Otoacoustic emissions as a screening test for hearing impairment in children
Transient evoked otoacoustic emissions (TEOAEs) are low amplitude sound waves produced by the healthy cochlea. They can be recorded with a microphone in the external ear. TEOAEs are abolished by hearing losses of 30 dB or more. The feasibility of using TEOAEs as a screening test for hearing loss in...
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| Published in | Archives of disease in childhood Vol. 72; no. 4; pp. 294 - 297 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
London
BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
01.04.1995
BMJ BMJ Publishing Group LTD |
| Subjects | |
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| Abstract | Transient evoked otoacoustic emissions (TEOAEs) are low amplitude sound waves produced by the healthy cochlea. They can be recorded with a microphone in the external ear. TEOAEs are abolished by hearing losses of 30 dB or more. The feasibility of using TEOAEs as a screening test for hearing loss in children was studied. TEOAE recordings were attempted in 56 children attending an audiology clinic. Recordings were possible from both ears in 52 children; of these 104 ears, 32 had hearing deficits of 30 dB or more. Hearing status was compared with the results of six TEOAE screening criteria. All criteria had a sensitivity of 1.00. Four standard TEOAE criteria yielded specificities of 0.46-0.58. Two new criteria derived from analysis of limited frequencies from the TEOAE waveform gave specificities of 0.76 and 0.82. It can be concluded that, when appropriate pass/fail criteria are employed, TEOAEs are a feasible screening test in children. |
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| AbstractList | Transient evoked otoacoustic emissions (TEOAEs) are low amplitude sound waves produced by the healthy cochlea. They can be recorded with a microphone in the external ear. TEOAEs are abolished by hearing losses of 30 dB or more. The feasibility of using TEOAEs as a screening test for hearing loss in children was studied. TEOAE recordings were attempted in 56 children attending an audiology clinic. Recordings were possible from both ears in 52 children; of these 104 ears, 32 had hearing deficits of 30 dB or more. Hearing status was compared with the results of six TEOAE screening criteria. All criteria had a sensitivity of 1.00. Four standard TEOAE criteria yielded specificities of 0.46-0.58. Two new criteria derived from analysis of limited frequencies from the TEOAE waveform gave specificities of 0.76 and 0.82. It can be concluded that, when appropriate pass/fail criteria are employed, TEOAEs are a feasible screening test in children. |
| Author | Rudd, P T Tarlow, M J Williamson, T J Lenton, S W Richardson, M P |
| AuthorAffiliation | Bath Unit for Research into Paediatrics, Children's Centre, Royal United Hospital |
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| Cites_doi | 10.3109/01050398309076220 10.1136/adc.64.8.1105 10.1136/adc.66.10_Spec_No.1124 10.1097/00003446-199004000-00006 10.1121/1.382104 10.3109/03005368709076405 10.1017/S0022215100119358 10.1136/adc.64.10.1488 10.3109/00206099409072952 10.1097/00003446-199004000-00004 10.1121/1.407090 |
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| Keywords | Human Electrodiagnosis Sensitivity Otoacoustic emission Auditory disorder ENT disease Medical screening Child Hearing loss |
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| References | Kemp, D.T. (ref_1) 1978; 64 Fortnum, H.; Farnsworth, A.; Davis, A. (ref_9) 1993; 27 Kennedy, C.R.; Kimm, L.; Cafarelli Dees, D. (ref_5) 1991; 66 Nozza, R.J.; Sabo, D.L. (ref_10) 1992; 45 Bray, P.; Kemp, D. (ref_11) 1987; 21 Gardner, M.J.; Altman, D.G. (ref_16) 1989 Norton, S.J.; Widen, J.E. (ref_8) 1990; 11 Brown, J.; Watson, E.; Alberman, E. (ref_17) 1989; 64 Johnsen, N.J.; Bagi, P.; Elberling, C. (ref_2) 1983; 12 Welzl-Muller, K.; Stephan, K. (ref_14) 1994; 33 Kemp, D.T.; Ryan, S.; Bray, P. (ref_12) 1990; 11 Stevens, J.C.; Webb, H.D.; Hutchinson, J.; Connell, J.; Smith, M.F.; Buffin, J.T. (ref_4) 1989; 64 Baldwin, M.; Watkin, P. (ref_7) 1992; 106 World Health Organisation (ref_13) 1980 Altman, D.G. (ref_15) 1991 White, K.R.; Vohr, B.R.; Behrens, T.R. (ref_6) 1993; 14 Thornton, A.R.D. (ref_18) 1993; 94 Kemp, D.T.; Bray, P.; Alexander, L.; Brown, A.M. (ref_3) 1986; 15 |
| References_xml | – volume: 12 start-page: 17 year: 1983 ident: ref_2 article-title: Evoked acoustic emissions from the human ear III. Findings in neonates publication-title: Scand Audiol doi: 10.3109/01050398309076220 contributor: fullname: Johnsen, N.J.; Bagi, P.; Elberling, C. – volume: 14 start-page: 18 year: 1993 ident: ref_6 article-title: Universal newborn hearing screening using transient evoked otoacoustic emissions: results of the Rhode Island hearing assessment project publication-title: Seminars in Hearing contributor: fullname: White, K.R.; Vohr, B.R.; Behrens, T.R. – volume: 64 start-page: 1105 year: 1989 ident: ref_4 article-title: Click evoked otoacoustic emissions compared with brain stem electric response publication-title: Arch Dis Child doi: 10.1136/adc.64.8.1105 contributor: fullname: Stevens, J.C.; Webb, H.D.; Hutchinson, J.; Connell, J.; Smith, M.F.; Buffin, J.T. – volume: 66 start-page: 1124 year: 1991 ident: ref_5 article-title: Otoacoustic emissions and auditory brainstem responses in the newborn publication-title: Arch Dis Child doi: 10.1136/adc.66.10_Spec_No.1124 contributor: fullname: Kennedy, C.R.; Kimm, L.; Cafarelli Dees, D. – volume: 11 start-page: 121 year: 1990 ident: ref_8 article-title: Evoked otoacoustic emissions in normal-hearing infants and children: emerging data and issues publication-title: Ear Hear doi: 10.1097/00003446-199004000-00006 contributor: fullname: Norton, S.J.; Widen, J.E. – volume: 64 start-page: 1386 year: 1978 ident: ref_1 article-title: Stimulated acoustic emissions from within the human auditory system publication-title: _X Acoust Soc Am doi: 10.1121/1.382104 contributor: fullname: Kemp, D.T. – volume: 21 start-page: 191 year: 1987 ident: ref_11 article-title: An advanced cochlear echo technique suitable for infant screening publication-title: Br J Audiol doi: 10.3109/03005368709076405 contributor: fullname: Bray, P.; Kemp, D. – volume: 106 start-page: 301 year: 1992 ident: ref_7 article-title: The clinical application of otoacoustic emissions in paediatric audiological assessment publication-title: JLaryngol Otol doi: 10.1017/S0022215100119358 contributor: fullname: Baldwin, M.; Watkin, P. – start-page: 28 volume-title: Statistics with confidence year: 1989 ident: ref_16 article-title: Calculating confidence intervals for proportions and their differences contributor: fullname: Gardner, M.J.; Altman, D.G. – volume: 15 start-page: 71 issue: 25 year: 1986 ident: ref_3 article-title: Acoustic emission cochleography - practical aspects publication-title: Scand Audiol contributor: fullname: Kemp, D.T.; Bray, P.; Alexander, L.; Brown, A.M. – start-page: 409 year: 1991 ident: ref_15 article-title: Practical statistics for medical research contributor: fullname: Altman, D.G. – volume: 64 start-page: 1488 year: 1989 ident: ref_17 article-title: Screening infants for hearing loss publication-title: Arch Dis Child doi: 10.1136/adc.64.10.1488 contributor: fullname: Brown, J.; Watson, E.; Alberman, E. – volume: 33 start-page: 28 year: 1994 ident: ref_14 article-title: Confirmation of transiently evoked otoacoustic emissions based on user-independent criteria publication-title: Audiology doi: 10.3109/00206099409072952 contributor: fullname: Welzl-Muller, K.; Stephan, K. – volume: 11 start-page: 93 year: 1990 ident: ref_12 article-title: A guide to the effective use of otoacoustic emissions publication-title: Ear Hear doi: 10.1097/00003446-199004000-00004 contributor: fullname: Kemp, D.T.; Ryan, S.; Bray, P. – volume: 27 start-page: 227 year: 1993 ident: ref_9 article-title: The feasibility of evoked otoacoustic emissions as an in-patient hearing check after meningitis publication-title: BrJtAudiol contributor: fullname: Fortnum, H.; Farnsworth, A.; Davis, A. – volume: 94 start-page: 132 year: 1993 ident: ref_18 article-title: High rate otoacoustic emissions publication-title: J Acoust Soc Am doi: 10.1121/1.407090 contributor: fullname: Thornton, A.R.D. – start-page: 72 year: 1980 ident: ref_13 article-title: International classification of impairments, disabilities and handicaps contributor: fullname: World Health Organisation – volume: 45 start-page: 29 year: 1992 ident: ref_10 article-title: Transiently evoked OAE for screening school-age children publication-title: Hearing_Journal contributor: fullname: Nozza, R.J.; Sabo, D.L. |
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| SubjectTerms | Adolescent Auditory system Auditory Tests Biological and medical sciences Child Child, Preschool Children Cochlea Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology Ears & hearing Emissions Feasibility Studies Hearing Disorders - diagnosis Hearing Disorders - physiopathology Hearing loss Hearing Tests - methods Humans Infant Medical sciences Non tumoral diseases Otoacoustic emissions Otoacoustic Emissions, Spontaneous Otorhinolaryngology. Stomatology Pediatrics Predictive Value of Tests Screening Tests Sensitivity and Specificity Sound waves |
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