Evaluation of Correlation of Auditory Steady–State Response and Auditory Brainstem Response Threshold Measurements in Neonate and Children from Birth to 7 Years with Mild and Moderate Sensorineural Hearing Loss

Document Type : Original Article

Authors

1 Musculoskeletal Rehabilitation Research Center, Member of Department of Audiology, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

2 MSc of Rehabilitation Management.

3 Assistant Professor of Pediatric Neurology, Department of Pediatrics, Ahvaz Joundishapour University of Medical Science, Ahvaz, Iran

4 Department of Statistics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Abstract

Background and Objective: One of the most important applications of electrode physiological tests is early diagnosis of hearing loss and estimating of hearing threshold in neonate and children for early auditory intervention. Auditory Steady–State Response (ASSR) is modern technology for threshold detection in audiology. Measurement of Auditory brainstem response (ABR) is most common method of detection auditory threshold in neonates. The goal of this article was to correlate the results between thresholds obtained from ASSR and click-ABR.
Subjects and Methods:In this descriptive-analytic design, 32 children with mild and moderate hearing loss, aged between birth to 7 years, were studied. All children were evaluated by both ASSR and C-ABR.
Results: The correlation coefficients for frequencies of  0.5, 1, 2, 4, mean of 2-4, and mean of 1-4 kHz were between 0.40- 0.87 in mild hearing loss and 0.52-0.91 in moderate hearing loss(P<0.05).
Conclusion: C-ABR and ASSR thresholds in mean frequencies had a greater correlation than single-frequency(P-Value< 0.001<0.002-0.015). This correlation was higher in greater degrees of hearing loss and higher frequencies.

Keywords

References

1-Korczak P, Smart J, Delgado R, Strobel TM, Bradford C. Auditory steady-state responses. J Am Acad Audiol 2012;23(3):146-70.
2-Szymańska A, Gryczyński M, Pajor A. [Auditory steady-state responses-the state of art]. Otolaryngol Pol 2010;64(5):274-80. [In Polish]
3-Lin YH, Ho HC, Wu HP. Comparison of auditory steady-state responses and auditory brainstem responses in audiometric assessment of adults with sensorineural hearing loss. Auris Nasus Larynx 2009;36(2):140-5.
4-Rabelo CM, Schochat E. Sensitivity and specificity of auditory steady-state response testing. Clinics (Sao Paulo) 2011;66(1):87-93.
5-Linares AE, Costa Filho OA, Martinez MA. Auditory steady state response in pediatric audiology. Braz J Otorhinolaryngol 2010;76(6):723-8.
6-Swanepoel D, Ebrahim S. Auditory steady-state response and auditory brainstem response thresholds in children. Eur Arch Otorhinolaryngol 2009;266(2):213-9.
7-Martínez Fernández A, Alañón Fernández MA, Ayala Martínez LF, Alvarez Alvarez AB, Miranda León MT, Sainz Quevedo M. [Comparative study between auditory steady-state responses, auditory brain-stem responses and liminar tonal audiometry]. Acta Otorrinolaringol Esp 2007;58(7):290-5. [In Spanish]
8-Vander Werff KR, Brown CJ. Effect of audiometric configuration on threshold and suprathreshold auditory steady-state responses. Ear Hear 2005;26(3):310-26.
9-Vander Werff KR, Brown CJ, Gienapp BA, Schmidt Clay KM. Comparison of auditory steady-state response and auditory brainstem response thresholds in children. J Am Acad Audiol 2002;13(5):227-35.
10-Swanepoel D, Erasmus H. Auditory steady-state responses for estimating moderate hearing loss. Eur Arch Otorhinolaryngol 2007;264(7):755-9.
11-Rodrigues GR, Lewis DR. Threshold prediction in children with sensorioneural hearing loss using the auditory steady-state responses and tone-evoked auditory brain stem response. Int J Pediatr Otorhinolaryngol 2010;74(5):540-6.
12-Scherf F, Brokx J, Wuyts FL, Van de Heyning PH. The ASSR: clinical application in normal-hearing and hearing-impaired infants and adults, comparison with the click-evoked ABR and pure-tone audiometry. Int J Audiol 2006;45(5):281-6.
Jundishapur Scientific Medical Journal
Volume 12, Issue 6 - Serial Number 87
July and August 2013
Pages 685-692

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History

  • Receive Date: 28 August 2012
  • Revise Date: 07 November 2012
  • Accept Date: 13 November 2012

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