Auditory brain stem responses to bone-conducted tones in infants.
The auditory brain stem responses (ABRs) to 500- and 2,000-Hz bone-conducted (BC) tones were recorded from 48 infants with ears exhibiting various external and middle ear states (normal, otitis media, auditory meatal atresia). Amplitudes were greater, wave V latencies longer, and detectability better for responses to 500-Hz BC tones compared to 2,000-Hz BC tones. Overall, most (94% to 100%) infants with normal cochlear sensitivity demonstrate ABRs to 20-dB normal hearing level (nHL) 500-Hz BC tones and 30-dB nHL 2,000-Hz BC tones. In cases in which masking is difficult (eg, bilateral atresia), infant ipsilateral/contralateral ABR asymmetries may help determine from which cochlea a response to the BC tones originates. In conclusion, two-channel ABR recordings to BC tones appear to be feasible for demonstrating normal cochlear sensitivity in infants.
Stapells
D R
DR
Department of Otolaryngology, Albert Einstein College of Medicine, Bronx, New York 10461.
Ruben
R J
RJ
D001300:Audiometry, Evoked Response; D001844:Bone Conduction; D001933:Brain Stem / Q000502:physiology* / Q000503:physiopathology; D004424:Ear Canal / Q000002:abnormalities; D005072:Evoked Potentials, Auditory; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D010033:Otitis Media / Q000503:physiopathology; D013701:Temporal Bone