The comparison of auditory behavioral and evoked potential responses (steady state and cortical) in subjects with occupational noise-induced hearing loss

IF 1.4 Q2 OTORHINOLARYNGOLOGY

Journal of Otology Pub Date : 2021-10-01 DOI:10.1016/j.joto.2021.05.002

P.H. DeJonckere , J. Lebacq

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引用次数: 1

Abstract

Objective

To define difference scores between PTA, ASSR and CERA thresholds in subjects with occupational NIHL.

Design

44 subjects undergoing a medico-legal expert assessment for occupational NIHL and fulfilling criteria of reliability were considered. Assessment included: PTA, 40 Hz binaural multiple ASSR and CERA (1-2-3 kHz).

Results

The respective average difference scores (ASSR - PTA) for 1, 2 and 3 kHz are 13.01 (SD 10.19) dB, 12.72 (SD 8.81) dB and 10.38 (SD 8.19) dB. The average (CERA - ASSR) difference scores are 1.25 (SD 14.63) dB for 1 kHz (NS), 2.73 (SD 13.03) dB for 2 kHz (NS) and 4.51 (SD 12.18) dB for 3 kHz. The correlation between PTA and ASSR (0.82) is significantly stronger than that between PTA and CERA (0.71). In a given subject, PTA thresholds are nearly always lower (i.e., better) than ASSR thresholds, whatever the frequency (1-2-3 kHz) and the side (right – left). A significant negative correlation is found between the difference score (ASSR – PTA) and the degree of hearing loss.

Conclusion

ASSR outperforms CERA in a medicolegal context, although overestimating the behavioral thresholds by 10–13 dB_.

Abstract Image

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职业性噪声致听力损失受试者的听觉行为和诱发电位反应(稳态和皮质)的比较

目的确定职业性NIHL患者PTA、ASSR和CERA阈值的差异评分。设计44名受试者接受了职业NIHL的医学法律专家评估，并符合可靠性标准。评估包括:PTA, 40 Hz双耳多重ASSR和CERA (1-2-3 kHz)。结果1、2和3 kHz的平均差异评分(ASSR - PTA)分别为13.01 (SD 10.19) dB、12.72 (SD 8.81) dB和10.38 (SD 8.19) dB。平均(CERA - ASSR)差异评分为1 kHz (NS) 1.25 (SD 14.63) dB, 2 kHz (NS) 2.73 (SD 13.03) dB和3 kHz (SD 12.18) dB。PTA与ASSR的相关性(0.82)显著强于PTA与CERA的相关性(0.71)。在给定的主题中，PTA阈值几乎总是比ASSR阈值低(即更好)，无论频率(1-2-3 kHz)和侧面(右-左)如何。差异评分(ASSR - PTA)与听力损失程度呈显著负相关。结论assr在医学法律背景下优于CERA，尽管过高估计了10-13 dB的行为阈值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Otology Medicine-Otorhinolaryngology

CiteScore

2.70

自引率

0.00%

发文量

461

审稿时长

18 days

期刊介绍： Journal of Otology is an open access, peer-reviewed journal that publishes research findings from disciplines related to both clinical and basic science aspects of auditory and vestibular system and diseases of the ear. This journal welcomes submissions describing original experimental research that may improve our understanding of the mechanisms underlying problems of basic or clinical significance and treatment of patients with disorders of the auditory and vestibular systems. In addition to original papers the journal also offers invited review articles on current topics written by leading experts in the field. The journal is of primary importance for all scientists and practitioners interested in audiology, otology and neurotology, auditory neurosciences and related disciplines. Journal of Otology welcomes contributions from scholars in all countries and regions across the world.