Second, it can be used to screen for the dreaded Auditory Neuropathy Spectrum Disorder, which will tell you if a hearing aid will even work. Using Acoustic Middle Ear Muscle Reflexes and Their Utility in Fitting Hearing Instruments by Jay B. It’s been brought to our attention from several of our readers that they were having their comments rejected by the Akismet plug-in for WordPress as spam.

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Of course, busy doctors appreciate it when we give them good data in an easy-to-comprehend format, especially if there is a nice graph. In normal and some impaired ears, a reflex contraction of the middle-ear stapedius muscle will occur when sound is of sufficient energy, typically 90dB. This will be the subject for an upcoming article; but in the mean time, any stapedial reflex thresholds – Ipsilateral (“ipsi”) or contralateral (“contra”) greater than 90dB means ANSD can be in play, and must be followed up with more testing to confirm it or rule it out. For more on tympanometry, the reader is directed to this good article, which explains the various bugbears it uncovers. The stapedius muscle is attached by a tendon from the rear wall of the middle ear to the head of the stapes; and when the stapedius contracts, the tendon produces tension on the stapes, causing the middle-ear ossicles to stiffen.

Unfortunately, we have to use something to screen for spam, as we were receiving over 100 spam comments per day at its’ peak. This action reduces the transmission of sound energy through the middle ear, by acting as a dampener, to protect the delicate structures of the cochlea.

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