Comparison of Click and Level-Specific CE Chirp-Stimulated Auditory Brainstem Responses in Adults with Hearing Loss.

Background The Claus Elberling Chirp (CE-Chirp) stimulus used in the auditory brainstem responses (ABRs) was developed to compensate for the cochlear wave delay. As a version of broadband CE-Chirp stimulus, the use of level-specific (LS) CE-Chirp stimuli, which are created with varying delay models...

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Publicado en:Journal of the American Academy of Audiology Vol. 34; no. 9/10; pp. 199 - 206
Autores principales: Ceylan, Seval, Çekiç, Şule
Formato: research tables/charts Journal Article
Publicado: Thieme Medical Publishing Inc. Oct2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2023
      vid: 34
      iid: 9/10
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      pub: Thieme Medical Publishing Inc.
      place: New York, New York
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        10.1055/a-2165-0874
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        atl: Comparison of Click and Level-Specific CE Chirp-Stimulated Auditory Brainstem Responses in Adults with Hearing Loss.
      aug:
        au:
          Ceylan, Seval
          Çekiç, Şule
        affil: Izmir Tinaztepe University Vocational School of Health Services, Audiometry Program, Izmir, Turkey
      sug:
        subj:
          Hearing Loss, Sensorineural
          Evoked Potentials, Auditory, Brainstem Evaluation
          Auditory Threshold Evaluation
          Hearing Tests Methods
          Acoustic Stimulation
          Human
          Turkiye
          Male
          Female
          Adult
          Middle Age
          Cross Sectional Studies
          Comparative Studies
          Descriptive Statistics
          T-Tests
          Data Analysis Software
          Audiometry, Pure-Tone
          Hearing Disorders
          Bone Conduction Methods
          Audiometers
          Electrodes
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background The Claus Elberling Chirp (CE-Chirp) stimulus used in the auditory brainstem responses (ABRs) was developed to compensate for the cochlear wave delay. As a version of broadband CE-Chirp stimulus, the use of level-specific (LS) CE-Chirp stimuli, which are created with varying delay models suitable for the intensity levels at which the sound is transmitted, is becoming increasingly common. Purpose The aim of this study was to compare click ABRs with LS CE-Chirp ABR thresholds in adults with sensorineural hearing loss. Research Design The research is a cross-sectional, analytical research. Study Sample Twenty-two adult patients (n = 44 ears) with bilateral sensorineural hearing loss were included in the study. Data Collection and Analysis Pure-tone audiometry, click ABR, and LS CE-Chirp ABR tests were performed on adult (13 males and 9 females; 42.86 ± 14.50 years) patients with bilateral sensorineural hearing loss. Click ABR and LS CE-Chirp ABR thresholds were compared in terms of proximity to behavioral hearing thresholds of 2 kHz, 4 kHz, and 2 to 4 kHz averages. Results Both types of ABR stimuli were able to identify with total hearing loss (n = 6). A significant difference was found between LS CE-Chirp ABR thresholds (53.81 ± 20.28 decibel normal hearing level [dB nHL]) and click ABR thresholds (58.81 ± 19.11 dB nHL) in the other ears (n = 38) with hearing loss (p = 0.00). When both ears were evaluated together and the right and left ears were evaluated separately, no difference was found between LS CE-Chirp ABR thresholds and 4 kHz hearing thresholds (p = 0.66, 0.80, and 0.69, respectively). Conclusion In adults with hearing loss, the LS CE-Chirp provides ABR thresholds closer to the behavioral hearing thresholds at 2 and 4 kHz compared with the click stimulus. Notably, there was no difference between LS CE-Chirp ABR thresholds and the 4 kHz behavioral hearing thresholds. We concluded that the LS CE-Chirp can be used effectively in the estimation of behavioral hearing thresholds in adults with hearing loss.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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