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Ralph F. Wetmore, MD; William J. Henry, MD; Dan F. Konkle, PhD

Arch Otolaryngol Head Neck Surg. 1993;119(7):762-766.

Abstract
• Objective.
—To quantify the intensity, spectral content, and duration of exposure for suction noise created during aspiration of middle ear fluid following myringotomy.

Design.
—Case series.

Setting.
—Tertiary care center.

Patients or Other Participants.
—Convenience sample of 245 myringotomies performed on 124 patients ranging in age from 6 months to 14 years (mean age, 2 years 8 months).

Main Outcome Measures.
—Intensity, spectral content, and duration of exposure associated with suction noise were defined by electroacoustic analysis of high-fidelity tape recordings of the noise created during suctioning middle ear fluid.

Results.
—The intensity of suction noise ranged from 74 to 117 dB; most acoustic energy was concentrated in the frequency range between 1.7 and 6.0 kHz, and the duration of exposure varied from 4 to 23 seconds.

(Arch Otolaryngol Head Neck Surg. 1993;119:762-766)

Author Affiliations
From the Department of Otorhinolaryngology and Human Communication, Children's Hospital of Philadelphia and the University of Pennsylvania School of Medicine (Drs Wetmore, Henry, and Konkle), and the Division of Medical Audiology, Children's Seashore House (Dr Konkle), Philadelphia, Pa.

Footnotes
Accepted for publication December 30, 1992.

Reprint requests to Division of Medical Audiology, Children's Seashore House, 4035 Civic Center Blvd, Philadelphia, PA 19104-4302 (Dr Konkle).

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