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Auditory steady-state responses and clinical applications.

Andrea Canale¹, Michelangelo Lacilla, Andrea Luigi Cavalot

¹Department of Clinical Physiopathology, II Section of ENT, University of Turin, Turin, Italy.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

|March 25, 2006

Summary

Auditory steady-state responses offer an objective alternative to traditional hearing tests. This study found them accurate for predicting hearing loss in adults, especially those with sensory-neural impairments.

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Area of Science:

Audiology
Neuroscience
Hearing Science

Background:

Auditory steady-state responses (ASSR) are proposed as an objective method for frequency-specific audiometry.
Traditional pure-tone audiometry (PTA) can be challenging for non-collaborative patients.

Purpose of the Study:

To compare hearing thresholds obtained via PTA and ASSR in adults with normal hearing and hearing loss.
To evaluate the applicability of ASSR in non-collaborative hearing-impaired subjects.

Main Methods:

Eleven adults (6 normal hearing, 5 hearing impaired) underwent both PTA and multiple frequency ASSR.
Simultaneous carrier tones (0.5-4 KHz) modulated in amplitude were presented monaurally at variable intensities.

Main Results:

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The overall mean threshold difference between PTA and ASSR was 28 dB (SD=14.2), with a correlation of 0.71 (P=0.0012).
For hearing-impaired individuals, the mean difference was significantly smaller at 11.7 dB (SD=2.9).

Conclusions:

Multiple frequency ASSR accurately predicts behavioral audiograms in patients with sensory-neural hearing impairments.
ASSR serves as a valid supportive tool for audiological evaluations, particularly for challenging patient groups.