声导抗基础知识 .ppt

声导抗基础知识培训;Sound travel 声音传导;精品资料; 你怎么称呼老师？ 如果老师最后没有总结一节课的重点的难点，你是否会认为老师的教学方法需要改进？ 你所经历的课堂，是讲座式还是讨论式？ 教师的教鞭 “不怕太阳晒，也不怕那风雨狂，只怕先生骂我笨，没有学问无颜见爹娘 ……” “太阳当空照，花儿对我笑，小鸟说早早早……”;Getting sound into a different medium声音在不同媒介中的传导;The role of the middle ear 中耳的作用;The Ossicles 听小骨;The Middle ear anatomy 中耳解剖;Getting sound into a different medium声音在不同媒介中的传导;How do we test the middle ear?如何检测中耳功能;中耳测试;Part of the probe tone is reflected, and some is admitted into the middle ear 一部分探测音被反射回来，另一部分则进入中耳 The admittance is continuously measured by a microphone 声导纳通过麦克风持续测量计算出来;鼓室图;;; ;-200;SA;226 Hz: Different configurations of tympanometric results226Hz鼓室声导抗测试结果与疾病的关系;The two middle ear muscles 中耳肌;The Acoustic Reflex 声反射;Stapedius muscle controlled by facial nerve (CN VII) 镫骨肌由第七对颅神经－面神经支配 Network in brainstem consists of ipsilateral and contralateral paths 脑干层面由同侧和对侧神经通路组成 Reflex activated on both ears, even when stimulation only occurs in one ear 一侧耳受到刺激时，双侧镫骨肌都会收缩 Comparison of ipsilateral vs. contralateral acoustic reflexes helps to determine site of lesion 对比同侧和对侧声反射有助于判断病变部位;声反射;0.00;声反射测试 – 高精度的挑战;Threshold+10 dB, 10 seconds stimulus time 声反射阈上10dB给声，刺激时程10s; The reflex should be activated in both ears even if stimulated in only one ear 单耳刺激声可激活双耳声反射 The upper normal intensity limit for reflex thresholds in adults is 95 - 100 dB HL 正常成人声反射阈上限是95－100dB HL Reflex thresholds cannot be determined if there is a problem with the middle ear 中耳疾病时不能测出声反射阈 Broad Band Noise provokes a reflex at about 10 - 15 dB lower than pure tone stimuli 宽带噪声声反射阈较纯音刺激声低10－15dB Determines type of hearing loss when compared with the audiogram 声反射阈与听力图比较可帮助判断耳聋类型 Decays with neural fatigue (typically 8th nerve tumour) 衰减提示听神经疲劳，是听神经肿瘤的典型表现 ;Different configurations of Acoustic Reflex results 声反射结果与疾病的关系;226 Hz probe tone : Normal tympanogram in abnormal ear! 226Hz探测音：异常中耳显示正常鼓室导抗图;Tympanometry in infants 婴儿鼓室声导抗;How easily can I move this me－chanical system? 怎样轻而易