Download PDF
Semin Hear 2016; 37(01): 036-052
DOI: 10.1055/s-0035-1570331
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Clinical Experience of Using Cortical Auditory Evoked Potentials in the Treatment of Infant Hearing Loss in Australia

Simone Punch
1   Australian Hearing, Sydney, Australia
,
Bram Van Dun
2   The HEARing CRC, Melbourne, Australia
3   National Acoustic Laboratories, Sydney, Australia
,
Alison King
1   Australian Hearing, Sydney, Australia
,
Lyndal Carter
2   The HEARing CRC, Melbourne, Australia
3   National Acoustic Laboratories, Sydney, Australia
,
Wendy Pearce
1   Australian Hearing, Sydney, Australia
› Author Affiliations
Further Information

Publication History

Publication Date:
04 February 2016 (online)

Also available at
   Permissions and Reprints

Abstract

This article presents the clinical protocol that is currently being used within Australian Hearing for infant hearing aid evaluation using cortical auditory evoked potentials (CAEPs). CAEP testing is performed in the free field at two stimulus levels (65 dB sound pressure level [SPL], followed by 55 or 75 dB SPL) using three brief frequency-distinct speech sounds /m/, /ɡ/, and /t/, within a standard audiological appointment of up to 90 minutes. CAEP results are used to check or guide modifications of hearing aid fittings or to confirm unaided hearing capability. A retrospective review of 83 client files evaluated whether clinical practice aligned with the clinical protocol. It showed that most children could be assessed as part of their initial fitting program when they were identified as a priority for CAEP testing. Aided CAEPs were most commonly assessed within 8 weeks of the fitting. A survey of 32 pediatric audiologists provided information about their perception of cortical testing at Australian Hearing. The results indicated that clinical CAEP testing influenced audiologists' approach to rehabilitation and was well received by parents and that they were satisfied with the technique. Three case studies were selected to illustrate how CAEP testing can be used in a clinical environment. Overall, CAEP testing has been effectively integrated into the infant fitting program.

Keywords

Cortical auditory evoked potential - hearing - hearing aid - infant
 

  • References

  • 1 Bromley M, Wake M, Leigh G , et al. National framework for neonatal hearing screening. 2013; 1-67
    PubMedGoogle Scholar
  • 2 Korczak PA, Kurtzberg D, Stapells DR. Effects of sensorineural hearing loss and personal hearing aids on cortical event-related potential and behavioral measures of speech-sound processing. Ear Hear 2005; 26 (2) 165-185
    CrossrefPubMedGoogle Scholar
  • 3 Kurtzberg D, Stapells DR, Wallace IF. Event-related potential assessment of auditory system integrity: Implications for language development. In: Vietze PM, Vaughan HG, , eds. Early Identification of Infants with Developmental Disabilities. New York, NY: Grune & Stratton; 1988: 160-180
    Google Scholar
  • 4 Kraus N, McGee TJ, Koch DB. Speech sound representation, perception, and plasticity: a neurophysiologic perceptive. Audiol Neurootol 1998; 3 (2–3) 168-182
    CrossrefPubMedGoogle Scholar
  • 5 Dillon H. So, baby, how does it sound? Cortical assessment of infants with hearing aids. Hear J 2005; 58 (10) 10-17
    PubMedGoogle Scholar
  • 6 Pearce W, Golding M, Dillon H. Cortical auditory evoked potentials in the assessment of auditory neuropathy: two case studies. J Am Acad Audiol 2007; 18 (5) 380-390
    Article in Thieme ConnectPubMedGoogle Scholar
  • 7 Rance G, Cone-Wesson B, Wunderlich J, Dowell R. Speech perception and cortical event related potentials in children with auditory neuropathy. Ear Hear 2002; 23 (3) 239-253
    CrossrefPubMedGoogle Scholar
  • 8 Cone B, Whitaker R. Dynamics of infant cortical auditory evoked potentials (CAEPs) for tone and speech tokens. Int J Pediatr Otorhinolaryngol 2013; 77 (7) 1162-1173
    CrossrefPubMedGoogle Scholar
  • 9 Van Dun B, Carter L, Dillon H. Sensitivity of cortical auditory evoked potential detection for hearing-impaired infants in response to short speech sounds. Audiol Res 2012; 2 (e13): 65-76
    PubMedGoogle Scholar
  • 10 Chang HW, Dillon H, Carter L, van Dun B, Young ST. The relationship between cortical auditory evoked potential (CAEP) detection and estimated audibility in infants with sensorineural hearing loss. Int J Audiol 2012; 51 (9) 663-670
    CrossrefPubMedGoogle Scholar
  • 11 Gardner-Berry K, Chang H, Ching TYC, Hou S. Detection rates of cortical auditory evoked potentials at different sensation levels in infants with sensory/ neural hearing loss and auditory neuropathy spectrum disorder. Semin Hear 2016; 37 (01) 53-61
    Article in Thieme ConnectPubMedGoogle Scholar
  • 12 Rapin I, Graziani LJ. Auditory-evoked responses in normal, brain-damaged, and deaf infants. Neurology 1967; 17 (9) 881-894
    CrossrefPubMedGoogle Scholar
  • 13 Barnet AB. EEG audiometry in children under three years of age. Acta Otolaryngol 1971; 72 (1) 1-13
    CrossrefPubMedGoogle Scholar
  • 14 Almeqbel A. Speech-evoked cortical auditory responses in children with normal hearing. S Afr J Commun Disord 2013; 60: 38-43
    PubMedGoogle Scholar
  • 15 Carter L, Golding M, Dillon H, Seymour J. The detection of infant cortical auditory evoked potentials (CAEPs) using statistical and visual detection techniques. J Am Acad Audiol 2010; 21 (5) 347-356
    Article in Thieme ConnectPubMedGoogle Scholar
  • 16 Carter L, Dillon H, Seymour J, Seeto M, Van Dun B. Cortical auditory-evoked potentials (CAEPs) in adults in response to filtered speech stimuli. J Am Acad Audiol 2013; 24 (9) 807-822
    Article in Thieme ConnectPubMedGoogle Scholar
  • 17 Durante AS, Wieselberg MB, Carvalho S , et al. Cortical auditory evoked potential: evaluation of speech detection in adult hearing aid users. Cordas 2014; 26 (5) 367-373
    PubMedGoogle Scholar
  • 18 Golding M, Purdy S, Sharma M, Dillon H. The effect of stimulus duration and inter-stimulus interval on cortical responses in infants. Aust N Z J Audiol 2006; 28 (2) 122-136
    CrossrefPubMedGoogle Scholar
  • 19 Golding M, Pearce W, Seymour J, Cooper A, Ching T, Dillon H. The relationship between obligatory cortical auditory evoked potentials (CAEPs) and functional measures in young infants. J Am Acad Audiol 2007; 18 (2) 117-125
    Article in Thieme ConnectPubMedGoogle Scholar
  • 20 Golding M, Dillon H, Seymour J, Carter L. The detection of adult cortical auditory evoked potentials (CAEPs) using an automated statistic and visual detection. Int J Audiol 2009; 48 (12) 833-842
    CrossrefPubMedGoogle Scholar
  • 21 Purdy SC, Sharma M, Munro KJ, Morgan CLA. Stimulus level effects on speech-evoked obligatory cortical auditory evoked potentials in infants with normal hearing. Clin Neurophysiol 2013; 124 (3) 474-480
    CrossrefPubMedGoogle Scholar
  • 22 Van Dun B, Kania A, Dillon H. Cortical auditory evoked potentials in (un)aided normal-hearing and hearing-impaired adults. Semin Hear 2015; ; In press
    PubMedGoogle Scholar
  • 23 Billings CJ. Uses and limitations of electrophysiology with hearing aids. Semin Hear 2013; 34 (4) 257-269
    Article in Thieme ConnectPubMedGoogle Scholar
  • 24 Billings CJ, Papesh MA, Penman TM, Baltzell LS, Gallun FJ. Clinical use of aided cortical auditory evoked potentials as a measure of physiological detection or physiological discrimination. Int J Otolaryngol 2012; 2012: 365752
    PubMedGoogle Scholar
  • 25 Billings CJ, Tremblay KL, Miller CW. Aided cortical auditory evoked potentials in response to changes in hearing aid gain. Int J Audiol 2011; 50 (7) 459-467
    CrossrefPubMedGoogle Scholar
  • 26 Billings CJ, Tremblay KL, Souza PE, Binns MA. Effects of hearing aid amplification and stimulus intensity on cortical auditory evoked potentials. Audiol Neurootol 2007; 12 (4) 234-246
    CrossrefPubMedGoogle Scholar
  • 27 Easwar V, Glista D, Purcell DW, Scollie SD. The effect of stimulus choice on cortical auditory evoked potentials (CAEP): consideration of speech segment positioning within naturally produced speech. Int J Audiol 2012; 51 (12) 926-931
    CrossrefPubMedGoogle Scholar
  • 28 Easwar V, Glista D, Purcell DW, Scollie SD. Hearing aid processing changes tone burst onset: effect on cortical auditory evoked potentials in individuals with normal audiometric thresholds. Am J Audiol 2012; 21 (1) 82-90
    CrossrefPubMedGoogle Scholar
  • 29 Easwar V, Purcell DW, Scollie SD. Electroacoustic comparison of hearing aid output of phonemes in running speech versus isolation: implications for aided cortical auditory evoked potentials testing. Int J Otolaryngol 2012; 2012: 518202
    PubMedGoogle Scholar
  • 30 Jenstad LM, Marynewich S, Stapells DR. Slow cortical potentials and amplification—Part II: Acoustic measures. Int J Otolaryngol 2012; 2012: 386542
    PubMedGoogle Scholar
  • 31 Marynewich S, Jenstad LM, Stapells DR. Slow cortical potentials and amplification—Part I: N1-P2 measures. Int J Otolaryngol 2012; 2012: 921513
    PubMedGoogle Scholar
  • 32 Tremblay KL, Billings CJ, Friesen LM, Souza PE. Neural representation of amplified speech sounds. Ear Hear 2006; 27 (2) 93-103
    CrossrefPubMedGoogle Scholar
  • 33 Tremblay KL, Kalstein L, Billings CJ, Souza PE. The neural representation of consonant-vowel transitions in adults who wear hearing aids. Trends Amplif 2006; 10 (3) 155-162
    CrossrefPubMedGoogle Scholar
  • 34 King A, Carter L, Van Dun B, Zhang V, Pearce W, Ching TYC. Australian Hearing Aided Cortical Evoked Potentials Protocols. 2014 http://hearlab.nal.gov.au/practical-AH-protocol.shtml . Last accessed: 1 March 2015
    PubMedGoogle Scholar
  • 35 Garinis AC, Cone-Wesson BK. Effects of stimulus level on cortical auditory event-related potentials evoked by speech. J Am Acad Audiol 2007; 18 (2) 107-116
    Article in Thieme ConnectPubMedGoogle Scholar
  • 36 King AM. The national protocol for paediatric amplification in Australia. Int J Audiol 2010; 49 (Suppl. 01) S64-S69
    CrossrefPubMedGoogle Scholar
  • 37 Martin BA, Tremblay KL, Stapells DR. Principles and applications of cortical auditory evoked potentials. In: Burkard RF, Eggermont JJ, Don M, , eds. Auditory Evoked Potentials: Basic Principles and Clinical Application. Philadelphia, PA: Lippincott Williams and Wilkins; 2007: 482-507
    Google Scholar
  • 38 Sharma A, Martin K, Roland P , et al. P1 latency as a biomarker for central auditory development in children with hearing impairment. J Am Acad Audiol 2005; 16 (8) 564-573
    Article in Thieme ConnectPubMedGoogle Scholar
  • 39 Vander Werff KR, Prieve BA, Georgantas LM. Infant air and bone conduction tone burst auditory brain stem responses for classification of hearing loss and the relationship to behavioral thresholds. Ear Hear 2009; 30 (3) 350-368
    CrossrefPubMedGoogle Scholar
  • 40 King AM, Purdy SC, Dillon H, Sharma M, Pearce W. Australian Hearing protocols for the audiological management of infants who have auditory neuropathy. Aust N Z J Audiol 2005; 27 (1) 69-77
    CrossrefPubMedGoogle Scholar
  • 41 Dillon H. Hearing Aids. 2nd ed. New York, NY: Thieme Medical Publishers; 2012
    Google Scholar
  • 42 Stapells DR, Gravel JS, Martin BA. Thresholds for auditory brain stem responses to tones in notched noise from infants and young children with normal hearing or sensorineural hearing loss. Ear Hear 1995; 16 (4) 361-371
    CrossrefPubMedGoogle Scholar
  • 43 Bagatto MP, Scollie SD. Validation of the Parents' Evaluation of Aural/Oral Performance of Children (PEACH) Rating Scale. J Am Acad Audiol 2013; 24 (2) 121-125
    Article in Thieme ConnectPubMedGoogle Scholar
  • 44 Ching TYC, Hill M. The parents' evaluation of aural/oral performance of children (PEACH) scale: Normative data. J Am Acad Audiol 2007; 18 (3) 220-235
    Article in Thieme ConnectPubMedGoogle Scholar