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Single monotic auditory steady-state response in children with severe to profound sensorineural hearing loss

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Abstract

Aim

The aim of the study was to find out the predictive value of single monotic auditory steady-state response (ASSR) in hearing threshold estimation in children with severe to profound sensorineural hearing loss (SNHL).

Materials and methods

Forty-eight children (96 ears) with severe to profound SNHL were included. They were subjected to age-based audiological evaluation. Single monotic ASSR was obtained and analyzed for all children using test signals of 250, 500, 1000, 2000, and 4000 Hz, modulated in either ears at high rates of 67, 74, 81, 88, and 95 Hz, respectively, using GSI Audera evoked potential system.

Results

The number and percentage of ASSR detected were highest at 1000, 500, and 2000 Hz, respectively in all children. The ASSR thresholds obtained were statistically correlated with the behavioral audiometric thresholds at the corresponding frequencies. A considerable number of ears with no sound field thresholds or click auditory brainstem response responses showed ASSR.

Conclusion

Single monotic ASSR, with high modulation frequencies, has shown to be a reasonable method for estimating hearing sensitivity in the mid-conventional audiometric frequencies in children with severe to profound SNHL.

References

  1. Tomlin D, Rance G, Graydon K, Tsialios I. A comparison of 40 Hz auditory steady-state response (ASSR) and cortical auditory evoked potential (CAEP) thresholds in awake adult subjects. Int J Audiol 2006; 45: 580–588.

    Article  Google Scholar 

  2. Arlinger S. Audiologic diagnosis of infants. Semin Hear 2000; 21: 370–386.

    Article  Google Scholar 

  3. Picton TW, John MS, Purcell DW, Dimitrijevic A. Advantages and caveats when recording steady-state responses to multiple simultaneous stimuli. J Am Acad Audiol 2002; 13: 246–259.

    Article  Google Scholar 

  4. Rance G. The auditory steady state response; generation, recording and clinical application. Audiol Neurotol 2008; 64: 330–335.

    Google Scholar 

  5. Cebulla M, Stürzebecher E, Elberling C. Objective detection of auditory steady-state responses: comparison of one-sample and q-sample test. J Am Acad Audiol 2006; 170: 101–119.

    Google Scholar 

  6. Ghannoum T, El-Khousht M, El-Abd S, Dabbous A, Soliman R. Comparison of auditory steady state response among normal hearers and patients with different degrees of sensorineural hearing loss. Med J Cairo Univ 2008; 76Suppl II:349–358.

    Google Scholar 

  7. Luts H, Wouters J. Comparison of MASTER and AUDERA for measurement of auditory steady-state responses. Int J Audiol 2005; 44: 244–253.

    Article  Google Scholar 

  8. Northern L, Downs P. Katz J, Burkard R, editors. Hearing in children. Handbook of clinical audiology. 4th ed., USA: Lippincott Williams & Wilkins; 1991. 469–480.

    Google Scholar 

  9. Sininger YS. Auditory brain stem response for objective measures of hearing. Ear Hear 1993; 14: 23–30.

    Article  CAS  Google Scholar 

  10. Cohen LT, Rickards FW, Clark GM. A comparison of steady-state evoked potentials to modulated tones in awake and sleeping humans. J Acoust Soc Am 1991; 90: 2467–2479.

    Article  CAS  Google Scholar 

  11. Ahn J, Lee H, Kim Y, Yoon T, Chung J. Comparing pure-tone audiometry and auditory steady state response for the measurement of hearing loss. Otolaryngol Head Neck Surg 2007; 136: 966–971.

    Article  Google Scholar 

  12. Swanepoel D, Hugo R, Roode R. Auditory steady state response thresholds of children with severe to profound hearing loss. Arch Otolaryngol Head Neck Surg 2004; 130: 531–535.

    Article  Google Scholar 

  13. Van Maanen A, Stapells D. Normal multiple auditory steady-state response thresholds to air-conducted stimuli in infants. J Am Acad Audiol 2009; 20: 196–207.

    Article  Google Scholar 

  14. Dimitrijevic A, John MS, Van Roon P, Purcell DW, Adamonis J. Estimating the audiogram using multiple auditory steady-state responses. J Am Acad Audiol 2002; 13: 205–224.

    Article  Google Scholar 

  15. Roeser RJ, Valente M, Dunn HH. Audiology diagnosis. 2nd ed. New York: Thieme Medical Publishers; 2007.

    Google Scholar 

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Correspondence to Dalia M. Hassan MD.

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There are no conflicts of interest.

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Hazzaa, N., El Saiid, E., Hassan, D.M. et al. Single monotic auditory steady-state response in children with severe to profound sensorineural hearing loss. Egypt J Otolaryngol 30, 249–254 (2014). https://doi.org/10.4103/1012-5574.138486

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  • DOI: https://doi.org/10.4103/1012-5574.138486

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