Objective and automatic determination of hearing thresholds in normal hearing adult subjects

Authors

DOI:

https://doi.org/10.33448/rsd-v10i13.20859

Keywords:

Evoked potentials; Hearing; Adult.

Abstract

Objective: to verify the applicability of the auditory steady state response (ASSR) test, correlating the auditory thresholds obtained in this test with the pure tone audiometry (PTA) in those without hearing complaints. Methodology: fifteen normal hearing adults were registered. The evaluation consisted of the PTA and ASSR, both to verify the degree of hearing, the first being a behavioral measure and the second, electrophysiological. In PTA, the hearing threshold was evaluated in the frequencies of 250, 500, 1000, 2000, 3000, 4000, 6000 and 8000 Hz, in both ears. The ASSR survey was carried out in multifrequency and dichotic mode, that is, surveys with frequencies of 500, 1000, 2000 and 4000 Hz in both ears at the same time, with the aim of automatically evaluating the minimum level of specified response. Results: in PTA, the hearing thresholds were below 25 dBHL for all evaluated frequencies and the median values found were lower than the median values found in ASSR. Test Spearman, there was a significant correlation only in the frequency of 500 Hz. Conclusion: the hearing thresholds obtained by ASSR were detected in all study participants and the values were higher than those found in the ATL, however it is common for the electrophysiological results to be higher than those observed in behavioral tests. There was no correlation between the thresholds obtained between the techniques for most frequencies evaluated in normal hearing adult individuals. Thus, it is suggested to carry out future research with a larger sample size, adopting the same methodology applied in this study.

References

Ahn, J. H., Lee, H. S., Kim, Y. J., Yoon, T. H. & Chung, J. W. (2007). Comparing pure-tone audiometry and auditory steady state response for the measurement of hearing loss. Otolaryngol Head Neck Surg, 136(6), 966-71.

Beck, R. M. O., Ramos, B. F., Grasel, S. S., Ramos, H. F., Moraes, B. B., Almeida, E. R. & Bento, C. F. (2014). Comparative study between pure tone audiometry and auditory steady-state response in normal hearing subjects. Braz J Otorhinolaryngol, 80(1), 35-40.

Bucuvic, E. C. & Iório, M. C. M. (2011). Resposta auditiva de estado estável. In: Bevilacqua, M. C., Martinez, M. A. N., Balen, A. S., Pupo, A. C., Reis, A. C. M. B. Frota S. (2ª ed.), Tratado de Audiologia (pp. 197-215). São Paulo: Livraria Santos.

Dabbous, A. O., El-Shennawy, A. M., Medhat, M. M., Abdel-Latief, D. F. (2017). Narrow band CE-chirp stimulus in auditory steady state response threshold in normal hearers and patients with various degrees of sensorineural hearing loss. Hear Balance Commun, 15, 199-213.

Dabbous, A.O., Koura, R. A. & Hamdy, M. M. (2019). Comparison of thresholds estimation in adults with conductive hearing loss and normal hearing adults using auditory steady state response evoked by narrow band CE-chirps. Hear Balance Commun, 17, 18-26.

D’Haenens, W., Vinck, B. M., De Vel, E., Maes, L., Bockstael, A., Keppler, H., Philips, B., Swinnen, F. & Dhooge, I. (2008). Auditory steady-state responses in normal hearing adults: a test-retest reliability study. Int J Audiol, 47(8), 489-98.

Estrela, C. (2018). Metodologia Científica: Ciência, Ensino, Pesquisa. (3a ed.), Artes Médicas.

Ferraz, O. B., Freitas, S. V. & Marchiori, L. L. M. (2002). Análise das respostas obtidas por potenciais evocados auditivos de estado estável em indivíduos normais. Rev Bras Otorrinolaringol, 68(4), 480-6.

Ghasemahmad, Z., Farahani, S. (2019). Validity of correction factors applied to auditory steady-state responses (ASSRs) in normal hearing adults in chartr EP system. Eur Arch Otorhinolaryngol, 276, 2171-80.

Hei, N. & Dong-Hee, L. (2020). Discrepancies in Hearing Thresholds between Pure-Tone Audiometry and Auditory Steady-State Response in Non-Malingerers. Ear and Hearing, 41(3), 663-8.

Herdman, A. T. & Stapells, D. R. (2001). Thresholds determined using the monotic and dichotic multiple auditory steady-state response technique in normal-hearing subjects. Scand Audiol, 30(1), 41-9.

John, M. S. & Picton, T. W. (2000). A Windows program for recording multiple auditory steady-state responses. Comput Methods Programs Biomed, 61(2), 125-50.

Komazec, Z., Lemajić-Komazec, S., Jović, R., Nadj, C., Jovancević, L. & Savović, S. (2010). Comparison between auditory steady-state responses and pure-tone audiometry. Vojnosanit Pregl, 67 (10-11), 761-5.

Korczac, P., Smart, J., Delgado, R., Strobel, T. M. & Bradford, C. (2012). Auditory steady-state responses. J Am Acad Audiol, 23(3), 146-70.

Lachowska, M., Surowiec, P., Morawski, K., Pierchała, K., & Niemczyk, K. (2014). Second stage of universal neonatal hearing screening - a way for diagnosis and beginning of proper treatment for infants with hearing loss. Adv Med Sci, 59(1), 90-4.

Lins, O. G., Picton, T. W., Boucher, B. L., Durieux-Smith, A., Campagne, S. C., Moran, L. M., Perez-Abalo, M. C., Martin, V. & Savio, G. (1996). Frequency-specific audiometry using steady-state responses. Ear Hear, 17(2), 81-96.

Picton, T. W., John, M. S., Dimitrijevic, A. & Purcell, D. W. (2003). Human auditory steady-state responses. Int J Audiol, 42(4), 177-219.

Resende, L. M., Carvalho, S. A. S., Santos, T. S., Abdo, F. I., Ferreira, M. C. & Tierra-Criollo, C. J. (2015). Auditory steady-state responses in school-aged children: a pilot study. J Neuroeng Rehabil, 12(1), 13.

Silva, D. P. C., Ribeiro, G. E. & Montovani, J. C. (2021). Results of BAEP and Auditory Steady State Response in infants with and without UNHS failure. Distúrb Comun, 33(2): 339-47.

Sininger, Y. S., Hunter, L. L., Hayes, D., Roush, P. A., Uhler, K. M. (2018). Evaluation of Speed and Accuracy of Next-Generation Auditory Steady State Response and Auditory Brainstem Response Audiometry in Children with Normal Hearing and Hearing Loss. Ear Hear, 39(6): 1207-23.

Valdes, J. Lp., Perez-Abalo, M. C., Martin, V., Savio, G., Sierra C, Rodriguez, E. & Lins, O. (1997). Comparison of statistical indicators for the automatic detection of 80 Hz. auditory steady-state responses. Ear Hear, 18(5), 420-9.

Published

09/10/2021

How to Cite

POTGURSKI, D. S.; RIBEIRO, G. .; SILVA, D. P. C. da . Objective and automatic determination of hearing thresholds in normal hearing adult subjects. Research, Society and Development, [S. l.], v. 10, n. 13, p. e174101320859, 2021. DOI: 10.33448/rsd-v10i13.20859. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/20859. Acesso em: 4 dec. 2021.

Issue

Section

Health Sciences