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Published in: European Archives of Oto-Rhino-Laryngology 9/2014

01-09-2014 | Otology

Relationship between behavioral hearing thresholds and estimated auditory steady-state response thresholds in children with a history of neonatal hyperbilirubinemia

Authors: Rasool Panahi, Zahra Jafari, Sara Hasani

Published in: European Archives of Oto-Rhino-Laryngology | Issue 9/2014

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Abstract

Increased serum bilirubin levels during infancy increase the risk of hearing loss in infants. This study aimed to investigate the relationship between pure-tone audiometry hearing thresholds and thresholds estimated using auditory steady-state responses (ASSRs) in children with a history of neonatal hyperbilirubinemia, and to evaluate the usefulness of 90-Hz ASSR in estimating hearing thresholds in children. This study was conducted on 26 children (13 girls and 13 boys) who were aged 2.4–11 years and had a history of neonatal hyperbilirubinemia (bilirubin level >17 mg/dL). ASSR thresholds were compared with behavioral thresholds and were interpreted after considering the amount and type of hearing loss. Of the 26 children, 12 had normal hearing thresholds, and 14 had varying degrees of sensorineural hearing loss. In general, a high correlation (r ≥ 0.81, p < 0.01) was found between the ASSR and behavioral thresholds. The highest correlation was observed at 2,000 Hz (r = 0.88, p < 0.01). No significant difference was observed (p > 0.13) between mean behavioral and ASSR thresholds at 52 studied ears. The results of this study showed that 90-Hz ASSR assessments provide reliable estimates of behavioral hearing thresholds in children who have a history of neonatal hyperbilirubinemia and sensorineural hearing loss or normal hearing.
Literature
1.
go back to reference Martínez-Cruz CF, Poblano A, Fernández-Carrocera LA (2008) Risk factors associated with sensorineural hearing loss in infants at the neonatal intensive care unit: 15-year experience at the National Institute of Perinatology (Mexico City). Arch Med Res 39(7):686–694PubMedCrossRef Martínez-Cruz CF, Poblano A, Fernández-Carrocera LA (2008) Risk factors associated with sensorineural hearing loss in infants at the neonatal intensive care unit: 15-year experience at the National Institute of Perinatology (Mexico City). Arch Med Res 39(7):686–694PubMedCrossRef
2.
go back to reference Hille ET, Van Straaten HI, Verkerk PH (2007) Prevalence and independent risk factors for hearing loss in NICU infants. Acta Paediatr 96(8):1155–1158PubMedCrossRef Hille ET, Van Straaten HI, Verkerk PH (2007) Prevalence and independent risk factors for hearing loss in NICU infants. Acta Paediatr 96(8):1155–1158PubMedCrossRef
3.
go back to reference Smitherman H, Stark AR, Bhutan VK (2006) Early recognition of neonatal hyperbilirubinemia and its emergent management. Semin Fetal Neonatal Med 11(3):214–224PubMedCrossRef Smitherman H, Stark AR, Bhutan VK (2006) Early recognition of neonatal hyperbilirubinemia and its emergent management. Semin Fetal Neonatal Med 11(3):214–224PubMedCrossRef
4.
go back to reference Saluja S, Agarwal A, Kler N, Amin S (2010) Auditory neuropathy spectrum disorder in late preterm and term infants with severe jaundice. Int J Pediatr Otorhinolaryngol 74(11):1292–1297PubMedCentralPubMedCrossRef Saluja S, Agarwal A, Kler N, Amin S (2010) Auditory neuropathy spectrum disorder in late preterm and term infants with severe jaundice. Int J Pediatr Otorhinolaryngol 74(11):1292–1297PubMedCentralPubMedCrossRef
5.
go back to reference Boo NY, Rohani AJ, Asma A (2010) Detection of sensorineural hearing loss using automated auditory brainstem-evoked response and transient-evoked otoacoustic emission in term neonates with severe hyperbilirubinaemia. Singapore Med J 49(3):209–214 Boo NY, Rohani AJ, Asma A (2010) Detection of sensorineural hearing loss using automated auditory brainstem-evoked response and transient-evoked otoacoustic emission in term neonates with severe hyperbilirubinaemia. Singapore Med J 49(3):209–214
6.
go back to reference Shapiro SM (2004) Definition of the clinical spectrum of kernicterus and bilirubin-induced neurologic dysfunction (BIND). J Perinatol 25(1):54–59CrossRef Shapiro SM (2004) Definition of the clinical spectrum of kernicterus and bilirubin-induced neurologic dysfunction (BIND). J Perinatol 25(1):54–59CrossRef
7.
go back to reference Nickisch A, Massinger C, Ertl-Wagner B, von Voss H (2009) Pedaudiologic findings after severe neonatal hyperbilirubinemia. Eur Arch Otorhinolaryngol 266(2):207–212PubMedCrossRef Nickisch A, Massinger C, Ertl-Wagner B, von Voss H (2009) Pedaudiologic findings after severe neonatal hyperbilirubinemia. Eur Arch Otorhinolaryngol 266(2):207–212PubMedCrossRef
8.
go back to reference Rapin I, Gravel J (2003) “Auditory neuropathy”: physiologic and pathologic evidence calls for more diagnostic specificity. Int J Pediatr Otorhinolaryngol 67(7):707–728PubMedCrossRef Rapin I, Gravel J (2003) “Auditory neuropathy”: physiologic and pathologic evidence calls for more diagnostic specificity. Int J Pediatr Otorhinolaryngol 67(7):707–728PubMedCrossRef
10.
go back to reference Linares AE, Costa Filho OA, Martinez MANS (2010) Auditory steady state response in pediatric audiology. Braz J Otorhinolaryngol 76(6):723–728PubMedCrossRef Linares AE, Costa Filho OA, Martinez MANS (2010) Auditory steady state response in pediatric audiology. Braz J Otorhinolaryngol 76(6):723–728PubMedCrossRef
11.
go back to reference Han D, Mo L, Liu H, Chen J, Huang L (2006) Threshold estimation in children using auditory steady-state responses to multiple simultaneous stimuli. ORL J Otorhinolaryngol Relat Spec 68(2):64–68PubMedCrossRef Han D, Mo L, Liu H, Chen J, Huang L (2006) Threshold estimation in children using auditory steady-state responses to multiple simultaneous stimuli. ORL J Otorhinolaryngol Relat Spec 68(2):64–68PubMedCrossRef
12.
go back to reference Van Maanen A, Stapells DR (2010) Multiple-ASSR thresholds in infants and young children with hearing loss. J Am Acad Audiol 21(8):535–545PubMedCrossRef Van Maanen A, Stapells DR (2010) Multiple-ASSR thresholds in infants and young children with hearing loss. J Am Acad Audiol 21(8):535–545PubMedCrossRef
13.
go back to reference Komazec Z, Lemajić-Komazec S, Jović R, Nađ Č, Jovančević L, Savović S (2010) Comparison between auditory steady-state responses and pure-tone audiometry. Vojnosanit Pregl 67(9):761–765PubMedCrossRef Komazec Z, Lemajić-Komazec S, Jović R, Nađ Č, Jovančević L, Savović S (2010) Comparison between auditory steady-state responses and pure-tone audiometry. Vojnosanit Pregl 67(9):761–765PubMedCrossRef
14.
go back to reference Jafari Z, Malayeri S, Ashayeri H, Farahani MA (2009) Adults with auditory neuropathy: comparison of auditory steady-state response and pure-tone audiometry. J Am Acad Audiol 20(10):621–628PubMedCrossRef Jafari Z, Malayeri S, Ashayeri H, Farahani MA (2009) Adults with auditory neuropathy: comparison of auditory steady-state response and pure-tone audiometry. J Am Acad Audiol 20(10):621–628PubMedCrossRef
15.
go back to reference Wong V, Chen WX, Wong KY (2006) Short- and long-term outcome of severe neonatal nonhemolytic hyperbilirubinemia. J Child Neurol 21(4):309–315PubMedCrossRef Wong V, Chen WX, Wong KY (2006) Short- and long-term outcome of severe neonatal nonhemolytic hyperbilirubinemia. J Child Neurol 21(4):309–315PubMedCrossRef
16.
go back to reference Psarommatis I, Florou V, Fragkos M, Douniadakis E, Kontrogiannis A (2011) Reversible auditory brainstem responses screening failures in high risk neonates. Eur Arch Otorhinolaryngol 268(2):189–196PubMedCrossRef Psarommatis I, Florou V, Fragkos M, Douniadakis E, Kontrogiannis A (2011) Reversible auditory brainstem responses screening failures in high risk neonates. Eur Arch Otorhinolaryngol 268(2):189–196PubMedCrossRef
17.
go back to reference Psarommatis I, Riga M, Douros K et al (2006) Transient infantile auditory neuropathy and its clinical implications. Int J Pediatr Otorhinolaryngol 70(9):1629–1637PubMedCrossRef Psarommatis I, Riga M, Douros K et al (2006) Transient infantile auditory neuropathy and its clinical implications. Int J Pediatr Otorhinolaryngol 70(9):1629–1637PubMedCrossRef
18.
go back to reference Hurley RM, Musiek FE (1994) Effectiveness of transient-evoked otoacoustic emissions (TEOAEs) in predicting hearing level. J Am Acad Audiol 5(3):195–203PubMed Hurley RM, Musiek FE (1994) Effectiveness of transient-evoked otoacoustic emissions (TEOAEs) in predicting hearing level. J Am Acad Audiol 5(3):195–203PubMed
19.
go back to reference Harrell RW (2002) Pure-tone evaluation. In: Katz J, Burkard R, Medwetsky L (eds) Handbook of clinical audiology, 5th edn. Williams and Wilkins, Baltimore, pp 71–87 Harrell RW (2002) Pure-tone evaluation. In: Katz J, Burkard R, Medwetsky L (eds) Handbook of clinical audiology, 5th edn. Williams and Wilkins, Baltimore, pp 71–87
20.
go back to reference Lin YH, Ho HC, Wu HP (2009) Comparison of auditory steady-state responses and auditory brainstem responses in audiometric assessment of adults with sensorineural hearing loss. Auris Nasus Larynx 36(2):140–145PubMedCrossRef Lin YH, Ho HC, Wu HP (2009) Comparison of auditory steady-state responses and auditory brainstem responses in audiometric assessment of adults with sensorineural hearing loss. Auris Nasus Larynx 36(2):140–145PubMedCrossRef
21.
go back to reference Swanepoel D, Hugo R, Roode R (2004) Auditory steady-state responses for children with severe to profound hearing loss. Arch Otolaryngol Head Neck Surg 130(5):531–535PubMedCrossRef Swanepoel D, Hugo R, Roode R (2004) Auditory steady-state responses for children with severe to profound hearing loss. Arch Otolaryngol Head Neck Surg 130(5):531–535PubMedCrossRef
22.
go back to reference Swanepoel D, Erasmus H (2007) Auditory steady-state responses for estimating moderate hearing loss. Eur Arch Otorhinolaryngol 264(7):755–759PubMedCrossRef Swanepoel D, Erasmus H (2007) Auditory steady-state responses for estimating moderate hearing loss. Eur Arch Otorhinolaryngol 264(7):755–759PubMedCrossRef
23.
go back to reference Attias J, Buller N, Rubel Y, Raveh E (2006) Multiple auditory steady-state responses in children and adults with normal hearing, sensorineural hearing loss, or auditory neuropathy. Ann Otol Rhinol Laryngol 115(4):268–276PubMed Attias J, Buller N, Rubel Y, Raveh E (2006) Multiple auditory steady-state responses in children and adults with normal hearing, sensorineural hearing loss, or auditory neuropathy. Ann Otol Rhinol Laryngol 115(4):268–276PubMed
24.
go back to reference Rodrigues GRI, Lewis DR, Fichino SN (2010) Steady-state auditory evoked responses in audiological diagnosis in children: a comparison with brainstem evoked auditory responses. Braz J Otorhinolaryngol 76(1):96–101PubMedCrossRef Rodrigues GRI, Lewis DR, Fichino SN (2010) Steady-state auditory evoked responses in audiological diagnosis in children: a comparison with brainstem evoked auditory responses. Braz J Otorhinolaryngol 76(1):96–101PubMedCrossRef
25.
go back to reference Lins OG, Picton TW, Boucher BL et al (1996) Frequency-specific audiometry using steady-state responses. Ear Hear 17(2):81–96PubMedCrossRef Lins OG, Picton TW, Boucher BL et al (1996) Frequency-specific audiometry using steady-state responses. Ear Hear 17(2):81–96PubMedCrossRef
26.
go back to reference Raveh E, Buller N, Badrana O, Attias J (2007) Auditory neuropathy: clinical characteristics and therapeutic approach. Am J Otolaryngol 28(5):302–308PubMedCrossRef Raveh E, Buller N, Badrana O, Attias J (2007) Auditory neuropathy: clinical characteristics and therapeutic approach. Am J Otolaryngol 28(5):302–308PubMedCrossRef
27.
go back to reference Shapiro SM, Popelka GR (2011) Auditory impairment in infants at risk for bilirubin-induced neurologic dysfunction. Semin Perinatol 35(3):162–170PubMedCrossRef Shapiro SM, Popelka GR (2011) Auditory impairment in infants at risk for bilirubin-induced neurologic dysfunction. Semin Perinatol 35(3):162–170PubMedCrossRef
28.
go back to reference Shapiro SM (2010) Chronic bilirubin encephalopathy: diagnosis and outcome. Semin Fetal Neonatal Med 15(3):157–163PubMedCrossRef Shapiro SM (2010) Chronic bilirubin encephalopathy: diagnosis and outcome. Semin Fetal Neonatal Med 15(3):157–163PubMedCrossRef
29.
go back to reference Stapells DR, Herdman A, Small SA, Dimitrijevic A, Hatton J (2005) Current status of the auditory steady-state responses for estimating an infant’s audiogram. A sound foundation through early amplification. Basel: Phonac AG: 43–59 Stapells DR, Herdman A, Small SA, Dimitrijevic A, Hatton J (2005) Current status of the auditory steady-state responses for estimating an infant’s audiogram. A sound foundation through early amplification. Basel: Phonac AG: 43–59
30.
go back to reference Wennberg RP, Ahlfors CE, Bhutani VK, Johnson LH, Shapiro SM (2006) Toward understanding kernicterus: a challenge to improve the management of jaundiced newborns. Pediatrics 117(2):474–485PubMedCrossRef Wennberg RP, Ahlfors CE, Bhutani VK, Johnson LH, Shapiro SM (2006) Toward understanding kernicterus: a challenge to improve the management of jaundiced newborns. Pediatrics 117(2):474–485PubMedCrossRef
31.
go back to reference Jiang ZD, Brosi DM, Wilkinson AR (2009) Changes in BAER wave amplitudes in relation to total serum bilirubin level in term neonates. Eur J Pediatr 168(10):1243–1250PubMedCrossRef Jiang ZD, Brosi DM, Wilkinson AR (2009) Changes in BAER wave amplitudes in relation to total serum bilirubin level in term neonates. Eur J Pediatr 168(10):1243–1250PubMedCrossRef
32.
go back to reference Jiang ZD, Chen C, Liu TT, Wilkinson AR (2007) Changes in brainstem auditory evoked response latencies in term neonates with hyperbilirubinemia. Pediatr Neurol 37(1):35–41PubMedCrossRef Jiang ZD, Chen C, Liu TT, Wilkinson AR (2007) Changes in brainstem auditory evoked response latencies in term neonates with hyperbilirubinemia. Pediatr Neurol 37(1):35–41PubMedCrossRef
33.
go back to reference Agrawal VK, Shukla R, Misra PK, Kapoor RK, Malik GK (1998) Brainstem auditory evoked response in newborns with hyperbilirubinemia. Indian Pediatr 35(6):513–518PubMed Agrawal VK, Shukla R, Misra PK, Kapoor RK, Malik GK (1998) Brainstem auditory evoked response in newborns with hyperbilirubinemia. Indian Pediatr 35(6):513–518PubMed
34.
go back to reference Sharma P, Chhangani NP, Meena KR, Jora R, Sharma N, Gupta BD (2006) Brainstem evoked response audiometry (BAER) in neonates with hyperbilirubinemia. Indian J Pediatr 73(5):413–416PubMedCrossRef Sharma P, Chhangani NP, Meena KR, Jora R, Sharma N, Gupta BD (2006) Brainstem evoked response audiometry (BAER) in neonates with hyperbilirubinemia. Indian J Pediatr 73(5):413–416PubMedCrossRef
Metadata
Title
Relationship between behavioral hearing thresholds and estimated auditory steady-state response thresholds in children with a history of neonatal hyperbilirubinemia
Authors
Rasool Panahi
Zahra Jafari
Sara Hasani
Publication date
01-09-2014
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 9/2014
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-013-2731-6

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