ORIGINAL ARTICLE
CORRELATION OF ASSR HEARING THRESHOLDS WITH ABR HEARING THRESHOLDS IN CHILDREN
 
More details
Hide details
1
ENT Department of the National and Kapodistrian University of Athens, Attikon University Hospital, Athens, Greece
 
2
ENT Department, MITERA Paediatric Infirmary, Athens, Greece
 
 
A - Research concept and design; B - Collection and/or assembly of data; C - Data analysis and interpretation; D - Writing the article; E - Critical revision of the article; F - Final approval of article;
 
 
Publication date: 2018-09-30
 
 
Corresponding author
Thomas P. Nikolopoulos   

Thomas Nikolopoulos, E-mail address: nikolop@med.uoa.gr, Address: 125 Anakous street, Athens 14342, Greece
 
 
J Hear Sci 2018;8(3):35-39
 
KEYWORDS
ABSTRACT
Background:
Hearing assessment in neonates, or in older children/teenagers with special needs, is very challenging since a pure tone audiogram is not possible due to lack of co-operation and click-ABRs are not frequency specific.

Objectives:
To assess the value of auditory steady-state responses (ASSRs) in neonates or in uncooperative children/teenagers and correlate the hearing thresholds derived from them with those derived from ABR.

Subjects and Methods:
Using ABR and ASSR, the hearing thresholds of 119 children too young to perform behavioral audiometry, and older children or teenagers with special needs (who were unable or unwilling to perform a pure tone audiogram), were assessed. The age range was 1 month to 18 years old with a mean age of 2.7 years and median of 2.3 years; the large majority (106 or 89%) were younger than 5 years.

Results:
ASSR was found to be a valuable and objective method for hearing assessment as a strong correlation between ABR-derived and ASSR-derived thresholds was found for all frequencies (500, 1000, 2000, and 4000 Hz) with Spearman rank correlation coefficients ranging from 0.83 to 0.87 and high statistical significance (p<0.0001).

Conclusion:
The reliability of ASSR is supported by the results of the present study which suggest that there is a strong correlation between ASSR and ABR thresholds even at a frequency of 500 Hz

REFERENCES (15)
1.
Vlastarakos P, Vasileiou A, Nikolopoulos T. The value of ASSR threshold-based bilateral hearing aid fitting in children with difficult or unreliable behavioral audiometry. Ear Nose Throat J. 2017; 96(12): 464-8.
 
2.
Beck DL, Speidel DP, Petrak M. ASSR: A beginner’s guide. 2007. Available from http://www.hearingreview.com/2....
 
3.
Frank J, Baljić I, Hoth S, Esser D, Guntinas-Lichius O. The accuracy of objective threshold determination at low frequencies: comparison of different auditory brainstem response (ABR) and auditory steady state response (ASSR) methods. Int J Audiol, 2017; 56(5): 337-45.
 
4.
Çelik O, Eskiizmir G, Uz U. A comparison of thresholds of auditory steady-state response and auditory brainstem response in healthy term babies. J Int Adv Otol, 2016; 12(3): 277-81.
 
5.
François M, Dehan E, Carlevan M, Dumont H. Use of auditory steady-state responses in children and comparison with other electrophysiological and behavioral tests. Eur Ann Otorhinolaryngol Head Neck Dis, 2016; 133(5): 331-5.
 
6.
Aimoni C, Crema L, Savini S, et al. Hearing threshold estimation by auditory steady state responses (ASSR) in children. Acta Otorhinolaryngol Ital, 2018; 38(4): 361-8.
 
7.
Kandogan T, Dalgic A. Reliability of auditory steady-state response (ASSR): comparing thresholds of auditory steady-state response (ASSR) with auditory brainstem response (ABR) in children with severe hearing loss. Indian J Otolaryngol Head Neck Surg, 2013; 65(Suppl 3): 604-7.
 
8.
Swanepoel D, Ebrahim S. Auditory steady-state response and auditory brainstem response thresholds in children. Eur Arch Otorhinolaryngol, 2009; 266(2): 213-9.
 
9.
Vander Werff KR, Brown CJ, Gienapp BA, Schmidt Clay KM. Comparison of auditory steady-state response and auditory brainstem response thresholds in children. J Am Acad Audiol, 2002; 13(5): 227-35, 283-4.
 
10.
Mourtzouchos K, Riga M, Cebulla M, Danielides V, Naxakis S.
 
11.
Comparison of click auditory brainstem response and chirp auditory steady-state response thresholds in children. Int J Pediatr Otorhinolaryngol, 2018; 112: 91-6.
 
12.
Johnson TA, Brown CJ, Threshold prediction using the auditory steady-state response and the tone burst auditory brain stem response: a within-subject comparison. Ear Hear, 2005; 26(6): 559-76.
 
13.
Cone-Wesson B, Dowell RC, Tomlin D, Rance G, Ming WJ. The auditory steady-state response: comparisons with the auditory brainstem response. J Am Acad Audiol, 2002; 13(4):173-87, 225-6.
 
14.
Beck RM, Ramos BF, Grasel SS, et al. Comparative study between pure tone audiometry and auditory steady-state responses in normal hearing subjects. Braz J Otorhinolaryngol, 2014; 80(1):35-40.
 
15.
Ozdek A, Karacay M, Saylam G, Tatar E, Aygener N, Korkmaz MH. Comparison of pure tone audiometry and auditory steadystate responses in subjects with normal hearing and hearing loss. Eur Arch Otorhinolaryngol 2010; 267(1):43-9.
 
Journals System - logo
Scroll to top