Abstract

Research Article

Feasibility study on the evaluation of the effect of narrow-band CE-Chirp ASSR in the hearing field after hearing aid in hearing-impaired children

Wang Yonghua* and Xing Shuoyao

Published: 12 July, 2019 | Volume 3 - Issue 1 | Pages: 007-011

Objective Study: Whether the narrow-band CE-Chirp ASSR test in the sound field is an objective evaluation method for the hearing aid compensation effect, and whether there is a difference in children with different hearing loss levels.

Methods: 39 children (67 ears) wearing full digital hearing aids with good rehabilitation effect and ability to cooperate with behavioral audiometry were selected. The narrow-band CE-Chirp ASSR test group in the sound field was set as the experimental group, and the sound field behavioral audiometry after hearing aid was set as the control group. According to the degree of hearing loss, it was divided into moderate hearing loss group, severe hearing loss group and extremely severe hearing loss group. The difference between test results of experimental group and control group was compared.

Results: There were no significant differences between the experimental group and the control group in the moderate hearing loss group and the extremely severe hearing loss group at 0.5, 1, 2, and 4kHz (P > 0.05). The results of the experimental group and the control group in the severe hearing loss group, There was no significant difference at 0.5, 1, 2kHz (P > 0.05), there was a significant difference at 4kHz (P < 0.05), and the mean difference was - 6.4dB HL. When the degree of hearing loss was not grouped, there was no significant difference between the experimental group and the control group at 0.5, 1, 2kHz (P > 0.05), 4kHz was significantly different (P < 0.05), and the mean difference was -3.2dB HL.

Conclusion: It is clinically feasible to evaluate the hearing aid compensation effect of the narrow-band CE-Chirp ASSR in the hearing-impaired children. The grouping according to the degree of hearing loss can be more accurate in evaluating the hearing aid compensation effect. The narrow-band CE-Chirp in the sound field of children with moderate and very severe hearing loss ASSR results can be directly used to assess the hearing aid compensation effect, while children with severe hearing loss need to apply correction values at 4kHz.

Read Full Article HTML DOI: 10.29328/journal.ated.1001007 Cite this Article Read Full Article PDF

References

  1. Jianhua Z, Xiaobing L, Lin L. A Comparison of Aided Hearing Thresholds by Behavioral Audiometry and Auditory Steady-state Response in Sound Field. Chinese Scientific Journal of Hearing and Speech Rehabilitation. 2011; 6: 26-29.
  2. Tingting F. Relevant Problems about the application of ASSR in the auditory diagnosis. Medical Equipment. 2012; 25: 22-24.
  3. Sha L, Ruijuan D. Behavioral Audiometry in Children. Journal of Audiology and Speech Pathology. 2017; 25: 219-220.
  4. Jinxiao Z, Ling L, Wendi S. Correlative analysis of octave band CE-Chirp ABR and behavioral auditory in children with hearing loss. Chinese Archives of Otolaryngology-Head and Neck Surgery. 2018; 25: 83-85.
  5. Sturzebecher E, Cebulla M, Elberling C, Berger T. New efficient stimuli for evoking frequency specific auditory steady-state responses. J Am Acad Audiol. 2006; 17: 448. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/16866006
  6. Xiaoya W, Renzhong L, Jun L, Wen RJ, Zou Y, et al. Correlation between chirp auditory brainstem response and behavioral hearing threshold in children. Chinese Journal of Otorhinolaryngology Head and Neck Surgery. 2009; 3: 190-191. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/19558855
  7. Elberling C. Don M. Cebulla M, Stürzebecher E. Audirtory steady-state responses to chirp stimuli based on cochlear traveling wave delay. J Acoust Soc Am. 2007; 122: 2772-2785. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/18189568
  8. Wenting L, Jiangshun S, Jinghua X. Correlation between Evoked Auditory Steady State Response(ASSRs) and Pure Tone Audiometry(PTA) in Children. Chinese Journal of Otology. 2016; 14: 191-194.
  9. Shi Wei, Guo Wei, Wang Qiuju. NB CE-Chirp ASSR Application in Infant Hearing Screening and Diagnosis. Journal of Audiology and Speech Pathology. 2011; 19: 7-10.
  10. Qiming L, Jinming Z, Lizi Q. Analysis of the correlation between CE-Chirp ASSR and the behavioral hearing thresholds. The Journal of Practical Medicine. 2012; 28: 2522-2555.
  11. Fanqin W, Zhaoqun L, Guanping Z. Correlation between Frequency-Specific Chirp Auditory Steady-State Responses and Pure Tone Audiometry in Adults. Chinese Journal of Otology. 2012; 10: 451-454.
  12. Fanqin W, Guanping Z, Zhaoqun L. Correlation between Frequency-Specific Chirp Auditory Steady-State Responses and Pure Tone Audiometry in Children. Chinese Journal of Otology. 2014; 12: 235-238.
  13. Yuan L, Xiaohuan B, Yi S. Narrow Band CE-Chirp ASSRs and Conventional ASSRs in Children with Profound Hearing Loss. Chinese Journal of Otology. 2018; 16: 340-343.
  14. Cebulla M, Sturzebecher E, Elberling C. Objective detection of auditory steady-state responses: comparison of one-sample and q-sample tests. J Am Acad Audiol, 2006; 17: 93-96. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/16640063
  15. Picton TW, John MS, Dimitrijevic A. Human auditory steady-stated responses. Int Journal Audiol. 2003; 42: 177.
  16. Xingqi L, Qiuju W. Fundamental and Application of Auditory Evoked Response. Beijing: People's Military Medical Publisher. 2015; 211-217.
  17. Daofeng N. American Academy of Audiology Clinical Practice Guidelines: Pediatric Amplification. Chinese Scientific Journal of Hearing and Speech Rehabilitation. 2014; 12: 170-173.
  18. Chuling L, Shujuan T, Xianglin L. Relationship between Evoked Auditory Steady-state Responses and Pure Tone Audiometry in Children with Different Levels of Hearing Loss. Journal of Audiology and Speech Pathology. 2017; 25: 591-593.
  19. Wenbo J, Weiqing X. Test on Auditory Steady-state Responses of Normal-hearing Adults. Anhui Medical and Pharmaceutical Journal. 2010; 14: 668-670.

Figures:

Figure 1

Figure 1

Similar Articles

Recently Viewed

Read More

Most Viewed

Read More

Help ?