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Updated: Jun 12, 2026

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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
[Otoacoustic emissions in hearing screening in children]
Snezana Babac1, Mirjana Petrović Lazić, Milica Tatović
1Klinickobolnicki centar "Zvezdara", Klinika za otorinolaringologiju, Presevska 31, 11 000 Beograd, Srbija. babac.snezana@gmail.com
Vojnosanitetski Pregled
|May 27, 2010
Summary
Transient evoked otoacoustic emissions (TEOAE) and distortion-product otoacoustic emissions (DPOAE) are reliable hearing screening methods for children. These noninvasive tests effectively identify hearing loss, enabling timely intervention.
Area of Science:
- Pediatric Audiology
- Otoacoustic Emissions
- Hearing Screening
Context:
- Early detection of hearing loss in children is crucial for preventing developmental consequences.
- Otoacoustic emissions (OAE) offer a noninvasive method for assessing cochlear function.
Purpose:
- To evaluate the reliability and feasibility of transient evoked otoacoustic emissions (TEOAE) and distortion-product otoacoustic emissions (DPOAE) for childhood hearing screening.
- To determine the frequency, type, and etiological factors of hearing loss in children.
Summary:
- 133 children (2-7.5 years) underwent TEOAE and DPOAE testing alongside otoscopic examinations.
- High agreement was found between screening tests and otoscopic findings (95% for TEOAE, 93% for DPOAE).
- Hearing loss identified in 6.76% of cases (6.01% conductive, 0.75% sensorineural), with causes including otitis media and ototoxic medication use.
Impact:
- TEOAE and DPOAE are validated as reliable, noninvasive, and feasible tools for childhood hearing screening.
- The study highlights the effectiveness of OAE in identifying conductive and sensorineural hearing losses.
- Findings support the integration of OAE into routine pediatric audiological assessments.
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