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Related Experiment Videos

Auditory sensitivity in children using the auditory steady-state response.

Jill B Firszt1, Wolfgang Gaggl, Christina L Runge-Samuelson

  • 1Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee 53226, USA. jfirszt@mcw.edu

Archives of Otolaryngology--Head & Neck Surgery
|May 19, 2004
PubMed
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Auditory steady-state response (ASSR) effectively measures hearing sensitivity in young children with suspected hearing loss. ASSR provides valuable data, especially for severe to profound hearing loss, aiding in cochlear implant decisions.

Area of Science:

  • Audiology
  • Pediatric audiology
  • Electrophysiology

Background:

  • Early detection of hearing loss in children is crucial for development.
  • Electrophysiologic measures are vital for assessing hearing sensitivity in infants and young children.
  • Auditory Brainstem Response (ABR) is a common diagnostic tool, but limitations exist for certain hearing loss ranges.

Purpose of the Study:

  • To evaluate the efficacy of Auditory Steady-State Response (ASSR) in determining hearing sensitivity.
  • To compare ASSR thresholds with Auditory Brainstem Response (ABR) thresholds in young children.
  • To assess the utility of ASSR for identifying severe to profound hearing loss.

Main Methods:

  • A within-subject design comparing ABR and ASSR thresholds.

Related Experiment Videos

  • Included 42 children suspected of hearing loss undergoing electrophysiologic assessment.
  • Measured electrophysiologic threshold responses for click ABR and ASSR stimuli (0.5, 1, 2, and 4 kHz) in both ears.

    • Main Results:

    • 50% of participants showed severe to profound hearing loss based on ABR and ASSR.
    • ASSRs were detected at higher levels than ABR in some cases where ABR showed no response.
    • Significant correlations were observed between high-frequency ASSR and ABR thresholds (P<.05).
    • ASSR identified interaural differences not apparent from ABR in some children.

    Conclusions:

    • ASSR testing offers valuable supplementary data for children with severe to profound hearing loss.
    • ASSR findings can assist in ear selection for cochlear implantation in young children.
    • Combining objective measures like ABR and ASSR is recommended for accurate hearing sensitivity determination in pediatric audiology, particularly for cochlear implant candidacy.