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 used to approximately judge a child's age based on physical development. Puberty is the process of physical changes through which a child's body matures into an adult body capable of sexual reproduction. It is initiated by hormonal signals from the brain to the gonads: the ovaries in a girl, the testes in a boy. In response to the signals, the gonads produce hormones that stimulate libido and the growth, function, and transformation of the brain, bones, muscle, blood, skin, hair, breasts, and sex organs. Physical growth—height and weight—accelerates in the first half of puberty and is completed when an adult