AudiologyOnline Phone: 800-753-2160


HearUSA - Newsweek - September 2024

What is the Most Appropriate Protocol for Ototoxicity Monitoring with DPOAEs?

James W. Hall III, PhD

October 30, 2017

Share:

Question

What is the most appropriate protocol for ototoxicity monitoring with DPOAEs (distortion product otoacoustic emissions)?

Answer

A good source of information on this topic is the 2009 American Academy of Audiology Clinical Practice Guideline on Ototoxicity Assessment and Monitoring available with a search on the AAA website (www.audiology.org). Briefly, set up an ototoxicity protocol with DPs recorded from at least 5 frequencies per octave over the range of 2000 to 8000 Hz, or higher frequencies if possible with your DPOAE system. An intensity paradigm of f2 = 55 dB SPL and f1 = 65 dB SPL would be appropriate. It's important to replicate or even triplicate DPgrams in the baseline recordings. Any replicable decrease in DP amplitudes for the highest frequencies would be considered as evidence of ototoxicity, even if with the changes the DPs are still within a normative region. DP findings should be immediately reported to the managing physician.  

For more information on clinical use of OAEs, view the on-demand CEU course Common Errors in Measurement and Analysis of OAEs.

 


james w hall iii

James W. Hall III, PhD

James W. Hall III, PhD is an internationally recognized audiologist with 40-years of clinical, teaching, research, and administrative experience. He received his Ph.D. in audiology from Baylor College of Medicine under the direction of James Jerger.  During his career, Dr. Hall has held clinical and academic audiology positions at major medical centers. Dr. Hall now holds appointments as Professor at Salus University and the University of Hawaii, and as Extraordinary Professor at the University of Pretoria South Africa. Dr. Hall is the author of over 160 peer-reviewed journal articles, monographs, or book chapters, and nine textbooks including the 2014 Introduction to Audiology Today and the 2015 eHandbook of Auditory Evoked Responses.

 


Related Courses

Rethinking Your Diagnostic Audiology Battery: Using Value Added Tests
Presented by James W. Hall III, PhD
Recorded Webinar
AudiologyOnline

Presenter

James W. Hall III, PhD
Course: #29447Level: Introductory1 Hour
  'Speaker is very clear and presents information that is backed up with sound reasoning'   Read Reviews
This practical session offers guidance for creating an individualized diagnostic test battery for each patient to enhance efficient and accurate assessment of auditory function. The presentation stresses the importance of selecting test procedures that add value to the diagnosis and management of hearing loss and related disorders.

Please note: You may earn ABA Tier 1 credits for this course if you complete it as part of the course 29608, "Audiological Test Battery Series." Course 29608 contains recordings of all three events from our 2017 series on Audiological Test Batteries. ABA Tier 1 CEUs can be earned only when all modules are completed as part of course 29608.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Rethinking Your Diagnostic Audiology Battery: Part 2. Research Supported Test Protocols
Presented by James W. Hall III, PhD
Recorded Webinar
AudiologyOnline

Presenter

James W. Hall III, PhD
Course: #29448Level: Introductory1 Hour
  'well organized and easy to follow'   Read Reviews
This session provides guidelines for constructing an individualized audiological test battery with the goal of enhancing efficiency and accuracy of the diagnostic process and improving patient management and outcomes. Examples of diagnostic test batteries are presented for selected pediatric and adult patient populations with an emphasis on maximizing diagnostic value and minimizing test time.

Please note: You may earn ABA Tier 1 credits for this course if you complete it as part of the course 29608, "Audiological Test Battery Series." Course 29608 contains recordings of all three events from our 2017 series on Audiological Test Batteries. ABA Tier 1 CEUs can be earned only when all modules are completed as part of course 29608.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Rethinking Your Audiology Test Battery
Presented by James W. Hall III, PhD
Recorded Webinar
AudiologyOnline

Presenter

James W. Hall III, PhD
Course: #29608Level: Intermediate3 Hours
  'Learning the background of why we do the clinical tests we do was helpful'   Read Reviews
This course reviews the evidence and rationale for creating individualized audiologic diagnostic and screening test batteries with an emphasis on maximizing diagnostic value and enhancing clinical efficiency. It provides practical information for audiologists to review their protocols and implement value-added changes.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Common Errors in Diagnostic Audiology: Tips for Improving Efficiency, Accuracy and Outcomes
Presented by James W. Hall III, PhD
Recorded Webinar
AudiologyOnline

Presenter

James W. Hall III, PhD
Course: #30162Level: Advanced3 Hours
  'It was a good refresher series'   Read Reviews
This practical 3-part course series reviews standard diagnostic audiology procedures and the common errors that can lead to clinical inefficiency and inaccurate results. Easy to implement guidance is provided for cleaning up clinical protocols to ensure that audiological testing yields the highest quality information in a cost-efficient manner for an accurate diagnosis and improved patient outcomes.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

20Q: Healthy Hearing Over the Lifespan - Effective and Efficient Diagnostic Assessment
Presented by James W. Hall III, PhD
Text/Transcript
AudiologyOnline

Presenter

James W. Hall III, PhD
Course: #37136Level: Intermediate1 Hour
  'It is important that we continue to question why we are testing people and what questions we are trying to answer in order to decide what are the best tests to do and how to administer them, like appropriate presentation levels, etc'   Read Reviews
Accurate diagnosis and effective management of hearing loss is best achieved with a patient-specific test battery that includes sensitive measures of peripheral and central auditory function. Healthy Hearing Over the Lifespan - Effective and Efficient Diagnostic Assessment reviews an approach for selection of auditory test procedures based on patient history and chief complaint, and their likely value in early detection and accurate diagnosis of impaired hearing function and related disorders, such as tinnitus. With careful analysis of the pattern of results for a patient-specific test battery, and consideration of information from patient history including comorbid conditions and lifestyle factors, audiologists have an opportunity to prevent or mitigate hearing loss over the lifespan.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Our site uses cookies to improve your experience. By using our site, you agree to our Privacy Policy.