Acoustic reflex detection using wide-band acoustic reflectance, admittance, and power measurements

The measurement of the acoustic reflex threshold is a basic component of th e diagnostic audiological test battery that may subject patients to potenti ally harmful sound pressures. A wide-band acoustic impedance and reflectanc e system (D. H. Keefe, R. Ling, & J. C. Bulen, 1992) was investigated as a means of obtaining reflex thresholds at a reduced level and as a means of p roviding a,,, complete characterization of the reflex than current clinical methods provide. Reflex thresholds obtained by measuring changes in wide-b and admittance, reflectance and power were at least 8 dB lower than those o btained with th, standard clinical technique. These reflex-induced changes were accounted for by a simple oscillator model of the middle ear, assuming that the acoustic reflex results in an increase in stiffness. The results support further investigation of reflectance-based measures of the acoustic reflex as a clinical tool and as a means of studying the reflex mechanism.