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The effect of the transducers on paediatric thresholds estimated with auditory steady-state responses

  • Otology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

The objective of this study was to investigate the usefulness of auditory steady-state responses (ASSRs) for estimating hearing thresholds in young children, compared with behavioural thresholds. The second objective was to investigate ASSR thresholds obtained with insert earphones versus supra-aural headphones to determine which transducer produces ASSR thresholds most similar to behavioural thresholds measured with supra-aural headphones. This retrospective study included 29 participants (58 ears): 12 children (24 ears) in the insert group and 17 children (34 ears) in the supra-aural group. No general anaesthesia was used. For both groups, there was a strong correlation between behavioural and ASSR thresholds, with a stronger correlation for the insert group. When behavioural thresholds are difficult to obtain, ASSR may be a useful objective measure that can be combined with other audiometric procedures to estimate hearing thresholds and to determine appropriate auditory rehabilitation approaches.

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References

  1. Lévêque M, Schmidt P, Leroux B, Danvin JB, Langagne T, Labrousse M, Chays A (2007) Universal newborn hearing screening: a 27 month experience in the French region of Champagne-Ardenne. Acta Paediatr 96(8):1150–1154

    Article  PubMed  Google Scholar 

  2. Langagne T, Lévêque M, Schmidt P, Chays A (2010) Universal newborn hearing screening in the Champagne-Ardenne region: a 4 year follow-up after early diagnosis of hearing impairment. Int J Pediatr Otorhinolaryngol 74(10):1164–1170

    Article  CAS  PubMed  Google Scholar 

  3. Yoshinaga-Itano C, Sedey AL, Coulter DK, Mehl AL (1998) Language of early- and later-identified children with hearing loss. Pediatrics 102(5):1161–1171

    Article  CAS  PubMed  Google Scholar 

  4. Tomblin JB, Oleson JJ, Ambrose SE, Walker E, Moeller MP (2014) The influence of hearing aids on the speech and language development of children with hearing loss. JAMA Otolaryngol Head Neck Surg 140(5):403–409

    Article  PubMed  PubMed Central  Google Scholar 

  5. Niparko JK, Tobey EA, Thal DJ, Eisenberg LS, Wang NY, Quittner AL, Fink NE, CDaCI Investigative Team (2010) Spoken language development in children following cochlear implantation. JAMA 303(15):1498–1506

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Sterkers-Artières F, Vincent C (2014) Audiométrie de l’enfant et de l’adulte. Rapport de la Socité Française d’ORL, Elsevier Masson

    Google Scholar 

  7. Nielsen SE, Olsen SO (1997) Validation of play-conditioned audiometry in a clinical setting. Scand Audiol 3:187–191

    Article  Google Scholar 

  8. Swanepoel D, Ebrahim S (2009) Auditory steady-state response and auditory brainstem response thresholds in children. Eur Arch Otorhinolaryngol 266(2):213–219

    Article  PubMed  Google Scholar 

  9. Galambos R, Makeig S, Talmachoff PJ (1981) A 40 Hz auditory potential recorded from the human scalp. Proc Natl Acad Sci USA 78(4):2643–2647

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Luts H, Desloovere C, Kumar A, Vandermeersch E, Wouters J (2004) Objective assessment of frequency-specific hearing thresholds in babies. Int J Pediatr Otorhinolaryngol 68(7):915–926

    Article  PubMed  Google Scholar 

  11. Cone-Wesson B, Dowell RC, Tomlin D, Rance G, Ming WJ (2002) The auditory steady-state response: comparisons with the auditory brainstem response. J Am Acad Audiol 13(4):173–187

    PubMed  Google Scholar 

  12. Roberson JB Jr, O’Rourke C, Stidham KR (2003) Auditory steady-state response testing in children: evaluation of a new technology. Otolaryngol Head Neck Surg 129(1):107–113

    Article  PubMed  Google Scholar 

  13. Scherf F, Brokx J, Wuyts FL, Van de Heyning PH (2006) 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 45(5):281–286

    Article  PubMed  Google Scholar 

  14. Attias J, Buller N, Rubel Y, Raveh E (2006) Multiple auditory steady-state responses in children and adults with normal hearing, sensorineural hearing loss, or auditory neuropathy. Ann Otol Rhinol Laryngol 115(4):268–276

    Article  PubMed  Google Scholar 

  15. Panahi R, Jafari Z, Hasani S (2014) Relationship between behavioral hearing thresholds and estimated auditory steady-state response thresholds in children with a history of neonatal hyperbilirubinemia. Eur Arch Otorhinolaryngol 271(9):2385–2392

    Article  PubMed  Google Scholar 

  16. Rance G, Roper R, Symons L, Moody LJ, Poulis C, Dourlay M, Kelly T (2005) Hearing threshold estimation in infants using auditory steady-state responses. J Am Acad Audiol 16(5):291–300

    Article  PubMed  Google Scholar 

  17. Swanepoel D, Hugo R, Roode R (2004) Auditory steady-state responses for children with severe to profound hearing loss. Arch Otolaryngol Head Neck Surg 130(5):531–535

    Article  PubMed  Google Scholar 

  18. Han D, Mo L, Liu H, Chen J, Huang L (2006) Threshold estimation in children using auditory steady-state responses to multiple simultaneous stimuli. ORL J Otorhinolaryngol Relat Spec 68(2):64–68

    Article  PubMed  Google Scholar 

  19. Luts H, Desloovere C, Wouters J (2006) Clinical application of dichotic multiple-stimulus auditory steady-state responses in high-risk newborns and young children. Audiol Neurootol 11(1):24–37

    Article  PubMed  Google Scholar 

  20. Van Maanen A, Stapells DR (2010) Multiple-ASSR thresholds in infants and young children with hearing loss. J Am Acad Audiol 21(8):535–545

    Article  PubMed  Google Scholar 

  21. Rodrigues GR, Lewis DR (2010) Threshold prediction in children with sensorineural hearing loss using the auditory steady-state responses and tone-evoked auditory brain stem response. Int J Pediatr Otorhinolaryngol 74(5):540–546

    Article  PubMed  Google Scholar 

  22. Carhart RJerger JJ (1959) Preferred method for clinical determination of pure-tone thresholds. J Speech Hear Res 24:330–345

    Article  Google Scholar 

  23. Marangoni AT, Gil D (2009) Influence of the type of transducer in profound hearing loss. Pro Fono 21(3):195–200

    Article  PubMed  Google Scholar 

  24. Van Campen LE, Sammeth CA, Hall JW 3rd, Peek BF (1992) Comparison of Etymotic insert and TDH supra-aural earphones in auditory brainstem response measurement. J Am Acad Audiol 3(5):315–323

    PubMed  Google Scholar 

  25. Audiologic guidelines for the assessment of hearing in infants and young children. American Academy of Audiology. 2012. 52 pages

  26. Baldwin SM, Gajewski BJ, Widen JE (2010) An evaluation of the cross-check principle using visual reinforcement audiometry, otoacoustic emissions, and tympanometry. J Am Acad Audiol 21(3):187–196

    Article  PubMed  Google Scholar 

  27. François M, Teissier N, Barthod G, Nasra Y (2012) Sedation for children 2–5 years of age undergoing auditory brainstem response and auditory steady state responses recordings. Int J Audiol 51(4):282–286

    Article  PubMed  Google Scholar 

  28. Chou YF, Chen PR, Yu SH, Wen YH, Wu HP (2012) Using multi-stimulus auditory steady state response to predict hearing thresholds in high-risk infants. Eur Arch Otorhinolaryngol 269(1):73–79

    Article  PubMed  Google Scholar 

  29. Silva DP, Lopez PS, Montovani JC (2013) Auditory steady state response in hearing assessment in infants with cytomegalovirus. Rev Paul Pediatr 31(4):550–553

    Article  PubMed  PubMed Central  Google Scholar 

  30. Vander Werff KR, Brown CJ, Gienapp BA, Schmidt Clay KM (2002) Comparison of auditory steady-state response and auditory brainstem response thresholds in children. J Am Acad Audiol 13(5):227–235 (quiz 283-4)

    PubMed  Google Scholar 

  31. Korczak P, Smart J, Delgado R, Strobel TM, Bradford C (2012) Auditory steady-state responses. J Am Acad Audiol 23(3):146–170

    Article  PubMed  Google Scholar 

  32. Yang CH, Chen HC, Hwang CF (2008) The prediction of hearing thresholds with auditory steady-state responses for cochlear implanted children. Int J Pediatr Otorhinolaryngol 72(5):609–617

    Article  PubMed  Google Scholar 

  33. Ménard M, Gallego S, Truy E, Berger-Vachon C, Durrant JD, Collet L (2004) Auditory steady-state response evaluation of auditory thresholds in cochlear implant patients. Int J Audiol 43(Suppl 1):S39–S43

    PubMed  Google Scholar 

  34. Shemesh R, Attias J, Magdoub H, Nageris BI (2012) Prediction of aided and unaided audiograms using sound-field auditory steady-state evoked responses. Int J Audiol 51(10):746–753

    Article  PubMed  Google Scholar 

  35. Drouillard M, Petroff N, Majer J, Perrot C, Quesnel S, François M (2014) Pseudohypacusis in children: circumstances and diagnostic strategy. Int J Pediatr Otorhinolaryngol 78(10):1632–1636

    Article  CAS  PubMed  Google Scholar 

  36. Psarommatis I, Kontorinis G, Kontrogiannis A, Douniadakis D, Tsakanikos M (2009) Pseudohypacusis: the most frequent etiology of sudden hearing loss in children. Eur Arch Otorhinolaryngol 266(12):1857–1861

    Article  PubMed  Google Scholar 

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Correspondence to D. Bakhos.

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Bakhos, D., Vitaux, H., Villeneuve, A. et al. The effect of the transducers on paediatric thresholds estimated with auditory steady-state responses. Eur Arch Otorhinolaryngol 273, 2019–2026 (2016). https://doi.org/10.1007/s00405-015-3761-z

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  • DOI: https://doi.org/10.1007/s00405-015-3761-z

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