Application of Distortion Product Otoacoustic Emission in Hearing Assessment for Children with Mumps_West China Medical Journal

Authors：

 FUJin , LUOGang

Department of Otorhinolaryngology, Mianyang Central Hospital, Mianyang, Sichuan 621000, P. R. China;

Corresponding?author：

Keywords：

Mumps; Hearing; Hearing loss; Distortion product otoacoustic emission; Auditory brainstem response

DOI：

10.7507/1002-0179.20140211

Video：

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Objective To investigate the effect of distortion product otoacoustic emission (DPOAE) in hearing assessment for children with mumps, by comparing the results of DPOAE and auditory brainstem response (ABR) threshold value examination. Methods A total of 116 children (232 ears) with mumps and 50 healthy children (100 ears) without mumps received DPOAE and ABR threshold value examination between March 2010 and October 2012. The results of these two examinations were compared in the first place. Then, The passing rate of DPOAE and the normal rate of ABR were compared between the two groups. Results The passing rate in the mumps group was significantly lower than that in the control group[94.83% (220/232), 100.00% (232/232); P<0.05]. The pure tone test of 6 children (12 ears) in the mumps group who did not pass the DPOAE screening test showed that they had slight or moderate hearing loss. The ABR hearing thresholds of all children were normal. No significant difference was detected in Ⅲ wave latency, Ⅰ-Ⅲ and Ⅲ-Ⅴ intervals based on 75 dB nHL (P>0.05). However, there was a significant difference in the latency of I wave, V wave and interval between Ⅰ and Ⅴ between the two groups (P<0.05). The normal rate of ABR was significantly higher than the passing rate of DPOAE in the mumps group (P<0.05). Conclusion The hearing is normal in all mumps children. However, mumps virus infection can affect the function of the eighth nerve and some auditory nuclei in the brainstem. Although DPOAE can be a useful method for hearing assessment in the mumps children, other hearing tests including ABR should also be considered.

Citation： FUJin, LUOGang. Application of Distortion Product Otoacoustic Emission in Hearing Assessment for Children with Mumps. West China Medical Journal, 2014, 29(4): 706-709. doi: 10.7507/1002-0179.20140211 Copy

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8.	嚴慧芳, 劉兆月, 陳志民, 等. 腮腺炎病毒感染導致Ⅰ型糖尿病1例報告及文獻復習[J]. 中國兒童保健雜志, 2013, 21(7):783-784.
9.	張鳳芝. 流行性腮腺炎合并肝損傷的臨床分析[J]. 中華實驗和臨床感染病雜志·電子版, 2013, 7(1):88-90.
10.	趙色玲, 陳世偉, 劉焜, 等. 阿昔洛韋聯合干擾素治療流行性腮腺炎性睪丸炎臨床分析[J]. 臨床軍醫雜志, 2013(1):30-31.
11.	Smith AW. The World Health Organization's programme for the prevention of deafness and hearing impairment[J]. Scand Audiol Suppl, 1997, 45(4):11-14.
12.	Tsubota M, Shojaku H, Ishimaru H, et al. Mumps virus May damage the vestibular nerve as well as the inner ear[J]. Acta Otolaryngol, 2008, 128(6):644-647.
13.	Bitnun S, Rakover Y, Rosen G. Acute bilateral total deafness complicating mumps[J]. J Laryngol Otol, 1986, 100(8):943-945.
14.	Kanra G, Kara A, Cengiz AB, et al. Mumps meningoencephalitis effect on hearing[J]. Pediatr Infect Dis J, 2002, 21(12):1167-1169.
15.	Kawashima Y, Ihara K, Nakamura M, et al. Epidemiological study of mumps deafness in Japan[J]. Auris Nasus Larynx, 2005, 32(2):125-128.

1. 姜泗長, 顧瑞, 王正敏. 耳科學[M]. 上海:上海科學技術出版社, 1983:828-836.
2. Hashimoto H, Fujioka M, Kinumaki H, et al. An office-based prospective study of deafness in mumps[J]. Pediatr Infect Dis J, 2009, 28(3):173-175.
3. 張云飛, 陳超, 許政敏, 等. 流行性腮腺炎病毒感染對聽力影響的研究[J]. 中國聽力語言康復科學雜志, 2006(1):21-22.
4. 費方榮, 馮錄召, 許真, 等. 2008-2010年中國流行性腮腺炎流行病學特征分析[J]. 疾病監測, 2011, 26(9):691-693.
5. 李興啟. 聽覺誘發反應及應用[M]. 北京:人民軍醫出版社, 2007:146-160.
6. 許政敏, 陳文霞, 張云飛, 等. 不同病因致嬰幼兒聽力障礙的聽力學分析[J]. 聽力學及言語疾病雜志, 2007, 15(1):10-12, 15.
7. 劉丹, 萬浪, 劉維榮, 等. 不同年齡段突發性耳聾的臨床特征和轉歸[J]. 中國耳鼻咽喉顱底外科雜志, 2012, 18(3):215-217.
8. 嚴慧芳, 劉兆月, 陳志民, 等. 腮腺炎病毒感染導致Ⅰ型糖尿病1例報告及文獻復習[J]. 中國兒童保健雜志, 2013, 21(7):783-784.
9. 張鳳芝. 流行性腮腺炎合并肝損傷的臨床分析[J]. 中華實驗和臨床感染病雜志·電子版, 2013, 7(1):88-90.
10. 趙色玲, 陳世偉, 劉焜, 等. 阿昔洛韋聯合干擾素治療流行性腮腺炎性睪丸炎臨床分析[J]. 臨床軍醫雜志, 2013(1):30-31.
11. Smith AW. The World Health Organization's programme for the prevention of deafness and hearing impairment[J]. Scand Audiol Suppl, 1997, 45(4):11-14.
12. Tsubota M, Shojaku H, Ishimaru H, et al. Mumps virus May damage the vestibular nerve as well as the inner ear[J]. Acta Otolaryngol, 2008, 128(6):644-647.
13. Bitnun S, Rakover Y, Rosen G. Acute bilateral total deafness complicating mumps[J]. J Laryngol Otol, 1986, 100(8):943-945.
14. Kanra G, Kara A, Cengiz AB, et al. Mumps meningoencephalitis effect on hearing[J]. Pediatr Infect Dis J, 2002, 21(12):1167-1169.
15. Kawashima Y, Ihara K, Nakamura M, et al. Epidemiological study of mumps deafness in Japan[J]. Auris Nasus Larynx, 2005, 32(2):125-128.

West China Medical Journal

Application of Distortion Product Otoacoustic Emission in Hearing Assessment for Children with Mumps

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