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Accuracy of otoacoustic emissions, and automated and diagnostic auditory brainstem responses, in high-risk infants

Published online by Cambridge University Press:  09 May 2019

W Khaimook ,
D Pantuyosyanyong  and
P Pitathawatchai
W Khaimook*
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand
D Pantuyosyanyong
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand
P Pitathawatchai
Affiliation:
Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand
*
Author for correspondence: Associate Professor Wandee Khaimook, Department of Otorhinolaryngology Head and Neck Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand E-mail: [email protected]
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Abstract

Objectives

This study aimed to compare the diagnostic reliabilities of transient evoked otoacoustic emissions, automated auditory brainstem responses and brainstem auditory evoked responses for detecting hearing loss, and to use the information regarding hearing level of automated auditory brainstem responses for planning rehabilitation.

Methods

A total of 144 high-risk infants (288 ears) completed the 3 hearing tests. The sensitivity and specificity of otoacoustic emissions and automated auditory brainstem responses were compared using the chi-square test.

Results

Automated auditory brainstem response was the most reliable test of hearing levels, with a sensitivity of 91.7 per cent and specificity of 92.1 per cent; the sensitivity of otoacoustic emissions was 78.7 per cent and the specificity was 88.8 per cent.

Conclusion

Automated auditory brainstem responses have acceptably high sensitivity and specificity. Additionally, the hearing level from automated auditory brainstem responses can help the screeners explain to the parents the importance of further diagnosis and rehabilitation.

Keywords

Data AccuracyAuditory Brainstem ResponsesInfants
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 5 , May 2019 , pp. 363 - 367
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Associate Professor W Khaimook takes responsibility for the integrity of the content of the paper

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