Research Article
Year 2021,
Volume: 22 Issue: 3, 235 - 241, 30.12.2021
Abstract
References
- 1. Hall JW. Overview of auditory neurophysiology; Past, present and future. In: *New Handbook of Auditory Evoked Responses*. 1st ed. Boston: Pearson Education; 2007: p.34.
- 2. Burkard R, McNerney K. Introduction to Auditory Evoked Potentials. In: Katz J, Burkard R, Medwetsky L, Hood L, editors. *Handbook of Clinical Audiology*. 6th ed. USA: Williams and Wilkins; 2009: p.222-41.
- 3. Dau T, Wegner O, Mellert V, Kollmeier B. Auditory brainstem responses with optimized chirp signals compensating basilar-membrane dispersion. *J Acoust Soc Am* 2000; 107: 1530-40.
- 4. Shore SE, Nuttall AL. High-synchrony cochlear compound action potentials evoked by rising frequency-swept tone bursts. *J Acoust Soc Am* 1985; 78: 1286-95.
- 5. Rodrigues GRL, Lewis DR. Comparison of Click and CE-Chirp stimuli on Brainstem Auditory Evoked Potential recording. *Rev Soc Bras Fonoaudiol* 2012; 17: 412-6.
- 6. Prigge L, Weller S, Weatherby L. Auditory Brainstem Response and The Travelling Wave Delay. *Canadian Hearing Report* October 2012; 7: 33-4.
- 7. Elberling C, Don M. Auditory brainstem responses to a chirp stimulus designed from derived-band latencies in normal-hearing subjects. *J Acoust Soc Am* 2008; 124: 3022-37.
- 8. Almeida MG, Sena-Yoshinaga TA, Cortes-Andrea IF, Sousa MNC, Lewis RL. Automated auditory brainstem responses with CE-Chirp at different intensity levels. *Audiol Commun Res* 2014; 19: 117-23.
- 9. Cebulla M, Lurz H, Shehata-Dieler W. Evaluation of waveform, latency and amplitude values of chirp ABR in newborns. *Int J Pediatr Otorhinolaryngol* 2014; 78: 631-6.
- 10. Khorsand Sabet V, Mandavi-Zafarghandi ME, Safavi M, Sharifian M, Tabatabaee SM. Comparison of click and CE-Chirp-evoked human auditory brainstem responses: a preliminary study. *Aud* 2014; 23: 69-76.
- 11. Stuart A, Cobb KM. Effect of stimulus and number of sweeps on the neonate auditory brainstem response. *Ear Hear* 2014; 35: 585-8.
- 12. Elberling C, Kristensen SG, Don M. Auditory brainstem responses to chirps delivered by different insert earphones. *J Acoust Soc Am* 2012; 131: 2091-100.
- 13. Cargnelutti M, Cóser PL, Biaggio EPV. LS CE-Chirp® vs. Click in the neuroaudiological diagnosis by ABR. *Braz J Otorhinolaryngol* 2017; 83: 313-7.
- 14. Megha KN, Divyashree KN, Lakshmi A, Adithya S, Keerthana KP, Pushpalatha ZV, et al. Narrow-band chirp and tone burst auditory brainstem response as an early indicator of synaptopathy in industrial workers exposed to occupational noise. *Intractable Rare Dis Res* 2019; 8: 179-86.
- 15. Di Scipio E, Mastronardi L. CE-Chirp® ABR in cerebellopontine angle surgery neuromonitoring: technical assessment in four cases. *Neurosurg Rev* 2015; 38: 381-4.
- 16. Chertoff M, Lichtenhan J, Willis M. Click- and chirp-evoked human compound action potentials. *J Acoust Soc Am* 2010; 127: 2992-6.
- 17. Venail F, Artaud JP, Blanchet C, Uziel A, Mondain M. Refining the audiological assessment in children using narrow-band CE-Chirp-evoked auditory steady state responses. *Int J Audiol* 2015; 54: 106-13.
- 18. Kristensen SG, Elberling C. Auditory brainstem responses to level-specific chirps in normal-hearing adults. *J Am Acad Audiol* 2012; 23: 712-21.
Comparison of CE-Chirp and Click Auditory Brainstem Response Methods in Patients with Unilateral Total Hearing Loss
Abstract
Objective: To compare the V. wave latencies, amplitudes, and testing times of auditory brainstem response (ABR) using Click and CE-Chirp stimuli in patients with unilateral total hearing loss (HL).
Materials and Methods: Male patients with one normal ear and a total HL in the other were tested for Click and CE-Chirp ABR, Pure Tone Audiometry (PTA), Stenger, and Tympanometry. PTA thresholds in normal hearing ears were 20 dB HL for each frequency, tympanogram resulted to type A, and Stenger was negative in total HL. Click and CE-Chirp stimuli were sent using an alternating polarity and inserting ER 3A headphones (Rate: 20.1, High Pass Filter: 100 Hz, and Low Pass Filter: 3,000 Hz). Ear with total HL tested with 100 dB and 95 dBnHL, normal hearing ear was tested with 80, 60, 40, 30, 20, and 10 dBnHL, 15 dB, and 5 dBnHL to determine the hearing level. ABR thresholds, V. wave latencies, amplitudes, and test times for each Click and CE-Chirp stimuli were compared.
Results: Results of 71 patients were analyzed. The CE-Chirp ABR wave V amplitudes were higher at all levels except 80 dBnHL. Click ABR wave V latencies at 80 and 60 dBnHL levels were longer (p=0.00). CE-Chirp ABR wave V latencies at 40 dBnHL and below were longer (p=0.00). CE-Chirp ABR thresholds (12.81 dBnHL) were closer to 2-4 kHz behavioral threshold averages (10.45 dBnHL) than Click ABR thresholds (14.64 dBnHL). CE-Chirp ABR test time was shorter (14.57±3.83 vs. 17.91±3.94 min, p=0.00).
Conclusion: The CE-Chirp stimulus was used to evaluate the normal hearing ear in patients with unilateral total HL, which shortens the test time and provides closer results to behavioral thresholds. CE-Chirp ABR method is more advantageous than the Click ABR method to evaluate patients with unilateral total HL.
References
- 1. Hall JW. Overview of auditory neurophysiology; Past, present and future. In: *New Handbook of Auditory Evoked Responses*. 1st ed. Boston: Pearson Education; 2007: p.34.
- 2. Burkard R, McNerney K. Introduction to Auditory Evoked Potentials. In: Katz J, Burkard R, Medwetsky L, Hood L, editors. *Handbook of Clinical Audiology*. 6th ed. USA: Williams and Wilkins; 2009: p.222-41.
- 3. Dau T, Wegner O, Mellert V, Kollmeier B. Auditory brainstem responses with optimized chirp signals compensating basilar-membrane dispersion. *J Acoust Soc Am* 2000; 107: 1530-40.
- 4. Shore SE, Nuttall AL. High-synchrony cochlear compound action potentials evoked by rising frequency-swept tone bursts. *J Acoust Soc Am* 1985; 78: 1286-95.
- 5. Rodrigues GRL, Lewis DR. Comparison of Click and CE-Chirp stimuli on Brainstem Auditory Evoked Potential recording. *Rev Soc Bras Fonoaudiol* 2012; 17: 412-6.
- 6. Prigge L, Weller S, Weatherby L. Auditory Brainstem Response and The Travelling Wave Delay. *Canadian Hearing Report* October 2012; 7: 33-4.
- 7. Elberling C, Don M. Auditory brainstem responses to a chirp stimulus designed from derived-band latencies in normal-hearing subjects. *J Acoust Soc Am* 2008; 124: 3022-37.
- 8. Almeida MG, Sena-Yoshinaga TA, Cortes-Andrea IF, Sousa MNC, Lewis RL. Automated auditory brainstem responses with CE-Chirp at different intensity levels. *Audiol Commun Res* 2014; 19: 117-23.
- 9. Cebulla M, Lurz H, Shehata-Dieler W. Evaluation of waveform, latency and amplitude values of chirp ABR in newborns. *Int J Pediatr Otorhinolaryngol* 2014; 78: 631-6.
- 10. Khorsand Sabet V, Mandavi-Zafarghandi ME, Safavi M, Sharifian M, Tabatabaee SM. Comparison of click and CE-Chirp-evoked human auditory brainstem responses: a preliminary study. *Aud* 2014; 23: 69-76.
- 11. Stuart A, Cobb KM. Effect of stimulus and number of sweeps on the neonate auditory brainstem response. *Ear Hear* 2014; 35: 585-8.
- 12. Elberling C, Kristensen SG, Don M. Auditory brainstem responses to chirps delivered by different insert earphones. *J Acoust Soc Am* 2012; 131: 2091-100.
- 13. Cargnelutti M, Cóser PL, Biaggio EPV. LS CE-Chirp® vs. Click in the neuroaudiological diagnosis by ABR. *Braz J Otorhinolaryngol* 2017; 83: 313-7.
- 14. Megha KN, Divyashree KN, Lakshmi A, Adithya S, Keerthana KP, Pushpalatha ZV, et al. Narrow-band chirp and tone burst auditory brainstem response as an early indicator of synaptopathy in industrial workers exposed to occupational noise. *Intractable Rare Dis Res* 2019; 8: 179-86.
- 15. Di Scipio E, Mastronardi L. CE-Chirp® ABR in cerebellopontine angle surgery neuromonitoring: technical assessment in four cases. *Neurosurg Rev* 2015; 38: 381-4.
- 16. Chertoff M, Lichtenhan J, Willis M. Click- and chirp-evoked human compound action potentials. *J Acoust Soc Am* 2010; 127: 2992-6.
- 17. Venail F, Artaud JP, Blanchet C, Uziel A, Mondain M. Refining the audiological assessment in children using narrow-band CE-Chirp-evoked auditory steady state responses. *Int J Audiol* 2015; 54: 106-13.
- 18. Kristensen SG, Elberling C. Auditory brainstem responses to level-specific chirps in normal-hearing adults. *J Am Acad Audiol* 2012; 23: 712-21.
There are 18 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Otorhinolaryngology |
| Journal Section | Research Article |
| Authors | |
| Publication Date | December 30, 2021 |
| Published in Issue | Year 2021 Volume: 22 Issue: 3 |