Auris, nasus, larynx · 2021
Anticipating real-ear insertion response using an external auditory canal model.
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Taiji Hidenobu, Okamoto Yasuhide, Kanzaki Jin
Аннотация
OBJECTIVES: This study aimed to determine the acoustic characteristics of the external auditory canal (EAC) and predict the real-ear aided response (REAR) using an EAC model that includes the standing wave effect.
METHODS: The EAC transfer function equations were derived by summing the incoming and outgoing waves. First, we investigated the real-ear unaided gain (REUG). Second, seven patients (eight ears) wearing hearing aids (HAs) were enrolled as subjects to examine the REAR. We conducted wideband tympanometry (WBT) to measure the absorbance, the frequency response at 65 dB (65dB-FR) of the HAs, and the measured REAR for an international speech test signal (ISTS) at 65 dB.
RESULTS: The EAC model that includes the standing-wave effect is considered to be valid from examination of the REUG. A significant correlation was found between the measured and calculated REARs at 900 Hz, 1000 Hz, 2000 Hz, and 3000 Hz in an uncorrelated test. A two-way analysis of variance (ANOVA) found significant differences in the 65dB-FR and the measured REARs at 800, 900, 1000, and 2000 Hz, but this difference disappeared after correction of the calculated acoustic characteristics of the EAC.
CONCLUSIONS: By measuring the WBT characteristics and correcting them with an EAC model, the in-situ REAR can be determined from the HA characteristics in the mid-frequency range. There is a risk of insufficient HA amplification in the mid-frequency range when no real-ear measurements are performed.
METHODS: The EAC transfer function equations were derived by summing the incoming and outgoing waves. First, we investigated the real-ear unaided gain (REUG). Second, seven patients (eight ears) wearing hearing aids (HAs) were enrolled as subjects to examine the REAR. We conducted wideband tympanometry (WBT) to measure the absorbance, the frequency response at 65 dB (65dB-FR) of the HAs, and the measured REAR for an international speech test signal (ISTS) at 65 dB.
RESULTS: The EAC model that includes the standing-wave effect is considered to be valid from examination of the REUG. A significant correlation was found between the measured and calculated REARs at 900 Hz, 1000 Hz, 2000 Hz, and 3000 Hz in an uncorrelated test. A two-way analysis of variance (ANOVA) found significant differences in the 65dB-FR and the measured REARs at 800, 900, 1000, and 2000 Hz, but this difference disappeared after correction of the calculated acoustic characteristics of the EAC.
CONCLUSIONS: By measuring the WBT characteristics and correcting them with an EAC model, the in-situ REAR can be determined from the HA characteristics in the mid-frequency range. There is a risk of insufficient HA amplification in the mid-frequency range when no real-ear measurements are performed.