{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:19:48Z","timestamp":1787030388849,"version":"build-2736575974"},"reference-count":0,"publisher":"American Academy of Audiology","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["j am acad audiol"],"published-print":{"date-parts":[[2005,9,1]]},"abstract":"<jats:p>We extracted a subpopulation of 136 patients (from our database of 257 AN\/AD subjects) in whom middle ear muscle reflexes had been measured. None showed normal reflexes at all frequencies tested. Only three subjects showed any reflexes at 95 dB HL or below, but never at both 1 and 2\n kHz in both ears whether ipsilaterally or contralaterally elicited. All the other reflex measures in these remaining 133 patients were either absent or observed above 100 dB HL, which is incongruous with their normal otoacoustic emissions throughout the frequency bands. Therefore, we urge\n colleagues to test ipsilateral middle ear muscle reflex at least at 1 kHz and 2 kHz in any perinatal hearing screening that depends solely on otoacoustic emissions. If the emissions are present and the reflexes are absent or elevated, an ABR may be required to properly intervene, because the\n management of AN\/AD patients often differs drastically from what the behavioral audiogram or the ABR suggest. Seleccionamos una sub-poblaci\u00f3n de 136 pacientes (de nuestra base de datos de 257 sujetos con AN\/AD) a quienes se les hab\u00eda medido sus reflejos de los m\u00fasculos\n del o\u00eddo medio. S\u00f3lo tres sujetos mostraron alg\u00fan reflejo a 95 dB HL o menos, pero nunca en 1 y 2 kHz en ambos o\u00eddos, ya se tratara de estimulaci\u00f3n ipsi o contralateral. Todas las dem\u00e1s mediciones de reflejos en los restantes 133 pacientes estuvieron\n ausentes o por encima de 100 dB HL, lo que fue incongruente con sus emisiones otoac\u00fasticas normales a lo largo de las bandas de frecuencia. Por lo tanto, instamos a los colegas para que eval\u00faen el reflejo ipsilateral del m\u00fasculo del o\u00eddo medio en 1 kHz y en 2 kHz,\n en cualquier tamizaje auditivo perinatal que dependa exclusivamente de emisiones otoac\u00fasticas. Si las emisiones est\u00e1n presentes y los reflejos ausentes o elevados, se requiere unos ABR para una adecuada intervenci\u00f3n, dado que el manejo de los pacientes con AN\/AD a menudo\n difiere dr\u00e1sticamente de lo que sugiere el audiograma conductual o los ABR.<\/jats:p>","DOI":"10.3766\/jaaa.16.8.3","type":"journal-article","created":{"date-parts":[[2008,4,22]],"date-time":"2008-04-22T19:54:28Z","timestamp":1208894068000},"page":"546-553","source":"Crossref","is-referenced-by-count":79,"title":["Absent or Elevated Middle Ear Muscle Reflexes in the Presence of Normal Otoacoustic Emissions: A Universal Finding in 136 Cases of Auditory Neuropathy\/Dys-synchrony"],"prefix":"10.3766","volume":"16","author":[{"given":"Charles I.","family":"Berlin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda J.","family":"Hood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thierry","family":"Morlet","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane","family":"Wilensky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patti St.","family":"John","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Montgomery","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Thibodaux","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2087","container-title":["Journal of the American Academy of Audiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ingentaconnect.com\/content\/aaa\/jaaa\/2005\/00000016\/00000008\/art00003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,5]],"date-time":"2025-02-05T18:12:28Z","timestamp":1738779148000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ingentaconnect.com\/content\/10.3766\/jaaa.16.8.3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,9,1]]},"references-count":0,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2005,9,1]]}},"alternative-id":["1050-0545(20050901)16:8L.546;1-"],"URL":"https:\/\/doi.org\/10.3766\/jaaa.16.8.3","relation":{},"ISSN":["1050-0545"],"issn-type":[{"value":"1050-0545","type":"print"}],"subject":[],"published":{"date-parts":[[2005,9,1]]}}}