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Comparison of pure tone audiometry and auditory steady-state responses in subjects with normal hearing and hearing loss

  • Otology
  • Published:
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Abstract

The objective of this study is to compare pure tone audiometry and auditory steady-state response (ASSR) thresholds in normal hearing (NH) subjects and subjects with hearing loss. This study involved 23 NH adults and 38 adults with hearing loss (HI). After detection of behavioral thresholds (BHT) with pure tone audiometry, each subject was tested for ASSR responses in the same day. Only one ear was tested for each subject. The mean pure tone average was 9 ± 4 dB for NH group and 57 ± 14 for HI group. There was a very strong correlation between BHT and ASSR measurements in HI group. However, the correlation was weaker in the NH group. The mean differences of pure tone average of four frequencies (0.5, 1, 2, and 4 kHz) and ASSR threshold average of same frequencies were 13 ± 6 dB in NH group and 7 ± 5 dB in HI group and the difference was significant (P = 0.01). It was found that 86% of threshold difference values were less than 20 dB in NH group and 92% of threshold difference values were less than 20 dB in HI group. In conclusion, ASSR thresholds can be used to predict the configuration of pure tone audiometry. Results are more accurate in HI group than NH group. Although ASSR can be used in cochlear implant decision-making process, findings do not permit the utilization of the test for medico-legal reasons.

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References

  1. Yoshinaga-Itano C, Sedey AL, Coulter DK, Mehl AL (1998) Language of early and later identified children with hearing loss. Pediatrics 102:1161–1171. doi:10.1542/peds.102.5.1161

    Article  CAS  PubMed  Google Scholar 

  2. Eggermont JJ (1982) The inadequacy of click evoked aditory brain stem responses in audiological applications. Ann N Y Acad Sci 388:707–709. doi:10.1111/j.1749-6632.1982.tb50839.x

    Article  CAS  PubMed  Google Scholar 

  3. Brookhouser PE, Gorga MP, Kelly WJ (1990) Auditory brain stem response results as a predictors of behavioral auditory thresholdsin severe and profound hearing impaiment. Laryngoscope 100:803–810

    CAS  PubMed  Google Scholar 

  4. Arlinger S (2000) Audiologic diagnosis of infants. Semin Hear 21:370–386. doi:10.1055/s-2000-13469

    Article  Google Scholar 

  5. Stapells DR (2002) The tone-evoked ABR: why it’s the meaure of choice for young infants. Hear J 55:14–18

    Google Scholar 

  6. Picton TW, John MS, Dimitrijevic A, Purcell D (2003) Human auditory steady-state responses. Int J Audiol 42:177–219

    Article  PubMed  Google Scholar 

  7. Canale A, Lacilla M, Cavalot AL, Albera R (2006) Auditory steady-state responses and clinical applications. Eur Arch Otorhinolaryngol 263:499–503. doi:10.1007/s00405-006-0017-y

    Article  PubMed  Google Scholar 

  8. Stueve MP, O’Rourke CA (2003) Estimation of hearing loss in children: comparison of auditory steady-state response, auditory brainstem response, and behavioral test methods. Am J Audiol 12:125–136. doi:10.1044/1059-0889(2003/020)

    Article  PubMed  Google Scholar 

  9. Vander Werff KR, Brown CJ (2005) Effect of audiometric configuration on threshold and suprathreshold auditory steady-state responses. Ear Hear 26:310–326. doi:10.1097/00003446-200506000-00007

    Article  PubMed  Google Scholar 

  10. Rance G, Dowell RC, Rickards FW, Beer DE, Clark GM (1998) Steady state evoked potential and behavioral hearing thresholds in a group of children with absent click evoked auditory branstem response. Ear Hear 19:48–61. doi:10.1097/00003446-199802000-00003

    Article  CAS  PubMed  Google Scholar 

  11. Ballay C, Tonini R, Waninger T, Yoon C, Manolidis S (2005) Steady-state response audiometry in a group of patients with steeply sloping sensorineural hearing loss. Laryngoscope 115:1243–1246. doi:10.1097/01.MLG.0000165375.08563.18

    Article  PubMed  Google Scholar 

  12. Swanepoel DW, Erasmus H (2007) Auditory steady-state responses for estimating moderate hearing loss. Eur Arch Otorhinolaryngol 264:755–759. doi:10.1007/s00405-007-0327-8

    Article  PubMed  Google Scholar 

  13. Ahn JH, Lee HS, Kim YJ, Yoon TH, Chung JW (2007) Comparing pure tone audiometry and auditory steady state response for the measurement of hearing loss. Otolaryngol Head Neck Surg 136:966–971. doi:10.1016/j.otohns.2006.12.008

    Article  PubMed  Google Scholar 

  14. Swanepoel DW, Hugo R, Roode R (2004) Auditory steady-state responses for children with severe to profound hearing loss. Arch Otolaryngol Head Neck Surg 130:531–535. doi:10.1001/archotol.130.5.531

    Article  PubMed  Google Scholar 

  15. Picton TW, Dimitrijevic A, Perez-Abalo M, Van Roon P (2005) Estimating audiometric threshold using auditory steady-state responses. J Am Acad Audiol 16:140–156. doi:10.3766/jaaa.16.3.3

    Article  PubMed  Google Scholar 

  16. Herdman AT, Stapells DR (2003) Auditory steady-state response thresholds of adults with sensorineural hearing impairments. Int J Audiol 42:237–248

    Article  PubMed  Google Scholar 

  17. Perez-Abalo MC, Savio G, Torres A, Martin V, Rodriguez E, Galan L (2001) Steady state responses to multiple amplitude modulated tones:an optimized method to test frequency specific threshold in hearing impaired children and normal hearing subjects. Ear Hear 22:200–211. doi:10.1097/00003446-200106000-00004

    Article  CAS  PubMed  Google Scholar 

  18. Lins OG, Picton TW, Boucher BL et al (1996) Frequency specific audiometry using steady-state responses. Ear Hear 17:81–96. doi:10.1097/00003446-199604000-00001

    Article  CAS  PubMed  Google Scholar 

  19. Rance G, Rickards F (2002) Prediction of hearing threshold in infants using auditory steady-state evoked potentials. J Am Acad Audiol 13:236–245

    PubMed  Google Scholar 

  20. Miyamoto RT, Houston DM, Bergeson T (2005) Cochlear implantation in deaf infants. Laryngoscope 115:1376–1380. doi:10.1097/01.mlg.0000172039.26650.9b

    Article  PubMed  Google Scholar 

  21. Swanepoel DW, Ebrahim S (2009) Auditory steady state response and auditory brainstem response thresholds in children. Eur Arch Otorhinolaryngol 266:213–219. doi:10.1007/s00405-008-0738-1

    Article  PubMed  Google Scholar 

  22. Johnson TA, Brown CJ (2005) Threshold prediction using the auditory steady state response and the tone burst auditory brain stem response: a within-subject comparison. Ear Hear 26:559–576. doi:10.1097/01.aud.0000188105.75872.a3

    Article  PubMed  Google Scholar 

  23. Luts H, Wouters J (2005) Comparison of MASTER and AUDERA for measurement of auditory steady-tate responses. Int J Audiol 44:244–253. doi:10.1080/14992020500057780

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. ENT Department, Ankara Diskapi Yildirim Beyazit Research and Training Hospital, Ministry of Health, Ankara, Turkey

    Ali Ozdek, Mahmut Karacay, Guleser Saylam, Emel Tatar & Mehmet Hakan Korkmaz

  2. Audiology Department, Ankara Diskapi Yildirim Beyazit Research and Training Hospital, Ministry of Health, Ankara, Turkey

    Nurdan Aygener

  3. S. B. Ankara Diskapi Egitim ve Arastirma Hastanesi, KBB klinigi, 06510, Ankara, Turkey

    Ali Ozdek

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  1. Ali Ozdek
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  2. Mahmut Karacay
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  3. Guleser Saylam
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  4. Emel Tatar
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  6. Mehmet Hakan Korkmaz
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Correspondence to Ali Ozdek.

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Ozdek, A., Karacay, M., Saylam, G. et al. Comparison of pure tone audiometry and auditory steady-state responses in subjects with normal hearing and hearing loss. Eur Arch Otorhinolaryngol 267, 43–49 (2010). https://doi.org/10.1007/s00405-009-1014-8

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  • DOI: https://doi.org/10.1007/s00405-009-1014-8

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