The Clinical Value of the Multiple-Frequency 80-Hz Auditory Steady-State Response in Adults With Normal Hearing and Hearing Loss

D’haenens, Wendy; Dhooge, Ingeborg; Maes, Leen; Bockstael, Annelies; Keppler, Hannah; Philips, Birgit; Swinnen, Freya; Vinck, Bart

doi:10.1001/archoto.2009.32

Cited by 23 publications

(30 citation statements)

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“…9 No PEAEE os resultados são apresentados na forma de um audiograma eletrofisiológico. 9 Eles podem variar dependendo do número / tipo de estímulo e modulação apresentados, da idade e tipo de população recrutada, nível de relaxamento, estado de consciência, artefatos elétricos, alterações 19 Luiz (2016) encontrou valores entre -0,3 e 12 dB para o grupo com audição normal, e entre -9 e 2 dB para o grupo com perda auditiva de grau moderado a moderadamente severo. 15 Rodrigues e Lewis (2010), comparando PEAEE e VRA (audiometria de reforço visual) em crianças com perdas auditivas cocleares, encontraram diferenças de -1,7/1,5/-0,1/-4,5 dB, indicando com os valores negativos que, em algum momento, o PEAEE apresentou melhores resultados auditivos.…”

Section: Discussionunclassified

“…20 Diversos autores relatam que pode ocorrer uma maior diferença entre o limiar tonal e por PEAEE nas frequências graves. 9,15,16,19,21,22 A justificativa levantada seria o maior tempo que o estímulo sonoro leva para percorrer toda a cóclea (tonotopia coclear), além do efeito de mascaramento que o ruído ambiental pode causar 11,18,19 Acrescente-se a tudo isso o fato da amplitude de resposta ser menor nessa região e a localização dos artefatos elétricos estar justamente dentro do intervalo dessa frequência e das adjacentes de modulação. 22 Hosseinabadi e Jafarzadeh (2015) referem que nesta frequência pode haver menor sincronização neural.…”

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Análise da diferença entre os limiares auditivos comportamentais e os resultados obtidos através do exame potencial evocado auditivo de estado estável (PEAEE) em adultos jovens

2018

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Section: Discussionunclassified

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Análise da diferença entre os limiares auditivos comportamentais e os resultados obtidos através do exame potencial evocado auditivo de estado estável (PEAEE) em adultos jovens

2018

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“…The click is the usual stimuli for ABR testing but its thresholds reflect broad and uncertain frequency region (3) correlate with behavioral thresholds of 1000 to 4000 Hz. Although tone burst stimuli have better frequency specificity, the interpretation of their waves and test time depend on the experience of the examiner (4, 5), especially at lower frequencies and in cases with hearing loss. In addition, ABR has limitations on presentation of high-intensity stimuli and the determining of its waves relies on examiner’s judgment; hence, it is not a completely objective test.…”

Section: Introductionmentioning

confidence: 99%

Auditory Steady-State Response Thresholds in Adults With Conductive and Mild to Moderate Sensorineural Hearing Loss

Hosseinabadi¹,

Jafarzadeh²

2014

Iran Red Crescent Med J

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Background:The Auditory steady state response (ASSR) provides a frequency-specific and automatic assessment of hearing sensitivity and is used in infants and difficult-to-test adults.Objectives:The aim of this study was to compare the ASSR thresholds among various types (normal, conductive, and sensorineural), degree (normal, mild, and moderate), and configuration (flat and sloping) of hearing sensitivity, and measuring the cutoff point between normal condition and hearing loss for different frequencies.Patients and Methods:This clinical trial was performed in Iran and included patients who were referred from Ear, Nose, and Throat Department. A total of 54 adults (27 with sensorineural hearing loss, 17 with conductive hearing losses, and 10 with normal hearing) were randomly chosen to participate in our study. The type and degree of hearing loss were determined through testing by otoscopy, tympanometry, acoustic reflex, and pure tone audiometry. Then the ASSR was tested at carrier frequencies of 500, 1000, 2000, and 4000 Hz.Results:The ASSR accurately estimates the behavioral thresholds as well as flat and sloping configurations. There was no correlation between types of hearing loss and difference of behavioral and ASSR thresholds (P = 0.69). The difference between ASSR and behavioral thresholds decreased as severity of hearing loss increased. The 40, 35, 30, and 35 dB could be considered as cutoffs between normal hearing and hearing loss for 500, 1000, 2000, and 4000 Hz, respectively.Conclusions:The ASSR can accurately predict the degree and configuration of hearing loss and discriminate the normal hearing from mild or moderate hearing loss and mild from moderate hearing loss, except for 500 Hz. The Air-conducted ASSR could not define the type of hearing loss.

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“…We believe that using tone-ABR and a higher mean age of subjects (the mean age of the patients was 18.3 months in that study) might be responsible for this difference. In addition, another study reported a cut-off value of 30 dB for all frequencies in adults [27] . The differences between studies may be related to the poorer detection of the ASSR responses in patients with mild hearing loss [28] .…”

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A Comparison of Thresholds of Auditory Steady-State Response and Auditory Brainstem Response in Healthy Term Babies

Çelik

Eskıızmır²,

Uz³

2016

Int Adv Otol

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Original Article INTRODUCTIONHearing impairment is a crucial health problem in childhood. Hearing loss is detected in 1-6 of every 1000 live births [1] . In infants, early detection of hearing impairment is essential because of its detrimental effects on speech and language development [2] . Thereby, language, speech, and cognitive functions can be improved using hearing aids or cochlear or brainstem implants [3] .For children with hearing loss, the period around 6 months of age is critical for therapy using hearing aids in order to maximize speech and language development [4] . Today, various audiological test batteries are used for the detection of hearing impairment. Unfortunately, behavioral hearing testing, also called visual reinforcement audiometry, is not reliable before 6 months of age [5] . In infants, auditory brainstem responses (ABRs) and otoacoustic emissions (OAEs) are the main audiological tests for the detection of hearing impairments worldwide [6] . However, both audiological tests have some advantages and disadvantages. As a matter of fact, OAE is a quick test to determine whether hearing is normal or abnormal, whereas ABR provides an assessment of the level of hearing loss [6] . Auditory steady-state response (ASSR) is an alternative objective audiometric test for the detection of hearing loss in neonates, infants, and adults. It has several advantages: (i) the results at each frequency of stimulation can be automatically detected, (ii) there is no need for audiologists to identify the peaks, and (iii) it is easy to apply [7] . Moreover, unlike screening OAE, ASSR can evaluate the frequency-specific responses [8] .Recently, several clinical studies have evaluated the role of ASSR in for the detection of hearing impairment among infants. The aim of this study was to assess the effectiveness of ASSR, determine the cut-off values for each frequency, and detect the best correlated frequencies when compared with the ABR thresholds. 277 A Comparison of Thresholds of Auditory Steady-State Response and Auditory Brainstem Response in Healthy Term Babies OBJECTIVE:The goal of this study was to assess the effectiveness of auditory steady-state response (ASSR), determine the cut-off values for each frequency, and detect the best correlated frequencies when compared with the auditory brainstem response (ABR) thresholds in term babies under the age of 12 months. MATERIALS and METHODS:In total, 88 term babies with a mean age of 2.98 (1-11) months (174 ears) underwent ASSR and ABR tests. The ASSR thresholds for the frequencies of 500, 1000, 2000, and 4000 Hz were compared with the hearing level of the ABR thresholds. In the ABR test, a cutoff value of 30 dB nHL was selected for normal hearing. In addition, the best correlation between the ABR and ASSR thresholds and the estimated cut-off thresholds of ASSR for each of the abovementioned frequencies were obtained. RESULTS:In total, 135 ears had values indicating normal hearing ability and 39 ears had hearing loss according to the ABR thresholds. Although stat...

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The Clinical Value of the Multiple-Frequency 80-Hz Auditory Steady-State Response in Adults With Normal Hearing and Hearing Loss

Cited by 23 publications

References 30 publications

Análise da diferença entre os limiares auditivos comportamentais e os resultados obtidos através do exame potencial evocado auditivo de estado estável (PEAEE) em adultos jovens

Análise da diferença entre os limiares auditivos comportamentais e os resultados obtidos através do exame potencial evocado auditivo de estado estável (PEAEE) em adultos jovens

Auditory Steady-State Response Thresholds in Adults With Conductive and Mild to Moderate Sensorineural Hearing Loss

A Comparison of Thresholds of Auditory Steady-State Response and Auditory Brainstem Response in Healthy Term Babies

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