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[Objective determination of auditory threshold in the child]
E Swoboda-Brunner1, H Swoboda, K Neuwirth-Riedl
11. HNO-Klinik, Universität, Wien.
HNO
|March 1, 1989
Summary
Brainstem electric response audiometry (BERA) accurately determines hearing thresholds in children, even those with difficult-to-interpret behavioral results. This method, enhanced by oral sedation, offers a reliable outpatient diagnostic solution for pediatric hearing assessments.
Area of Science:
- Audiology
- Neuroscience
- Pediatrics
Context:
- Assessing hearing in young children presents challenges due to behavioral variability.
- Traditional behavioral audiometry can yield unreliable results in difficult-to-test pediatric populations.
- Accurate hearing threshold determination is crucial for early intervention and developmental outcomes.
Purpose:
- To evaluate the efficacy and reliability of Brainstem Electric Response Audiometry (BERA) in pediatric hearing assessments.
- To determine if oral sedation with chloroprothixene facilitates outpatient BERA procedures.
- To compare the diagnostic accuracy of BERA with behavioral audiometry in children.
Summary:
- Brainstem Electric Response Audiometry (BERA) was performed on 77 children (aged 11 weeks to 12 years) with inconsistent behavioral-audiometric findings.
- Frequency-following responses were analyzed, demonstrating BERA's sensitivity and reliability, particularly for asymmetrical auditory thresholds.
- Oral sedation with chloroprothixene enabled successful outpatient BERA, improving diagnostic capabilities.
Impact:
- BERA provides a sensitive and reliable method for accurate hearing threshold determination in challenging pediatric cases.
- Outpatient BERA, facilitated by sedation, offers a less disturbing diagnostic option for children.
- Integrating BERA into the standard pediatric audiology test battery enhances overall diagnostic accuracy.