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《Journal of Audiology and Speech Pathology》 2007-01
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Application of Audiological Test Battery in Infants with Hearing Disorder

Xu Zhengmin,Chen Wenxia,zhang Yunfei,et al. (Department of Otorhinolaryngology,Children’s Hospital of Fudan University,Shanghai,200032,China)  
Objective To investigate the application of audiological test battery in infants with hearing problem.Methods Thirty subjects (sixty ears) in control group were assessed with the test battery of ABR,ASSR,VRA and acoustic reflect thresholds. In view of the etiologies, 20 cases were classified into three groups: asphyxia (group I), jaundice(group II),and neonatal hyperbilirubinemia(group III). They were examined by the DPOAE,CM,ABR latency,ASSR,tympanometry and VRA. All data were statistically analyzed.Results For group I, DPOAE and CM were present with type A in tympanogram. Some cases displayed delayed wave III-V peak latency while in one case (two ears) wave IV and V were absent. Mean ASSR thresholds were elevate than the mean VRA thresholds at 0.25,0.5,1,2 and 4 kHz. The mean correlation coefficient(r) ranges from 0.41 to 0.65. For group II and III, some patients (7 ears) had CM clearly whereas DPOAE were absent. Wave V and I-III interpeak latencies were delayed. For group II ASSR thresholds were close to that of VRA (r=0.92~0.97) and the correlation coefficient(r) ranges from 0.69 to 0.86 between group I and group II. In comparison, the mean threshold-differences between ASSR and VRA thresholds for groups I, II, and III at each frequency were significant (P0.05,P0.01,P0.01,P0.05,P0.05).Conclusion The present audiological test battery can properly make differential diagnostic assessments of infant hearing disorders, such as auditory neuropathy and others. It is important to have a better understanding of those tests and their related functions and roles in standard clinic testing.
【Fund】: 上海市科委基金资助项目(编号054119508)
【CateGory Index】: R764
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