Estimation of Hearing Thresholds with Auditory Steady-State Responses to Narrow-Band Chirps in Children.

IF 1.6 4区医学 Q2 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Audiology and Neuro-Otology Pub Date : 2024-09-04 DOI:10.1159/000541180

Hiroyuki Chiba, Tsukasa Ito, Toshinori Kubota, Hirooki Matsui, Chikako Shinkawa, Seiji Kakehata

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Abstract

Objective: The aim of this study was to evaluate the utility of auditory steady-state responses (ASSRs) to narrow-band chirps (NB-chirps) for estimating hearing levels in children.

Design: Thresholds from the NB-chirp ASSR were evaluated in 30 sedated children with normal hearing or hearing loss. The correlation between the NB-chirp ASSR and pure-tone audiometry (PTA) thresholds was analyzed, and the difference score (DS) between these thresholds was calculated. Data from the NB-chirp ASSR were compared to retrospective data from conventional ASSR to exponentially amplitude-modulated tones in 25 sedated children.

Results: Positive correlations between the NB-chirp ASSR and PTA thresholds were found at 500, 1,000, 2,000, and 4,000 Hz. Multiple comparisons of the DSs for the NB-chirp ASSR and PTA revealed significant differences at 500-2,000 Hz and 4,000 Hz, as well as 1,000-2,000 Hz, and 4,000 Hz. Comparisons of the DSs demonstrated that the DS of the NB-chirp ASSR was significantly smaller than that of the conventional ASSR at 2,000 Hz. Furthermore, the testing times for the NB-chirp ASSR were significantly shorter than those for the conventional ASSR.

Conclusion: The NB-chirp ASSR closely reflected the PTA thresholds, and the testing time was shorter than that of the conventional ASSR. Thus, this study demonstrated that the NB-chirp ASSR is useful for hearing threshold estimation in children.

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利用儿童对窄带鸣声的听觉稳态反应估算听阈。

目的评估窄带啁啾声（NB-chirps）的听觉稳态反应（ASSR）对估计儿童听力水平的实用性。设计对 30 名听力正常或有听力损失的镇静儿童进行窄带啁啾声听觉稳态反应（ASSR）阈值评估。分析了 NB-chirp ASSR 与纯音测听（PTA）阈值之间的相关性，并计算了这些阈值之间的差异分值（DS）。在 25 名镇静儿童中，NB-啁啾 ASSR 的数据与传统 ASSR 对指数调幅音的回顾性数据进行了比较。结果发现在 500、1000、2000 和 4000 Hz 时，NB-啁啾 ASSR 与 PTA 阈值呈正相关。对 NB-chirp ASSR 和 PTA 的 DS 进行多重比较后发现，在 500-2000 Hz 和 4000 Hz 以及 1000-2000 Hz 和 4000 Hz 时存在显著差异。DSs 的比较表明，在 2000 Hz 时，NB-啁啾 ASSR 的 DS 明显小于传统 ASSR。此外，NB-啁啾 ASSR 的测试时间明显短于传统 ASSR。结论 NB-啁啾 ASSR 密切反映了 PTA 阈值，而且测试时间比传统 ASSR 短。因此，本研究表明，NB-啁啾 ASSR 可用于估测儿童的听阈。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Audiology and Neuro-Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

6.20%

发文量

审稿时长

>12 weeks

期刊介绍： ''Audiology and Neurotology'' provides a forum for the publication of the most-advanced and rigorous scientific research related to the basic science and clinical aspects of the auditory and vestibular system and diseases of the ear. This journal seeks submission of cutting edge research opening up new and innovative fields of study that may improve our understanding and treatment of patients with disorders of the auditory and vestibular systems, their central connections and their perception in the central nervous system. In addition to original papers the journal also offers invited review articles on current topics written by leading experts in the field. The journal is of primary importance for all scientists and practitioners interested in audiology, otology and neurotology, auditory neurosciences and related disciplines.