Update on Bone-Conduction Auditory Brainstem Responses: A Review

Auditory brainstem responses (ABR) have been used as a powerful and the most common objective tool to evaluate hearing sensitivity and to diagnose the types of hearing loss and neurological disorders, through the auditory peripheral pathway to a central level of the brainstem, since 1971. Although b...

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Published inJournal of audiology & otology Vol. 22; no. 2; pp. 53 - 58
Main Authors Seo, Young Joon, Kwak, Chanbeom, Kim, Saea, Park, Yoon Ah, Park, Kyoung Ho, Han, Woojae
Format Journal Article
LanguageEnglish
Published Korea (South) The Korean Audiological Society and Korean Otological Society 01.04.2018
대한청각학회
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ISSN2384-1621
2384-1710
DOI10.7874/jao.2017.00346

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Abstract Auditory brainstem responses (ABR) have been used as a powerful and the most common objective tool to evaluate hearing sensitivity and to diagnose the types of hearing loss and neurological disorders, through the auditory peripheral pathway to a central level of the brainstem, since 1971. Although bone-conduction (BC) ABR could be an alternative to air-conduction (AC) ABR, as the former overcomes some limitations of the latter, the majority of clinicians rarely utilize it due to a lack of knowledge and no routine test administration. This review presents the weaknesses of AC ABR that apply to all clinical population, and discusses the development of BC ABR. The optimal placements of bone oscillators to obtain favorable clinical outcomes in infants, children, and adults, and the appropriate stimuli for BC ABR are examined. While providing absolute thresholds and latencies of BC ABR based on previous studies compared to AC ABR, this review includes clinical data of infants and young children with both normal hearing in terms of maturation, and with pathology such as congenital external auditory canal atresia. We recommend the future clinical application of BC ABR for candidacy as well as for patients with BC hearing implants.
AbstractList Auditory brainstem responses (ABR) have been used as a powerful and the most common objective tool to evaluate hearing sensitivity and to diagnose the types of hearing loss and neurological disorders, through the auditory peripheral pathway to a central level of the brainstem, since 1971. Although bone-conduction (BC) ABR could be an alternative to air-conduction (AC) ABR, as the former overcomes some limitations of the latter, the majority of clinicians rarely utilize it due to a lack of knowledge and no routine test administration. This review presents the weaknesses of AC ABR that apply to all clinical population, and discusses the development of BC ABR. The optimal placements of bone oscillators to obtain favorable clinical outcomes in infants, children, and adults, and the appropriate stimuli for BC ABR are examined. While providing absolute thresholds and latencies of BC ABR based on previous studies compared to AC ABR, this review includes clinical data of infants and young children with both normal hearing in terms of maturation, and with pathology such as congenital external auditory canal atresia. We recommend the future clinical application of BC ABR for candidacy as well as for patients with BC hearing implants.
Auditory brainstem responses (ABR) have been used as a powerful and the most commonobjective tool to evaluate hearing sensitivity and to diagnose the types of hearing loss andneurological disorders, through the auditory peripheral pathway to a central level of the brainstem,since 1971. Although bone-conduction (BC) ABR could be an alternative to air-conduction(AC) ABR, as the former overcomes some limitations of the latter, the majority of cliniciansrarely utilize it due to a lack of knowledge and no routine test administration. This reviewpresents the weaknesses of AC ABR that apply to all clinical population, and discusses thedevelopment of BC ABR. The optimal placements of bone oscillators to obtain favorableclinical outcomes in infants, children, and adults, and the appropriate stimuli for BC ABRare examined. While providing absolute thresholds and latencies of BC ABR based on previousstudies compared to AC ABR, this review includes clinical data of infants and youngchildren with both normal hearing in terms of maturation, and with pathology such as congenitalexternal auditory canal atresia. We recommend the future clinical application of BCABR for candidacy as well as for patients with BC hearing implants. KCI Citation Count: 0
Auditory brainstem responses (ABR) have been used as a powerful and the most common objective tool to evaluate hearing sensitivity and to diagnose the types of hearing loss and neurological disorders, through the auditory peripheral pathway to a central level of the brainstem, since 1971. Although bone-conduction (BC) ABR could be an alternative to air-conduction (AC) ABR, as the former overcomes some limitations of the latter, the majority of clinicians rarely utilize it due to a lack of knowledge and no routine test administration. This review presents the weaknesses of AC ABR that apply to all clinical population, and discusses the development of BC ABR. The optimal placements of bone oscillators to obtain favorable clinical outcomes in infants, children, and adults, and the appropriate stimuli for BC ABR are examined. While providing absolute thresholds and latencies of BC ABR based on previous studies compared to AC ABR, this review includes clinical data of infants and young children with both normal hearing in terms of maturation, and with pathology such as congenital external auditory canal atresia. We recommend the future clinical application of BC ABR for candidacy as well as for patients with BC hearing implants.Auditory brainstem responses (ABR) have been used as a powerful and the most common objective tool to evaluate hearing sensitivity and to diagnose the types of hearing loss and neurological disorders, through the auditory peripheral pathway to a central level of the brainstem, since 1971. Although bone-conduction (BC) ABR could be an alternative to air-conduction (AC) ABR, as the former overcomes some limitations of the latter, the majority of clinicians rarely utilize it due to a lack of knowledge and no routine test administration. This review presents the weaknesses of AC ABR that apply to all clinical population, and discusses the development of BC ABR. The optimal placements of bone oscillators to obtain favorable clinical outcomes in infants, children, and adults, and the appropriate stimuli for BC ABR are examined. While providing absolute thresholds and latencies of BC ABR based on previous studies compared to AC ABR, this review includes clinical data of infants and young children with both normal hearing in terms of maturation, and with pathology such as congenital external auditory canal atresia. We recommend the future clinical application of BC ABR for candidacy as well as for patients with BC hearing implants.
Author Seo, Young Joon
Kwak, Chanbeom
Kim, Saea
Park, Yoon Ah
Han, Woojae
Park, Kyoung Ho
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Keywords Bone oscillator
Atresia
Bone-conduction auditory brainstem response
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Snippet Auditory brainstem responses (ABR) have been used as a powerful and the most common objective tool to evaluate hearing sensitivity and to diagnose the types of...
Auditory brainstem responses (ABR) have been used as a powerful and the most commonobjective tool to evaluate hearing sensitivity and to diagnose the types of...
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Title Update on Bone-Conduction Auditory Brainstem Responses: A Review
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