Tap-hammer elicited vestibular-evoked myogenic potentials system: its design and preliminary application
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3760/cma.j.cn115330-20200427-00338
   		
        
        	
        		- VernacularTitle:Tap-hammer前庭诱发肌源性电位激发系统的研发和初步应用
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Yuzhong ZHANG
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Pan XIONG
			        		
			        		;
		        		
		        		
		        		
			        		Huandi ZHAO
			        		
			        		;
		        		
		        		
		        		
			        		Zichen CHEN
			        		
			        		;
		        		
		        		
		        		
			        		Xinyu WEI
			        		
			        		;
		        		
		        		
		        		
			        		Qian LIU
			        		
			        		;
		        		
		        		
		        		
			        		Feiyun CHEN
			        		
			        		;
		        		
		        		
		        		
			        		Ying CHENG
			        		
			        		;
		        		
		        		
		        		
			        		Juan HU
			        		
			        		;
		        		
		        		
		        		
			        		Shuna LI
			        		
			        		;
		        		
		        		
		        		
			        		Jun YANG
			        		
			        		;
		        		
		        		
		        		
			        		Qing ZHANG
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. 西安交通大学第二附属医院耳鼻咽喉头颈外科,西安 710004
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Vestibular evoked myogenic potentials;
			        		
			        		
			        		
				        		Bone conduction
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Chinese Journal of Otorhinolaryngology Head and Neck Surgery
	            		
	            		 2020;55(10):957-961
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	Objective:The aim of this study was to design and perform "Tap-hammer"system that can be used to elicit vestibular evoked myogenic potentials (VEMP) in normal adults and to report the preliminary results of this system.Methods:A triggered Tap-hammer was designed, made and connected with an electric recording system, to form as a system for Tap-VEMP recording. Twenty healthy adult volunteers (7 males and 13 females, aged 20 to 37 years, 40 ears in total) were recruited for air-conducted sound VEMP (ACS-VEMP) and Tap-VEMP examinations. Waveforms and parameters of both VEMPs were recorded and analyzed. SPSS 22.0 software was used for statistical analysis.Results:The response rates of ACS-, Tap-ocular VEMP (oVEMP) and ACS-, Tap-cervical VEMP (cVEMP) were both 100% (40/40). The mean±SD n1 latency, p1 latency, n1-p1 interval, amplitude, and asymmetry ratio (AR%) of Tap-oVEMP were (9.80±2.51)ms, (13.90±3.26)ms, (4.09±1.43)ms, (16.43±9.61)μV, (22.68±17.35)% respectively. The mean±SD p1 latency, n1 latency, p1-n1 interval, amplitude, and asymmetry ratio (AR%) of Tap-cVEMP were (13.26±2.07)ms, (21.84±2.89)ms, (8.58±2.10)ms, (457.65±274.94)μV, (20.42±13.46)% respectively. Both n1 latency and p1 latency of Tap-VEMPs were shorter than those in ACS-VEMPs ( P<0.05). No statistical difference could be found between the two stimulation methods in the parameters of n1-p1 interval, amplitude, and asymmetry ratio( P>0.05). Conclusion:The Tap-hammer system can elicit VEMP responses in healthy young people. This system can be used as an alternative stimulation method for bone conduction VEMP.