Auditory brainstem-evoked response to chirp and click stimuli in children with moderate and severe sensorineural hearing loss

Background Auditory brainstem response (ABR) using click stimuli enables global objective estimation of hearing threshold. The application of chirp stimuli aims to produce synchronized response from large portion of hair cells in the basilar membrane. The chirp was designed to produce simultaneous d...

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Main Authors: Amal El-Attar, M Hoda Abu, Enass Sayed, Sanaa Mahran
Format: Article
Language:English
Published: General Organization of Teaching Hospitals and Institutes 2018-01-01
Series:Journal of Medicine in Scientific Research
Subjects:
Online Access:http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2018;volume=1;issue=4;spage=271;epage=277;aulast=El-Attar
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author Amal El-Attar
M Hoda Abu
Enass Sayed
Sanaa Mahran
author_facet Amal El-Attar
M Hoda Abu
Enass Sayed
Sanaa Mahran
author_sort Amal El-Attar
collection DOAJ
description Background Auditory brainstem response (ABR) using click stimuli enables global objective estimation of hearing threshold. The application of chirp stimuli aims to produce synchronized response from large portion of hair cells in the basilar membrane. The chirp was designed to produce simultaneous displacement maxima along the cochlear partition by compensating for frequency-dependent traveling-time differences. Objectives The study aimed to compare the response characteristic of both clicks and chirps stimuli in children. Accordingly, we compared latency and amplitude of wave V at different intensity levels and waves I and III at high levels. Moreover, we correlate between pure-tone audiometry (PTA) threshold and each of click and chirp ABR threshold in the same groups. Patients and methods This study included two groups: the control group (G1) consisted of 30 children with normal peripheral hearing. A study group (G2) consisted of 60 children with moderate to severe sensorineural hearing loss. Results The results have shown that on using chirp stimuli wave V could be detected easier with shorter latency and larger amplitude than in click ABR. On the other hand, click stimulus was better than chirp stimulus at high-intensity levels regarding identification of waves I and III. In addition, there are significant correlations between chirp and behavioral PTA. Moreover, there are significant correlations between click and behavioral PTA in normal hearing and hearing-impaired children except at severe steeping sensorineural hearing loss.
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spelling doaj.art-b6a7a9b4846343eca49449a76b4a2ab32024-04-02T07:41:45ZengGeneral Organization of Teaching Hospitals and InstitutesJournal of Medicine in Scientific Research2537-091X2537-09282018-01-011427127710.4103/JMISR.JMISR_64_18Auditory brainstem-evoked response to chirp and click stimuli in children with moderate and severe sensorineural hearing lossAmal El-AttarM Hoda AbuEnass SayedSanaa MahranBackground Auditory brainstem response (ABR) using click stimuli enables global objective estimation of hearing threshold. The application of chirp stimuli aims to produce synchronized response from large portion of hair cells in the basilar membrane. The chirp was designed to produce simultaneous displacement maxima along the cochlear partition by compensating for frequency-dependent traveling-time differences. Objectives The study aimed to compare the response characteristic of both clicks and chirps stimuli in children. Accordingly, we compared latency and amplitude of wave V at different intensity levels and waves I and III at high levels. Moreover, we correlate between pure-tone audiometry (PTA) threshold and each of click and chirp ABR threshold in the same groups. Patients and methods This study included two groups: the control group (G1) consisted of 30 children with normal peripheral hearing. A study group (G2) consisted of 60 children with moderate to severe sensorineural hearing loss. Results The results have shown that on using chirp stimuli wave V could be detected easier with shorter latency and larger amplitude than in click ABR. On the other hand, click stimulus was better than chirp stimulus at high-intensity levels regarding identification of waves I and III. In addition, there are significant correlations between chirp and behavioral PTA. Moreover, there are significant correlations between click and behavioral PTA in normal hearing and hearing-impaired children except at severe steeping sensorineural hearing loss.http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2018;volume=1;issue=4;spage=271;epage=277;aulast=El-Attarauditory brainstem responsechildren with sensorineural hearing losschirpclick auditory brainstem response
spellingShingle Amal El-Attar
M Hoda Abu
Enass Sayed
Sanaa Mahran
Auditory brainstem-evoked response to chirp and click stimuli in children with moderate and severe sensorineural hearing loss
Journal of Medicine in Scientific Research
auditory brainstem response
children with sensorineural hearing loss
chirp
click auditory brainstem response
title Auditory brainstem-evoked response to chirp and click stimuli in children with moderate and severe sensorineural hearing loss
title_full Auditory brainstem-evoked response to chirp and click stimuli in children with moderate and severe sensorineural hearing loss
title_fullStr Auditory brainstem-evoked response to chirp and click stimuli in children with moderate and severe sensorineural hearing loss
title_full_unstemmed Auditory brainstem-evoked response to chirp and click stimuli in children with moderate and severe sensorineural hearing loss
title_short Auditory brainstem-evoked response to chirp and click stimuli in children with moderate and severe sensorineural hearing loss
title_sort auditory brainstem evoked response to chirp and click stimuli in children with moderate and severe sensorineural hearing loss
topic auditory brainstem response
children with sensorineural hearing loss
chirp
click auditory brainstem response
url http://www.jmsr.eg.net/article.asp?issn=2537-091X;year=2018;volume=1;issue=4;spage=271;epage=277;aulast=El-Attar
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AT mhodaabu auditorybrainstemevokedresponsetochirpandclickstimuliinchildrenwithmoderateandseveresensorineuralhearingloss
AT enasssayed auditorybrainstemevokedresponsetochirpandclickstimuliinchildrenwithmoderateandseveresensorineuralhearingloss
AT sanaamahran auditorybrainstemevokedresponsetochirpandclickstimuliinchildrenwithmoderateandseveresensorineuralhearingloss