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《Chinese Archives of Otolaryngology-Head and Neck Surgery》 2007-05
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The audiological characteristics of infants with abnormal TEOAE and normal ABR

HUANG Lihui1, 2, HAN Demin1, 2, GUO Ying1, 2, LIU Sha1, 2, MO Lingyan1, 2, QI Beier1, 2, CAI Zhenghua1, 2, LIU Hui2, EN Hui1, 2, GUO Liansheng1, 2 (1 Beijing Institute of Otolaryngology, Beijing, 100005, China; 2 Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China)  
OBJECTIVE To study the audiological characteristics of infants with abnormal transient evoked otoacoustic emission(TEOAE) and normal auditory brainstem response(ABR). METHODS Fifty-three infants with totally 81 ears whose TEOAE screening results were refer but with normal diagnostic ABR results were studied. The relationship between ABR and other hearing testing methods, including 40Hz auditory event related potential (40 Hz AERP), auditory steady state response (ASSR), distortion product otoacoustic emission (DPOAE), tympanometry and acoustic reflex, was analyzed. RESULTS Of the 81 ears, 18 ears (22.2%) were normal, while 63 ears (77.8%) were abnormal in those tests. Among the test with 40 Hz AERP (36 ears) and ASSR(45 ears), 14 ears (38.9%) and 27 ears (60.0%) were abnormal respectively. Among the test with DPOAE for 68 ears, 50 ears (73.5%) were abnormal. Among the test with tympanometry (50 ears) and acoustic reflex(47 ears), 9 ears (18%) and 27 ears (57.4%)were abnormal respectively. CONCLUSION It is insufficient to evaluate the hearing of infants with ABR only. It is necessary to evaluate it with integrative audiological testing methods.
【Fund】: 中国博士后科学基金(2003033202);; 国家自然科学基金(30100207);; 首都医学发展基金(首都ZD199906);; “十五”国家科技攻关项目(2004BA720A18-02)联合资助
【CateGory Index】: R764
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