Objectives: Correlation between Narrow Band Chirp Auditory Brainstem Response (NB-CE chirp ABR) as a frequency specific method for hearing threshold detection in children and Tone burst Auditory Brainstem Response (Tb-ABR) in reference to behavioral hearing threshold audiometry. Material and Methods: This study was conducted on 100 patients at audiology unit, Menoufia University hospital, in the period from Oct. 2015 to Feb. 2017. Patients enrolled within this study were classified into four groups: Group I: included 40 patients diagnosed with normal hearing, Group II: included 48 patients with mild to moderate sensorineural hearing loss (SNHL), Group III: included 56 patients with moderate to moderately severe SNHL and Group IV: included 56 patients with severe to profound SNHL. All patients’ enrolled NB-CE chirp ABR, Tb-ABR as well as pure tone audiogram (PTA). Results: there was a significant correlation between NB-CE chirp ABR and PTA hearing threshold. The use of a chirp-ABR testing ensures higher sensitivity and accuracy than that of Tb-ABR for measuring frequency-specific thresholds in young children. Conclusion: NB-CE Chirp ABR is more efficient than Tb-ABR as a frequency specific tool for hearing threshold estimation in children.
References
[1]
Picton, W., Dimitrijevic, A., Perez, M. and Von Roon, P. (2005) Estimating Audiometric Thresholds Using Auditory Steady State Responses. Journal of the American Academy of Audiology, 16, 140-156. https://doi.org/10.3766/jaaa.16.3.3
[2]
Sininger, Y., Hunter, L., Hayes, D., Roush, P. and Uhler, K. (2018) Evaluation of Speed and Accuracy of Next-Generation Auditory Steady State Response and Auditory Brainstem Response Audiometry in Children with Normal Hearing and Hearing Loss. Ear and Hearing, 39, 1207-1223. https://doi.org/10.1097/AUD.0000000000000580
[3]
Stapells, D.R., Gravel, J.S. and Martin, B.A. (1995) Thresholds for Auditory Brain Stem Responses to Tones in Notched Noise from Infants and Young Children with Normal Hearing or Sensorineural Hearing Loss. Ear and Hearing, 16, 361-371. https://doi.org/10.1097/00003446-199508000-00003
[4]
Shore, S.E. and Nuttal, A.L. (1985) High-Synchrony Cochlear Compound Action Evoked Byrising Frequency-Swept Tone Bursts. The Journal of the Acoustical Society of America, 78, 1283-1295. https://doi.org/10.1121/1.392898
[5]
Elberling, C., Don, M., Cebulla, M. and Sturzebecher, E. (2007) Auditory Steady-State Responses to Chirp Stimuli Based on Cochlear Traveling Wave Delay. The Journal of the Acoustical Society of America, 122, 2772-2785. https://doi.org/10.1121/1.2783985
[6]
Elberling, C. and Don, M. (2008) Auditory Brainstem Responses to a Chirp Stimulus Designed from Derived-Band Latencies in Normal-Hearing Subjects. The Journal of the Acoustical Society of America, 124, 3022-3037. https://doi.org/10.1121/1.2990709
[7]
Sturzebecher, E., Cebulla, M., Elberling, C. and Berger, T. (2006) New Efficient Stimuli for Evoking Frequency-Specific Auditory Steady-State Responses. Journal of the American Academy of Audiology, 17, 448-461. https://doi.org/10.3766/jaaa.17.6.6
[8]
Federico, D., Andrea, C., Michelangelo, L. and Roberto, A. (2014) Tone Burst Stimulus for Auditory Brainstem Responses: Prediction of Hearing Threshold at 1 kHz. Auris Nasus Larynx, 41, 27-30. https://doi.org/10.1016/j.anl.2013.07.004
[9]
Almeida, M., Rodrigues, G. and Doris, D. (2011) Frequency-Specific Auditory Brainstem Response in Infants with Normal Hearing. Revista CEFAC, 13, 489-495. https://doi.org/10.1590/S1516-18462010005000064
[10]
Rance, G., Coone-Wesson, B., Wunderlich, J. and Dowell, R. (2002) Speech Perception and Cortical Event-Related Potentials in Children with Auditory Neuropathy. Ear and Hearing, 23, 239-253. https://doi.org/10.1097/00003446-200206000-00008
[11]
Rodrigues, G., Ramos, N. and Lewis, D. (2013) Comparing Auditory Brainstem Responses (ABRs) to Toneburst and Narrow Band CE-Chirp in Young Infants. International Journal of Pediatric Otorhinolaryngology, 77, 1555-1560. https://doi.org/10.1016/j.ijporl.2013.07.003
[12]
Don, M., Elberling, C. and Malof, E. (2011) Input and Output Compensation for the Cochlear Traveling Wave Delay in Wide-Band ABR Recordings: Implications for Small Acoustic Tumor Detection. Journal of the American Academy of Audiology, 20, 99-108. https://doi.org/10.3766/jaaa.20.2.3
[13]
Mühler, R., Rahne, T. and Verhey, J. (2013) Auditory Brainstem Responses to Broad-Band Chirps: Amplitude Growth Functions in Sedated and Anaesthetized Infants. International Journal of Pediatric Otorhinolaryngology, 77, 49-53. https://doi.org/10.1016/j.ijporl.2012.09.028
Dau, T., Wagner, O., Mellert, V. and Kollmeier, B. (2000) Auditory Brainstem Responses with Optimized Chirp Signals Compensating Basilar Membrane Dispersion. The Journal of the Acoustical Society of America, 107, 1530-1540. https://doi.org/10.1121/1.428438
