There are a number of things to consider when conducting OAE testing in order to ensure valid and reliable results. Consideration of the factors below will ensure an optimal OAE test.
Refer to the Titan Additional Information manual for more details about test parameter considerations when creating an OAE protocol. This document also highlights parameters to consider when creating a screening
TEOAE protocol: Neonatal Hearing Screening and Assessment (2002). Transient Evoked Oto-Acoustic Emission (TEOAE) Testing in Babies.
Refer to the TEOAE Probe Test Quick Guide for more information.
Prepare the equipment
Test environment
The ideal test environment is a quiet room. High ambient background noise adversely affects OAE measurements.
Prepare the baby
The baby should be sleeping or in quiet relaxed state. Sucking, blinking, crying or movement may affect testing.
Place transducer
Place the probe in the ear – the light will turn green when a good seal is obtained.
Run test
Click on START in the software, press the spacebar or press the shoulder box button.
Results
PASS result![]() |
REFER result![]() |
PASS – when the criteria for a pass are reached, PASS is displayed in green above the measurement.
REFER – when the criteria for a pass are not reached within the measurement time, REFER is displayed in amber above the measurement.
INCOMPLETE – if the test is stopped before a PASS or REFER is generated by the system, INCOMPLETE is displayed above the measurement indicating that the full test was not completed.
Turn on Titan by pressing the R or L button.
Select a tympanometry protocol (e.g., Tymp 226Hz) and record tympanometry measurements on the left and right ear.
Save the tympanometry measurements to the handheld unit. Note: Tympanometry results do not need to be saved in order for the handheld unit to use the last recorded MEP data for pressurized OAE testing.
Select a pressurized DPOAE protocol.
Ensure the correct test ear is selected, so that the correct MEP is used from the tympanometry test.
Press the start button and record the OAE. Change ears and repeat.
Save results on the handheld unit.
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Select a tymp protocol | Record tympanograms | Select a Pressurized DPOAE protocol | Record & save DPOAE results |
Note: Ensure that the Titan handheld unit is turned off between patients. The Titan handheld unit will always use the last recorded MEP measurements (right and left ear) for the pressurized OAE test.
Prepare the equipment
Test environment
The ideal test environment is a quiet room. High ambient background noise adversely affects OAE measurements.
Prepare the baby
The baby should be sleeping or in quiet relaxed state. Sucking, blinking, crying or movement may affect testing.
Place transducer
Place the probe in the ear – the light will turn green when a good seal is obtained.
Run test
Press the START button on the Titan or press the shoulder box button.
Results
PASS result![]() |
REFER result![]() |
PASS – when the criteria for a pass are reached, PASS is displayed in green above the measurement.
REFER – when the criteria for a pass are not reached within the measurement time, REFER is displayed in amber above the measurement.
INCOMPLETE – if the test is stopped before a PASS or REFER is generated by the system, INCOMPLETE is displayed above the measurement indicating that the full test was not completed.
Turn on Titan by pressing the R or L button.
Select a tympanometry protocol (e.g., Tymp 226Hz) and record tympanometry measurements on the left and right ear.
Save the tympanometry measurements to the handheld unit. Note: Tympanometry results do not need to be saved in order for the handheld unit to use the last recorded MEP data for pressurized OAE testing.
Select a pressurized TEOAE protocol.
Ensure the correct test ear is selected so that the correct MEP is used from the tympanometry test.
Press the start button and record the OAE. Change ears and repeat.
Save results on the handheld unit.
![]() |
![]() |
![]() |
![]() |
Select a tymp protocol | Record tympanograms | Select a Pressurized TEOAE protocol | Record & save TEOAE results |
Note: Ensure that the Titan handheld unit is turned off between patients. The Titan handheld unit will always use the last recorded MEP measurements (right and left ear) for the pressurized OAE test.
Prepare the equipment
Test environment
The ideal test environment is a quiet room. High ambient background noise adversely affects OAE measurements.
Prepare the baby
The baby should be sleeping or in quiet relaxed state. Sucking, blinking, crying or movement may affect testing.
Place transducer
Place the probe in the ear – the light will turn green when a good seal is obtained.
Run test
Click on START in the software, press the spacebar or press the shoulder box button.
Results
PASS result![]() |
REFER result![]() |
PASS – when the criteria for a pass are reached, PASS is displayed in green above the measurement.
REFER – when the criteria for a pass are not reached within the measurement time, REFER is displayed in amber above the measurement.
INCOMPLETE – if the test is stopped before a PASS or REFER is generated by the system, INCOMPLETE is displayed above the measurement indicating that the full test was not completed.
Prepare the equipment
Test environment
The ideal test environment is a quiet room. High ambient background noise adversely affects OAE measurements.
Prepare the baby
The baby should be sleeping or in quiet relaxed state. Sucking, blinking, crying or movement may affect testing.
Place transducer
Place the probe in the ear – the light will turn green when a good seal is obtained.
Run test
Press the START button on the Titan or press the shoulder box button.
Results
PASS result![]() |
REFER result![]() |
PASS – when the criteria for a pass are reached, PASS is displayed in green above the measurement.
REFER – when the criteria for a pass are not reached within the measurement time, REFER is displayed in amber above the measurement.
INCOMPLETE – if the test is stopped before a PASS or REFER is generated by the system, INCOMPLETE is displayed above the measurement indicating that the full test was not completed.