Acoustic reflex contraction of the stapedius muscle stiffens the middle-ear, thus decreasing middle-ear admittance; this can be measured thanks to tympanometry. The acoustic stapedius reflex can also be recorded by means of extratympanic manometry (ETM). As the stapedius muscle is innervated by the facial nerve, a measurement of the reflex can be used to locate the injury on the nerve. If the injury is distal to the stapedius muscle, the reflex is still functional. A measurement of the reflex can also be used to suggest a retrocochlear lesion (e.g., vestibular schwannoma, acoustic neuroma). The acoustic reflex normally occurs only at relatively high
Development of the human body characteristics, the "filling in" of the child's body; from girl to woman, from boy to man. Biologically, an adult is a human or other organism that has reached sexual maturity. In human context, the term "adult" additionally has meanings associated with social and legal concepts. In contrast to a "minor", a legal adult is a person who has attained the age of majority and is therefore regarded as independent, self-sufficient, and responsible. The typical age of attaining adulthood is 18, although definition may vary by legal rights and country. Human adulthood encompasses psychological adult development. Definitions of adulthood are often