Results of BAEP and Auditory Steady State Response in infants with and without UNHS failure

Authors

DOI:

https://doi.org/10.23925/2176-2724.2021v33i2p339-348

Keywords:

Hearing, Electrophysiology, Risk index, Infant, Neonatal screening, Evoked potentials auditory

Abstract

Introduction: Universal neonatal hearing screening (UNHS) is performed by examining brainstem auditory evoked potential (BAEP), in the population with a risk indicator for hearing loss. The auditory steady-state response (ASSR) is an objective and automatic technique for determining hearing thresholds by specific frequency, but still little explored before hospital discharge. Objective: to analyze the results obtained in the BAEP and RAEE tests in infants with risk indicators for hearing loss, before hospital discharge, with and without failure in UNHS. Methods: Prospective analytical observational study carried out in infants at risk for hearing loss and who underwent BAEP and ASSR in the same session. Results: 66 infants attempted the inclusion criteria, of both genders, the median age was 1.2 months, the mean gestational age was 31 weeks and the mean weight at birth was 1601 g. 53 (80%) infants, called G1, had normal BAEP, and 13 (20%) had abnormal BAEP, called G2. The electrophysiological thresholds of ASSR were statistically lower in infants of G1. Conclusion: There was a relationship between the findings of the BAEP and ASSR exams in infants at risk for hearing loss, when performed before hospital discharge. The median of the ASSR electrophysiological thresholds was lower for the infants who had normal BAEP and higher for those who had abnormal BAEP in the UNHS.

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Author Biographies

Daniela Polo Carmargo da Silva, Universidade Federal de Santa Catarina, Santa Catarina

Professor Adjunto do Departamento de Fonoaudiologia

Área Audiologia

Georgea Espindola Ribeiro, Universidade Estadual Paulista Júlio de Mesquita Filho, Faculdade de Medicina de Botucatu, Botucatu, São Paulo

Fonoaudióloga do Hospital das Clínicas da Faculdade de Medicina de Botucatu - UNESP

Jair Cortez Montovani, Universidade Estadual Paulista Júlio de Mesquita Filho, Marília, São Paulo

Professor Titular do Departamento de Oftalmologia/Otorrinolaringologia da Faculdade de Medicina de Botucatu - UNESP

References

Year 2019 position statement: principles and guidelines for early hearing detection and intervention programs. J. Early Hear Detect. Interv. 2019; 4(2): 1-44.

Nota Técnica-Comitê Multiprofissional em saúde auditiva (COMUSA): Triagem auditiva neonatal em tempos de pandemia. 26 de maio de 2020.

Başar F, Canbaz S. What is the audiological evaluation time for those aged 0-5 years and older?. Int Adv Otol. 2015; 11(1): 42-7.

Gravel JS, White KR, Johnson JL, Widen JE, Vohr BR, James M, et al. A multisite study to examine the efficacy of the otoacoustic emission/automated auditory brainstem response newborn hearing screening protocol: recommendations for policy, practice, and research. Am J Audiol. 2005; 14(2): 217-28.

Canale A, Dagna F, Lacilla M, Piumetto E, Albera R. Relationship between pure tone audiometry and tone burst auditory brainstem response at low frequencies gated with Blackman window. Eur Arch Otorhinolaryngol. 2012; 269(3): 781-5.

Pinto FR, Matas CG. A comparison between hearing and tone burst electrophysiological thresholds. Braz J Otorhinolaryngol. 2007; 73(4): 513-22.

Cone-Wesson B, Rickards F, Poulis C, Parker J, Tan L, Pollard J. The auditory steady-state response: clinical observations and applications in infants and children. J Am Acad Audiol. 2002; 13(5): 270-82.

Luts H, Desloovere C, Wounters J. Clinical application of dichotic multiple-stimulus auditory steady-state responses in high-risk newborns and young children. Audiol Neurotol. 2006; 11(1): 24-37.

Pinto DG, Sobral SM, Lins OG. Neonatal hearing screening using auditory steady state responses with amplitude modulated white noise stimuli. Rev. CEFAC. 2012; 14(3): 383-9.

Nodarse EM, Alonso DH, Vázquez JG, Febles ES, Abalo MCP, Alarcón LM, et al. Newborn hearing screening test with multiple auditory steady-state responses. Acta Otorrinolaringol Esp. 2011; 62(2): 87-94.

Nodarse EM, Báez L, Cabrera L, Pérez-Abaloa MC, Torres-Fortuny A. Hearing screening using auditory steady state responses obtained by simultaneous air- and bone-conduction stimuli. Acta Otorrinolaringol Esp. 2015; 66(1): 08-15.

Thompson DC, McPhillips H, Davis RL, Lieu TL, Homer CJ, Helfand M. Universal newborn hearing screening: summary of evidence. JAMA. 2001; 286(16): 2000-10.

Colella-Santos MF, Hein TA, de Souza GL, do Amaral MI, Casali RL. Newborn hearing screening and early diagnostic in the NICU. Biomed Res Int. 2014; 845308: 1-11.

Gorga MP, Worthington DW, Reiland JK, Beauchaine KL, Goldgar DE. Some comparisons betweem auditory brainstem response thresholds, latencies, and the tone pure audiogram. Ear Hear. 1985; 6(2): 105-12.

Lee CY, Hsieh TH, Pan SL, Hsu CJ. Thresholds of tone burst auditory brainstem responses for infants and young children with normal hearing in Taiwan. J Formos Med Assoc. 2007; 106(10): 847-53.

Bakhos D, Vitaux H, Villeneuve A, Kim S, Lescanne E, Pigeon V, et al. The effect of the transducers on paediatric thresholds estimated with auditory steady-state responses. Eur Arch Otorhinolaryngol. 2016; 273(8): 2019-26.

Szyfter W, Wróbel M, Radziszewska-Konopka M, Szyfter-Harris J, Karlik M. Polish universal neonatal hearing screening program-4-year experience (2003-2006). Int J Pediatr Otorhinolaryngol. 2008; 72(12): 1783-7.

Komazec Z, Lemajić-Komazec S, Jović R, Nadj C, Jovancević L, Savović S. Comparison between auditory steady-state responses and pure-tone audiometry. Vojnosanit Pregl. 2010; 67(9): 761-5.

Rodrigues GRI, Lewis DR. Establishing auditory steady-state response thresholds to narrow band CE-chirps® in full-term neonates. Int J Pediatr Otorhinolaryngol. 2014; 78(2): 238-43.

Qian L, Yi W, Xingqi L, Yinsheng C, Wenying N, Lili X, Yinghui L. Development of tone-pip auditory brainstem responses and auditory steady-state responses in infants aged 0-6 months. Acta Otolaryngol. 2010; 130(7): 824-30.

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

Farias VB, Sleifer P, Pauletti LF, Krimberg CFD. Correlation of the findings of auditory steady-state evoked potentinal and of behavioral hearing assessment in infants with sensorineural hearing loss. Codas. 2014; 26(3): 226-30.

François E, Carlevan DM. Use of auditory steady-state responses in children and comparison with other electrophysiological and behavioral tests. Eur Ann Otorhinolaryngol Head Neck Dis. 2016; 133 (5): 331-5.

Kandogan T, Dalgic A. Reliability of auditory steady-state response (ASSR): comparing thresholds of auditory steady-state response (ASSR) with auditory brainstem response (ABR) in children with severe hearing loss. Indian J Otolaryngol Head Neck Surg. 2013; 65(3): 604-7.

Yang HC, Sung CM, Shin DJ,Cho YB, Jang CH,Cho HH. Newborn hearing screening in prematurity: fate of screening failures and auditory maturation. Clin Otolaryngol. 2017; 42(3): 661-7.

Sininger YS, Hunter LL, Hayes D, Roush PA, Uhler KM. 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. 2018 Nov/Dec; 39(6): 1207-23.

Published

2021-05-22

How to Cite

Silva, D. P. C. da, Ribeiro, G. E., & Montovani, J. C. (2021). Results of BAEP and Auditory Steady State Response in infants with and without UNHS failure. Distúrbios Da Comunicação, 33(2), 339–348. https://doi.org/10.23925/2176-2724.2021v33i2p339-348

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Artigos