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VEMP using a new low-frequency bone conduction transducer

Authors Håkansson B, Fredén Jansson KJ, Tengstrand T, Johannsen L, Eeg-Olofsson M, Rigato C, Dahlström E, Reinfeldt S

Received 17 April 2018

Accepted for publication 6 June 2018

Published 6 September 2018 Volume 2018:11 Pages 301—312

DOI https://doi.org/10.2147/MDER.S171369

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Cristina Weinberg

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser


Video abstract presented by Bo Håkansson.

Bo Håkansson,1 Karl-Johan Fredén Jansson,1 Tomas Tengstrand,2 Leif Johannsen,3 Måns Eeg-Olofsson,4 Cristina Rigato,1 Elisabeth Dahlström,4 Sabine Reinfeldt1

1Department of Electrical Engineering, Chalmers University of Technology, Gothenburg, Sweden; 2Department of Audiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; 3Ortofon A/S, Nakskov, Denmark; 4Department of Otolaryngology, Head and Neck Surgery, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden

Objective: A new prototype bone conduction (BC) transducer B250, with an emphasized low-frequency response, is evaluated in vestibular evoked myogenic potential (VEMP) investigations. The aim was to compare cervical (cVEMP) and ocular (oVEMP) responses using tone bursts at 250 and 500 Hz with BC stimulation using the B250 and the conventional B81 transducer and by using air conduction (AC) stimulation.
Methods: Three normal subjects were investigated in a pilot study. BC stimulation was applied to the mastoids in cVEMP, and both mastoid and forehead in oVEMP investigations.
Results: BC stimulation was found to reach VEMP thresholds at considerably lower hearing levels than in AC stimulation (30–40 dB lower oVEMP threshold at 250 Hz). Three or more cVEMP and oVEMP responses at consecutive 5 dB increasing mastoid stimulation levels were only obtained in all subjects using the B250 transducer at 250 Hz. Similar BC thresholds were obtained for both ipsilateral and contralateral mastoid stimulation. Forehead stimulation, if needed, may require a more powerful vibration output.
Conclusion: Viable VEMP responses can be obtained at a considerably lower hearing level with BC stimulation than by AC stimulation. The cVEMP and oVEMP responses were similar when measured on one side and with the B250 attached to both ipsilateral and contralateral mastoids.

Keywords: vestibular investigation, air conduction, bone conduction, VEMP, cVEMP, oVEMP

Erratum for this paper has been published 

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