European Archives of Oto-Rhino-Laryngology

, Volume 267, Issue 8, pp 1199–1205 | Cite as

Evaluation of an automated auditory brainstem response in a multi-stage infant hearing screening

  • Luca Guastini
  • Renzo MoraEmail author
  • Massimo Dellepiane
  • Valentina Santomauro
  • Massimiliano Mora
  • Antonio Rocca
  • Angelo Salami


An automated auditory brainstem response (AABR) method, the Maico MB-11 with BERAphone®, has been developed for hearing screening in newborns. The aim of this study was to test the validity of this automated ABR screening method in a multistage newborn hearing screening (NHS). We applied a “five level” protocol using transient evoked otoacoustic emission (TEOAE), AABR-MB-11 with BERAphone® and conventional auditory brainstem response (ABR). TEOAE, AABR, and conventional ABR testing were performed by ENT specialists experienced in neonatal screening techniques. Among the 8,671 newborns tested (males 3,889; females 4,782), only 42 newborns were lost to follow-up and the final false-positive rate was of 0.03%. Our experience highlights that for the neonatal period, conventional auditory brainstem response is the most reliable method for assessing the hearing level and minimizing the false-positive rate. Although AABR (performed by ENT specialists experienced in neonatal screening techniques) is easy to use, fast and with a good compliance, the device is unable to provide accurate and certain diagnosis on the degree of hearing loss to allow a proper treatment.


Automated auditory brainstem response Conventional auditory brainstem response False positive rate Newborn hearing screening Transient evoked otoacoustic emission 


Conflict of interest statement



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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Luca Guastini
    • 1
  • Renzo Mora
    • 1
    Email author
  • Massimo Dellepiane
    • 1
  • Valentina Santomauro
    • 1
  • Massimiliano Mora
    • 1
    • 2
  • Antonio Rocca
    • 1
  • Angelo Salami
    • 1
  1. 1.ENT DepartmentUniversity of GenoaGenoaItaly
  2. 2.Villa Scassi HospitalGenoaItaly

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