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Auditory steady state response in pediatric audiology
Authors:Ana Emilia Linares  Orozimbo Alves Costa Filho  Maria Angelina Nardi de Souza Martinez
Institution:1. PhD-FMUSP, Speech and Hearing therapy - Associação dos Pais e Amigos dos Deficientes Auditivos de Sorocaba;2. Full Professor - University of São Paulo at Bauru;3. PhD; Professor - PUC-São Paulo and Clinical Director - Associação dos Pais e Amigos dos Deficientes Auditivos de Sorocaba
Abstract:The main issue regarding pediatric audiology diagnosis is determining procedures to configure reliable results which can be used to predict frequency-specific hearing thresholds.AimTo investigate the correlation between auditory steady-state response (ASSR) with other tests in children with sensorineural hearing loss.MethodsProspective cross-sectional contemporary cohort study. Twenty-three children (ages 1 to 7; mean, 3 years old) were submitted to ASSR, behavioral audiometry, click audiometry brain stem response (ABR), tone burst ABR, and predicting hearing level from the acoustic reflex.Resultsthe correlation between behavioral thresholds and ASSR was (0.70- 0.93), for the ABR tone burst it was (0.73 -0.93), for the ABR click it was (0.83-0.89) only at 2k and 4 kHz. The match between the ASSR and the hearing threshold prediction rule was considered moderate.Conclusionthere was a significant correlation between the ASSR and audiometry, as well as between ABR click (2k and 4 kHz) and for the ABR tone burst. The acoustic reflex can be used to add information to diagnosis in children.
Keywords:hearing  electrophysiology  hearing loss
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