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Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
Screening for hearing loss and middle-ear disorders in children using TEOAEs
1University of Alabama, Tuscaloosa, USA. CTAYLOR@WOODSQUAD.AS.UA.EDU
American Journal of Audiology
|August 16, 2000
Summary
Transient Evoked Otoacoustic Emission (TEOAE) screening shows high accuracy for identifying hearing issues in children. TEOAE demonstrated 81% sensitivity and 95% specificity compared to pure-tone screenings.
Area of Science:
- Audiology
- Pediatric Hearing Screening
- Diagnostic Accuracy
Background:
- Early identification of hearing loss in children is crucial for development.
- Conventional screening methods like pure-tone audiometry and tympanometry have limitations.
- Transient Evoked Otoacoustic Emissions (TEOAE) offer a non-invasive objective measure of cochlear function.
Purpose of the Study:
- To evaluate the diagnostic accuracy of TEOAE screening.
- To compare TEOAE sensitivity and specificity against traditional pure-tone audiometry and tympanometry in children.
- To determine the effectiveness of TEOAE for preschool and school-aged hearing screening.
Main Methods:
- A cohort of 152 children (297 ears) aged 3-8 years participated.
- Pass/refer results from TEOAE screening were collected.
- TEOAE results were compared with established pure-tone screening and tympanometry results.
Main Results:
- TEOAE screening demonstrated 81% sensitivity and 95% specificity when compared to pure-tone screening.
- TEOAE screening showed 60% sensitivity and 91% specificity when compared to tympanometry.
- These findings indicate TEOAE's utility in identifying hearing impairments.
Conclusions:
- TEOAE screening is a valuable tool for identifying hearing impairments in children.
- TEOAE offers high specificity when compared to pure-tone screening.
- Further research may explore optimizing TEOAE protocols for pediatric populations.
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Step 1: Begin by practicing good hand hygiene to prevent the transmission of microorganisms.
Step 2: Turn on the thermometer and wait until the ready sign appears on the screen to ensure accurate measurement.
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Step 1: Begin by practicing good hand hygiene to prevent the transmission of microorganisms.
Step 2: Turn on the thermometer and wait until the ready sign appears on the screen to ensure accurate measurement.
Step 3: Slide the probe cover in place to prevent cross-contamination.
Step 4: Instruct the patient to tilt their head to the side for comfort and check for cerumen...