉头颈外科杂志,2008,43(8):601-605.
[25] HEIL P,PETERSON A J.Basic response properties of auditory nerve fibers:a review[J].Cell and Tissue Research,2015,361(1):129-158.
[26] NAM H,GUINAN J J J R.Low-frequency bias tone suppression of auditory-nerve responses to low-level clicks and tones[J].Hearing Research,2016,341:66-78.DOI:10.1016/j.heares.2016.08.007.
[27] BOURIEN J,TANG Y,BATREL C,et al.Contribution of auditory nerve fibers to compound action potential of the auditory nerve[J].Journal of Neurophysiology,2014,112(5):1025-1039.
[28] GUINAN J J J R.Olivocochlear efferents:their action,effects,measurement and uses,and the impact of the new conception of cochlear mechanical responses[J].Hearing Ressearch,2018,362:38-47.DOI:10.1016/j.heares.2017.12.012.
[29] FUCHS P A,LAUER A M.Efferent inhibition of the cochlea[J].Cold Spring Harbor Perspectives in Medicine,2019,9(5):a033530.DOI:10.1101/cshperspect.a033530.
[30] NOUVIAN R,EYBALIN M,PUEL J L.Cochlear efferents in developing adult and pathological conditions[J].Cell and Tissue Research,2015,361(1):301-309.
[31] 刘浩强,赵立东.如何认识耳蜗内、外毛细胞之间的关系[J].中华耳科学杂志,2018,16(6):907-912.
[32] 马秀芳,孔维佳.畸变产物耳声发射潜伏期对侧抑制现象的观察[J].听力学及言语疾病杂志,2006,14(4):259-262.