“…Based on acoustic reflex findings for I 156 ears, Jerger et al (1 1) concluded that with the SPAR method, hearing loss was predicted with reasonable accuracy. Probably as a result of this initial encouraging experience with SPAR and the obvious clinical attractiveness of an objective measure for estimating hearing loss, especially in children, the literature is replete with reports of clinical experience with both the original SPAR method (1,6,7,15,(22)(23)(24) and a modified version of the SPAR (6,7,12). There are, in addition, descriptions of other, novel methods for hearing loss identification and prediction by the acoustic reflex, including regression equations (2,16,21) and a bivariate plot coordinate system (9, 17,20).…”