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The auditory characteristics of children with inner auditory canal stenosis
Yu Ai1,2,3,4, Lei Xu1,2,3,4, Li Li1,3
1a Otolaryngology-Head and Neck Surgery, Provincial Hospital Affiliated to Shandong University , Jinan , PR China ;
Insights
Children with narrow inner auditory canals (IAC) have a higher prevalence of auditory neuropathy spectrum disorder (ANSD). ANSD presents differently in children with IAC stenosis compared to those without.
Area of Science:
- Otolaryngology
- Pediatric Audiology
- Neuroscience
Background:
- Auditory neuropathy spectrum disorder (ANSD) is a hearing impairment where the auditory nerve is affected.
- Inner auditory canal (IAC) stenosis, a narrowing of the canal, may impact auditory function.
- The relationship between IAC stenosis and ANSD characteristics requires further investigation.
Purpose of the Study:
- To investigate the association between IAC stenosis and ANSD in children.
- To characterize the auditory features of ANSD in the presence of IAC stenosis.
- To compare auditory findings in children with and without isolated IAC stenosis.
Main Methods:
- Auditory tests were performed on 21 children with IAC stenosis.
- Auditory brainstem responses (ABR) were analyzed, focusing on Wave V and cochlear microphonic (CM) responses.
- A comparative analysis was conducted between children with isolated IAC stenosis and those with other inner ear anomalies.
Main Results:
- Auditory brainstem response (ABR) Wave V was absent in all patients.
- Cochlear microphonic (CM) responses were detected in 81.1% of ears with stenotic IAC.
- 84.2% of ears with isolated IAC stenosis showed CM response on ABR waveforms.
Conclusions:
- Children with IAC stenosis exhibit a significantly higher prevalence of ANSD.
- Auditory characteristics of ANSD differ in children with IAC stenosis compared to those without.
- IAC stenosis is a critical factor associated with ANSD in pediatric populations.
Abstract:
Conclusions This study shows that the prevalence of auditory neuropathy spectrum disorder (ANSD) in the children with inner auditory canal (IAC) stenosis is much higher than those without IAC stenosis, regardless of whether they have other inner ear anomalies. In addition, the auditory characteristics of ANSD with IAC stenosis are significantly different from those of ANSD without any middle and inner ear malformations. Objectives To describe the auditory characteristics in children with IAC stenosis as well as to examine whether the narrow inner auditory canal is associated with ANSD. Method A total of 21 children, with inner auditory canal stenosis, participated in this study. A series of auditory tests were measured. Meanwhile, a comparative study was conducted on the auditory characteristics of ANSD, based on whether the children were associated with isolated IAC stenosis. Results Wave V in the ABR was not observed in all the patients, while cochlear microphonic (CM) response was detected in 81.1% ears with stenotic IAC. Sixteen of 19 (84.2%) ears with isolated IAC stenosis had CM response present on auditory brainstem responses (ABR) waveforms. There was no significant difference in ANSD characteristics between the children with and without isolated IAC stenosis.
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