Estimated thresholds (est dBHL) for auditory evoked potentials with narrowband CE-Chirp® stimuli

Miguel Fuentes; Robinson Barrientos; Sofía Bravo

doi:10.1590/1982-0216/202426614423

Original Articles

Estimated thresholds (est dBHL) for auditory evoked potentials with narrowband CE-Chirp^® stimuli

Umbrales estimados (esdB HL) para potenciales evocados auditivos con estímulo Narrow Band CE-Chirp^®

Miguel Fuentes; Robinson Barrientos; Sofía Bravo

http://dx.doi.org/10.1590/1982-0216/202426614423 Revista CEFAC, vol.26, n6, e14423, 2024

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Abstract

Purpose: to correlate pure-tone audiometry thresholds with electrophysiological thresholds, using NB CE-Chirp^® stimuli in listeners aged 18 to 30 years from Santiago, Chile, and determine the estimated threshold at 500, 1000, 2000, and 4000 Hz. This can contribute to the battery of objective and subjective tests applicable to children, aiding the timely detection and implementation before 3 months old, as recommended by the Joint Committee on Infant Hearing.

Methods: a quantitative, nonexperimental study with a sample of 30 hearing subjects, aged 18 to 30 years. The Pearson´s correlation test was applied, with a significance p-value of 0.01.

Results: higher frequencies (2000 and 4000 Hz) have lower correction factors than medium and lower frequencies (1000 and 500 Hz), which tend to be higher as the frequency is lower.

Conclusions: the study obtained the following estimated thresholds: 15 dB at 500 Hz, 10 dB at 1000 and 2000 Hz, and 5 dB at 4000 Hz.

Keywords

Auditory Threshold; Evoked Potentials, Auditory, Brain Stem; Electrophysiology

Resumen

Objetivo: correlacionar umbrales tonales a través de audiometría tonal y umbrales electrofisiológicos usando estímulos NB CE-Chirp® en oyentes de entre 18 a 30 años de la ciudad de Santiago de Chile, de esta forma determinar el umbral estimado para las frecuencias 500, 1000, 2000 y 4000 Hz. De esta forma, es posible aportar con la batería de test objetivos y subjetivos aplicables en la población infantil, colaborando con la detección e implementación oportuna antes de los 3 meses de edad, según lo recomendado por el Joint Committee on Infant Hearing.

Métodos: corresponde a un estudio de enfoque cuantitativo, de tipo no experimental, transversal. Utilizando 30 sujetos oyentes, entre 18 y 30 años. Se aplicó la prueba de correlación de Pearson, con un valor p de significancia de 0,01.

Resultados: las frecuencias 2000 y 4000 Hz, poseen factores de corrección menores en comparación con las frecuencias medias y graves (1000 y 500 Hz), las cuales tienden a ser mayores a medida que la frecuencia es más baja. Conclusiones: los umbrales estimados obtenidos son de 15dB para 500Hz, 10dB para 1000 y 2000Hz y 5dB para 4000Hz.

Conclusiones: los umbrales estimados obtenidos son de 15dB para 500Hz, 10dB para 1000 y 2000Hz y 5dB para 4000Hz.

Palabras clave

Umbral Auditivo; Potenciales Evocados Auditivos del Tronco Encefálico; Electrofisiología

References

1. Mohamad-Mezher A. Potenciales evocados [Thesis]. Santa Clara (Cuba): Universidad Central "Marta Abreu" de las Villas, Facultat de Ingeniería Eléctrica, Departamento de Telecomunicaciones e Eléctrónica. 2007. https://dx.doi.org/10.13140/RG.2.1.3460.7449

2. Huamani Ch, Oré-Montalvo V, Acuña-Mamani J, Bayona-Pancorbo W, Pérez-Alviz C, Mateos-Loaiza G et al. Potenciales evocados auditivos en neonatos nacidos a gran altitud. Arch Argent Pediatr. 2023;121(5):e202202809. http://dx.doi.org/10.5546/aap.2022-02809

3. Gorga M, Johnson T, Kaminski J, Beauchaine K, Garner C, Neely S. Using a combination of click- and tone burst-evoked auditory brain stem response measurements to estimate pure-tone thresholds. Ear and Hearing. 2006;27(1):60-74. https://doi.org/10.1097/01.aud.0000194511.14740.9c PMID: 16446565.

4. Hood L. Clinical applications of the auditory brainstem response. 1st edition., New Orland, U.S.A: Editorial Singular Publishing group; 1998.

5. 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(5):3022-37. https://doi.org/10.1121/1.2990709 PMID: 19045789.

6. Zirn S, Louza-Lutzner J, Reiman V, Wittlinger N, Hempel J, Shuster M. Comparison between ABR with click and narrow band chirp stimuli in children. Int J Pediatr 0torhinolaryngol. 2014;78(8):1352-5. https://doi.org/10.1016/j.ijporl.2014.05.028 PMID:24882456.

7. Arafat A, Aisyah S, Mohd M, Hajra Mu'minah S, Aida A, Abdul A. Effects of different electrode configurations on the narrow band level-specific ce-chirp and tone-burst auditory brainstem response at multiple intensity levels and frequencies in subjects with normal hearing. Am J Audiol. 2018;27(3):294-305. https://doi.org/10.1044/2018_AJA-17-0087 PMID: 30054628.

8. El Kousht M, El Minawy MS, El Dessouky TM, Koura R, Essam M. The sensitivity of the ce-chirp auditory brainstem response in estimating hearing thresholds in different audiometric configurations. Egypt J Otolaryngol. 2019;35(1):56-62. https://doi.org/10.4103/ejo.ejo_27_18 PMID: 11057821.

9. Leone NL. Aplicabilidade do estúmulo chirp na avaliacao das perdas auditivas de grau severo e profundo [Thesis] Bauru (SP): Universidade de São Paulo, Faculdade de Odontologia de Bauru; 2014. https://doi.org/10.11606/D.25.2014.tde-17102014-150140

10. Hall J. Application of ABR in objective assessment of infant hearing. AudiologyOnline [Webpage on the internet]. 2012 [accessed 2023 jan 30]. Article 12079. Available at: https://www.audiologyonline.com/articules/application-abr-in-onjetive-assessment-12079?report=reader

11. Suleman S. Auditory brainstem response elicited by CE chirps and an investigation of their time-frequency properties [Thesis]. Southampton (UK): University of Southampton; 2021. Available at: http://eprints.soton.ac.uk/id/eprint/452394

12. Ferm I, Lightfoot G, Stevens G. Comparison of ABR response amplitude, test time, and estimation of hearing threshold using frequency specific chirp and tone pip stimuli in newborns. International journal of audiology. 2013;52(6):419-23. https://doi.org/10.3109/14992027.2013.769280 PMID: 23448103.

13. Mattiazzi A, Cóser P, Endruweit I, Dalcin J, Viera E. Auditory brainstem response electrophysiological thresholds with narrow band chirps stimuli in hearing infants. Int J Pediatric Otorhinolaryngol. 2023;Jan;164:111417. https://doi.org/10.1016/j.ijporl.2022.111417 PMID: 36525696.

14. Bargen G. Chirp-Evoked auditory brainstem response in children: A review. Am J Audiol. 2015;24(4):573-83. https://doi.org/10.1044/2015_AJA-15-0016 PMID: 26649461.

15. Seval C, Akif S, Pinar B, Yilmaz O. Advantages of narrow band CE-Chirp ABR compared to tone burst ABR in adults with normal hearing. Revista Authorea. 2020;15(1):9-1. https://doi.org/10.22541/au.160279749.95978498/v1

16. Joint Committee on Infant Hearing. Joint Committee on Infant Hearing 1994 position statement. Pediatrics. 1995;95(1):152-6. https://doi.org/10.1542/peds.95.1.152 PMID: 7770297.

17. Rodrigues G, Ramos N, Lewis DR. Comparing auditory brainstem responses (ABRs) to tone burst and narrow band CE-Chirp in young infants. Int J Pediatrc Otorhinolaryngol. 2013;77(9):1-6. https://doi.org/10.1016/j.ijporl.2013.07.003 PMID: 23915488.

18. Atcherson S, Stoody T. Auditory electrophysiology. 1st edition. Arkansas, USA: Editorial Thieme; 2012.

19. Megha K, Divyashree K, Lakshmi A. 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(3):179-86. https://doi.org/10.5582/irdr.2019.01073 PMID: 31523595.

Submitted date:
03/12/2024

Accepted date:
07/14/2024

Estimated thresholds (est dBHL) for auditory evoked potentials with narrowband CE-Chirp® stimuli

Umbrales estimados (esdB HL) para potenciales evocados auditivos con estímulo Narrow Band CE-Chirp®