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A long-term observation of spontaneous oto-acoustic emissions (SOAEs).

In a follow-up study of 22 ears made after a mean interval of 68 months, spontaneous oto-acoustic emissions (SOAEs) showed marked changes. At follow-up visits, fewer SOAEs were recorded than at the first examination. As the set-up employed at follow-ups was much more sensitive, this observation gains even more weight, because--given identical cochlear structures--a greater number of SOAEs ought to have been recorded. In analogy to age-related high-frequency hearing loss, SOAEs recorded at the follow-up examination were found at lower frequencies. This was associated with yet another phenomenon: Precise frequency data (derived from a 4,000 line spectrum) available for 13 SOAEs (7 subjects) from the first examination showed that SOAE frequencies had dropped slightly in all subjects. In 5 of them the frequency drop was significant (p less than 1/1000 in each case).