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OTOACOUSTIC EMISSIONS OTOACOUSTIC EMISSIONS
YUSA HERWANTO YUSA HERWANTO
Departemen THT Departemen THT- -KL FK USU KL FK USU
Rs. Adam Malik Medan Rs. Adam Malik Medan
Otoacoustic emission ditemukan Kemp (1978) Otoacoustic emission ditemukan Kemp (1978)
Definition: acoustic energy produced by the Definition: acoustic energy produced by the
cochlea cochlea
Standard set up: stimulus generator, signal Standard set up: stimulus generator, signal
receiver receiver
Outer hair cell electro Outer hair cell electro--motility. motility.
SEJARAH & FUNGSI OAE SEJARAH & FUNGSI OAE
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Anatomy Cochlea Anatomy Cochlea
Mekanisme Cochlea Mekanisme Cochlea
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Speaker Speaker Microphone Microphone
Instrumentasi OAE Instrumentasi OAE
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JENIS OAE JENIS OAE
Cara kerja TEOAE Cara kerja TEOAE
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Cara kerja DPOAE Cara kerja DPOAE
Response from click stimulation
Fast component 9.4msec
Slow component
13.6msec
Feed back of Outer hair cells
Speaker
Microphone
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Click stimulation
Resonance
Slow Component
Fast component
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Differential diagnosis: as a part of Differential diagnosis: as a part of
audiologic battery audiologic battery
Serial monitoring: developing conditions Serial monitoring: developing conditions
and treatment efficacy and treatment efficacy
Screening: newborn, occupational, school, Screening: newborn, occupational, school,
elderly elderly
Clinical Applications of OAE Clinical Applications of OAE
Noise Noise--induced hearing loss induced hearing loss
Ototoxicity Ototoxicity
Hereditary hearing loss Hereditary hearing loss
Prediction of Hearing loss: Onset of noise, Prediction of Hearing loss: Onset of noise,
drug, aging damage drug, aging damage
Provide reasonable estimate for clinical Provide reasonable estimate for clinical
hearing hearing
Clinical Application of OAE Clinical Application of OAE
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11. SKRINING PENDENGARAN . SKRINING PENDENGARAN
PADA BAYI,ANAK SEKOLAH,PEKERJA PADA BAYI,ANAK SEKOLAH,PEKERJA
INDUSTRI INDUSTRI
2. PEMERIKSAAN AUDIOLOGI ANAK 2. PEMERIKSAAN AUDIOLOGI ANAK
3. MONITORING : OTOTOKSIK,MENIERE,NEUROMA 3. MONITORING : OTOTOKSIK,MENIERE,NEUROMA
AKUSTIK AKUSTIK
4. KELAINAN RETROKOKLEA 4. KELAINAN RETROKOKLEA
5. DIAGNOSTIK :BISING,PRESBIKUSIS,IDIOPATHIC 5. DIAGNOSTIK :BISING,PRESBIKUSIS,IDIOPATHIC
HL, FAMILIAL HL HL, FAMILIAL HL
Menieres disease: Menieres disease:
a) hyperosmic challenge ( urea, glycerol ) a) hyperosmic challenge ( urea, glycerol )
b) ability to detect fluctuation b) ability to detect fluctuation
Sudden hearing loss: two emission patterns Sudden hearing loss: two emission patterns
Acoustic neurinoma: Acoustic neurinoma:
a) retrocochlear/ noncochlear subtype a) retrocochlear/ noncochlear subtype
b) cochlear subtype b) cochlear subtype
c) mixed pattern, low vs high frequencies c) mixed pattern, low vs high frequencies
Screening of newborn hearing: prediction of future Screening of newborn hearing: prediction of future
hearing status hearing status
Evoked OAE and Audiogram Evoked OAE and Audiogram
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HAL YANG HARUS DIPERHATIKAN HAL YANG HARUS DIPERHATIKAN
OTOSKOPI OTOSKOPI
KEADAAN TELINGA TENGAH KEADAAN TELINGA TENGAH
PEMASANGAN PROBE PEMASANGAN PROBE
RUANGAN HARUS SEPI RUANGAN HARUS SEPI
INTERNAL NOISE INTERNAL NOISE
Hasil OAE SKRINING : Hasil OAE SKRINING :
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DPOAE GRAM DPOAE GRAM
DPOAE GRAM DPOAE GRAM
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TERIMA KASIH TERIMA KASIH
SEMOGA BERMANFAT SEMOGA BERMANFAT