Narrow band CE-Chirp auditory steady-state response is more reliable than the conventional ASSR in predicting the behavioral hearing threshold

Auris Nasus Larynx. 2016 Jun;43(3):259-68. doi: 10.1016/j.anl.2015.09.013. Epub 2015 Nov 11.

Abstract

Objective: We evaluated conventional ASSR (Bio-logic MASTER II) and NB CE-Chirp ASSR thresholds as objective hearing measures in both normal and hearing loss subjects.

Methods: Patients with sensorineural hearing loss and volunteer normal hearing subjects were enrolled. Pure tone thresholds at 0.5, 1, 2 and 4 kHz were compared with the corresponding thresholds measured using Bio-logic MASTER II and the Eclipse ASSR systems. The threshold differences and correlation with pure tone were measured and reliability was evaluated with Cronbach's α. In part I of the study, all subjects were included, in part II of the study, only mild hearing loss and normal hearing subjects were included.

Results: In part I, NB CE-Chirp ASSR revealed a significantly smaller difference in threshold than conventional ASSR, a better correlation and better reliability. However, lower frequencies of NB CE-Chirp tended to be less reliable than higher frequencies. In part II, NB CE-Chirp revealed smaller threshold differences than conventional ASSR. Both correlation scores and reliability values were generally lower in the part II results.

Conclusion: NB CE-Chirp ASSR generally revealed more favorable outcomes. However, its reliability was reduced at lower frequencies and in patients with milder hearing loss.

Keywords: Auditory evoked potentials; Auditory steady-state response; Sensorineural hearing loss.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acoustic Stimulation / methods
  • Adult
  • Audiometry, Evoked Response
  • Audiometry, Pure-Tone
  • Auditory Threshold / physiology*
  • Case-Control Studies
  • Evoked Potentials, Auditory / physiology*
  • Female
  • Hearing Loss, Sensorineural / physiopathology*
  • Humans
  • Male
  • Middle Aged
  • Young Adult