{"title":"成人听力损失患者的咔哒声和水平特异性(LS) CE啁啾刺激的听觉脑干反应的比较。","authors":"Seval Ceylan, Sule Kaya","doi":"10.1055/a-2165-0874","DOIUrl":null,"url":null,"abstract":"<p><p>Background The CE-Chirp stimulus used in the ABR was developed to compensate for the cochlear wave delay. As a version of broadband CE-Chirp stimulus, the use of level-specific (LS) CE-Chirp stimuli, which are created with varying delay models suitable for the intensity levels at which the sound is transmitted, is becoming increasingly common. Purpose The aim of this study was to compare click auditory brainstem responses (ABRs) with LS CE-Chirp ABR thresholds in adults with sensorineural hearing loss. Research Design The research is a cross-sectional-analytical research. Study Sample Twenty-two adult patients (n = 44 ears) with bilateral sensorineural hearing loss were included in the study. Data Collection and Analysis Pure Tone Audiometry (PTA), click ABR and LS CE-Chirp ABR tests were performed on adult (13 male, 9 female) (42.86± 14.50 years) patients with bilateral sensorineural hearing loss. Click ABR and LS CE-Chirp ABR thresholds were compared in terms of proximity to behavioral hearing thresholds of 2 kHz, 4 kHz, and 2-4 kHz averages. Results: Both types of ABR stimuli were able to identify with total hearing loss (n = 6). A statistically significant difference was found between LS CE-Chirp ABR thresholds (53.81±20.28 dB nHL) and click ABR thresholds (58.81±19.11 dB nHL) in the other ears (n = 38) with hearing loss (p=0.00). When both ears were evaluated together and the right and left ears were evaluated separately, no difference was found between LS CE-Chirp ABR thresholds and 4 kHz behavioral hearing thresholds (p: 0.66, p:0.80, p: 0.69, respectively). Conclusion: We determined that in adults with hearing loss, the LS CE-Chirp provides ABR thresholds closer to the behavioral hearing thresholds of 2 kHz, 4 kHz compared to the click stimulus. Notably, there was no difference between LS CE-Chirp ABR thresholds and the 4 kHz behavioral hearing thresholds. We concluded that the LS CE-Chirp stimulus can be used effectively in the estimation of behavioral hearing thresholds in adults with hearing loss Keywords: Auditory Brainstem Response, Hearing loss, Click, Level specific CE-Chirp.</p>","PeriodicalId":50021,"journal":{"name":"Journal of the American Academy of Audiology","volume":null,"pages":null},"PeriodicalIF":1.0000,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparison of Click and Level-Specific (LS) CE Chirp-Stimulated Auditory Brainstem Responses in Adults with Hearing Loss.\",\"authors\":\"Seval Ceylan, Sule Kaya\",\"doi\":\"10.1055/a-2165-0874\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Background The CE-Chirp stimulus used in the ABR was developed to compensate for the cochlear wave delay. As a version of broadband CE-Chirp stimulus, the use of level-specific (LS) CE-Chirp stimuli, which are created with varying delay models suitable for the intensity levels at which the sound is transmitted, is becoming increasingly common. Purpose The aim of this study was to compare click auditory brainstem responses (ABRs) with LS CE-Chirp ABR thresholds in adults with sensorineural hearing loss. Research Design The research is a cross-sectional-analytical research. Study Sample Twenty-two adult patients (n = 44 ears) with bilateral sensorineural hearing loss were included in the study. Data Collection and Analysis Pure Tone Audiometry (PTA), click ABR and LS CE-Chirp ABR tests were performed on adult (13 male, 9 female) (42.86± 14.50 years) patients with bilateral sensorineural hearing loss. Click ABR and LS CE-Chirp ABR thresholds were compared in terms of proximity to behavioral hearing thresholds of 2 kHz, 4 kHz, and 2-4 kHz averages. Results: Both types of ABR stimuli were able to identify with total hearing loss (n = 6). A statistically significant difference was found between LS CE-Chirp ABR thresholds (53.81±20.28 dB nHL) and click ABR thresholds (58.81±19.11 dB nHL) in the other ears (n = 38) with hearing loss (p=0.00). When both ears were evaluated together and the right and left ears were evaluated separately, no difference was found between LS CE-Chirp ABR thresholds and 4 kHz behavioral hearing thresholds (p: 0.66, p:0.80, p: 0.69, respectively). Conclusion: We determined that in adults with hearing loss, the LS CE-Chirp provides ABR thresholds closer to the behavioral hearing thresholds of 2 kHz, 4 kHz compared to the click stimulus. Notably, there was no difference between LS CE-Chirp ABR thresholds and the 4 kHz behavioral hearing thresholds. We concluded that the LS CE-Chirp stimulus can be used effectively in the estimation of behavioral hearing thresholds in adults with hearing loss Keywords: Auditory Brainstem Response, Hearing loss, Click, Level specific CE-Chirp.</p>\",\"PeriodicalId\":50021,\"journal\":{\"name\":\"Journal of the American Academy of Audiology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2023-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of the American Academy of Audiology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1055/a-2165-0874\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the American Academy of Audiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1055/a-2165-0874","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}
Comparison of Click and Level-Specific (LS) CE Chirp-Stimulated Auditory Brainstem Responses in Adults with Hearing Loss.
Background The CE-Chirp stimulus used in the ABR was developed to compensate for the cochlear wave delay. As a version of broadband CE-Chirp stimulus, the use of level-specific (LS) CE-Chirp stimuli, which are created with varying delay models suitable for the intensity levels at which the sound is transmitted, is becoming increasingly common. Purpose The aim of this study was to compare click auditory brainstem responses (ABRs) with LS CE-Chirp ABR thresholds in adults with sensorineural hearing loss. Research Design The research is a cross-sectional-analytical research. Study Sample Twenty-two adult patients (n = 44 ears) with bilateral sensorineural hearing loss were included in the study. Data Collection and Analysis Pure Tone Audiometry (PTA), click ABR and LS CE-Chirp ABR tests were performed on adult (13 male, 9 female) (42.86± 14.50 years) patients with bilateral sensorineural hearing loss. Click ABR and LS CE-Chirp ABR thresholds were compared in terms of proximity to behavioral hearing thresholds of 2 kHz, 4 kHz, and 2-4 kHz averages. Results: Both types of ABR stimuli were able to identify with total hearing loss (n = 6). A statistically significant difference was found between LS CE-Chirp ABR thresholds (53.81±20.28 dB nHL) and click ABR thresholds (58.81±19.11 dB nHL) in the other ears (n = 38) with hearing loss (p=0.00). When both ears were evaluated together and the right and left ears were evaluated separately, no difference was found between LS CE-Chirp ABR thresholds and 4 kHz behavioral hearing thresholds (p: 0.66, p:0.80, p: 0.69, respectively). Conclusion: We determined that in adults with hearing loss, the LS CE-Chirp provides ABR thresholds closer to the behavioral hearing thresholds of 2 kHz, 4 kHz compared to the click stimulus. Notably, there was no difference between LS CE-Chirp ABR thresholds and the 4 kHz behavioral hearing thresholds. We concluded that the LS CE-Chirp stimulus can be used effectively in the estimation of behavioral hearing thresholds in adults with hearing loss Keywords: Auditory Brainstem Response, Hearing loss, Click, Level specific CE-Chirp.
期刊介绍:
The Journal of the American Academy of Audiology (JAAA) is the Academy''s scholarly peer-reviewed publication, issued 10 times per year and available to Academy members as a benefit of membership. The JAAA publishes articles and clinical reports in all areas of audiology, including audiological assessment, amplification, aural habilitation and rehabilitation, auditory electrophysiology, vestibular assessment, and hearing science.