Distortion-product Otoacoustic Emissions in Neonates: Normative Data

Pierre Bonfils ORL Department, Hôpital Boucicaut, Faculty Necker-Enfants-Malades, University Paris V, Paris, France; ORL Department, Hôpital Robert Debré, Faculty Bichat, University Paris VII, Paris, France

Paul Avan Biophysics Department, Hôpital Lariboisière, Faculty Lariboisière, University Paris VII, Paris, France

Martine Francois ORL Department, Hôpital Robert Debré, Faculty Bichat, University Paris VII, Paris, France

Jacques Trotoux ORL Department, Hôpital Boucicaut, Faculty Necker-Enfants-Malades, University Paris V, Paris, France

Philippe Narcy ORL Department, Hôpital Robert Debré, Faculty Bichat, University Paris VII, Paris, France

Abstract

Distortion-product otoacoustic emissions (DPOEs) are otoacoustic emissions evoked by two pure tones and used in order to provide a frequency specific assessment of the mechanical properties of the cochlea. This paper first reports complete input-output DPOE functions for audiometric frequencies between 867 Hertz and 8 kHz in a normal neonate population (normative data). DPOE results were analyzed as a function of evoked otoacoustic emission (EOE) properties. Neonates having normal EOEs have large DPOEs. DPOE amplitudes in neonates are larger than in adults. Neonates with atypical EOE frequency spectrum without low frequency components had normal DPOE input-output functions only for high frequencies (above 2 kHz). DPOEs could be useful, in association with EOEs, to precisely evaluate the auditory peripheral function in neonates.

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