PDF herunterladen
J Am Acad Audiol 2023; 34(09/10): 199-205
DOI: 10.1055/a-2165-0874
Research Article

Comparison of Click and Level-Specific CE Chirp-Stimulated Auditory Brainstem Responses in Adults with Hearing Loss

Seval Ceylan
1   Izmir Tinaztepe University Vocational School of Health Services, Audiometry Program, Izmir, Turkey
,
Şule Çekiç
2   Department of Audiology, Faculty of Health Sciences, Ankara Yıldırım Beyazıt University, Ankara, Turkey
› Institutsangaben
› Weitere Informationen
Auch verfügbar auf
    Lizenzen und Reprints

Abstract

Background The Claus Elberling Chirp (CE-Chirp) stimulus used in the auditory brainstem responses (ABRs) was developed to compensate for the cochlear wave delay. As a version of broadband CE-Chirp stimulus, the use of level-specific (LS) CE-Chirp stimuli, which are created with varying delay models suitable for the intensity levels at which the sound is transmitted, is becoming increasingly common.

Purpose The aim of this study was to compare click ABRs with LS CE-Chirp ABR thresholds in adults with sensorineural hearing loss.

Research Design The research is a cross-sectional, analytical research.

Study Sample Twenty-two adult patients (n = 44 ears) with bilateral sensorineural hearing loss were included in the study.

Data Collection and Analysis Pure-tone audiometry, click ABR, and LS CE-Chirp ABR tests were performed on adult (13 males and 9 females; 42.86 ± 14.50 years) patients with bilateral sensorineural hearing loss. Click ABR and LS CE-Chirp ABR thresholds were compared in terms of proximity to behavioral hearing thresholds of 2 kHz, 4 kHz, and 2 to 4 kHz averages.

Results Both types of ABR stimuli were able to identify with total hearing loss (n = 6). A significant difference was found between LS CE-Chirp ABR thresholds (53.81 ± 20.28 decibel normal hearing level [dB nHL]) and click ABR thresholds (58.81 ± 19.11 dB nHL) in the other ears (n = 38) with hearing loss (p = 0.00). When both ears were evaluated together and the right and left ears were evaluated separately, no difference was found between LS CE-Chirp ABR thresholds and 4 kHz hearing thresholds (p = 0.66, 0.80, and 0.69, respectively).

Conclusion In adults with hearing loss, the LS CE-Chirp provides ABR thresholds closer to the behavioral hearing thresholds at 2 and 4 kHz compared with the click stimulus. Notably, there was no difference between LS CE-Chirp ABR thresholds and the 4 kHz behavioral hearing thresholds. We concluded that the LS CE-Chirp can be used effectively in the estimation of behavioral hearing thresholds in adults with hearing loss.

Keywords

auditory brainstem response - click - hearing loss - level-specific CE-chirp

Previous Presentation

Preliminary findings of the study were published at the 11th National Audiology and Speech Disorders Congress on October 7–10, 2022.




Publikationsverlauf

Eingereicht: 21. Februar 2023

Angenommen: 31. August 2023

Accepted Manuscript online:
01. September 2023

Artikel online veröffentlicht:
13. November 2024

© 2024. American Academy of Audiology. This article is published by Thieme.

Thieme Medical Publishers
333 Seventh Avenue, New York, NY 10001, USA.

 

  • References

  • 1 Erbek S. İşitsel Uyarılmış Potansiyellere Giriş. In: Belgin E, Şahlı S. eds. Temel Odyoloji. Ankara:: Güneş Kitabevi;; 2005: 123-133
    Suche in Google Scholar
  • 2 Ness DA. Normative Data for Neurodiagnostic Auditory Brainstem Response testing (ABR), Speech Pathology and Audiology [Ph.D. dissertation]. Louisiana:: Louisiana Tech University;; 2009
    Suche in Google Scholar
  • 3 Rodrigues GIR, Lewis DR. Comparison of click and CE-chirp® stimuli on Brainstem Auditory Evoked Potential recording. Rev Soc Bras Fonoaudiol 2012; 17 (04) 412-416
    Suche in Google Scholar
  • 4 Xu ZM, Cheng WX, Yao ZH. Prediction of frequency-specific hearing threshold using chirp auditory brainstem response in infants with hearing losses. Int J Pediatr Otorhinolaryngol 2014; 78 (05) 812-816
    PubMedSuche in Google Scholar
  • 5 Cho SW, Han KH, Jang HK, Chang SO, Jung H, Lee JH. Auditory brainstem responses to CE-Chirp® stimuli for normal ears and those with sensorineural hearing loss. Int J Audiol 2015; 54 (10) 700-704
    PubMedSuche in Google Scholar
  • 6 Elberling C, Don M. A direct approach for the design of chirp stimuli used for the recording of auditory brainstem responses. J Acoust Soc Am 2010; 128 (05) 2955-2964
    CrossrefPubMedSuche in Google Scholar
  • 7 Hall JW. III Update on auditory evoked responses: value of Chirp stimuli in ABR/ASSR measurement. AudiologyOnline . 2016 ; Article 17434. Retrieved from Accessed June 2023. www.audiologyonline.com
    Suche in Google Scholar
  • 8 Kristensen SG, Elberling C. Auditory brainstem responses to level-specific chirps in normal-hearing adults. J Am Acad Audiol 2012; 23 (09) 712-721
    PubMedSuche in Google Scholar
  • 9 Cargnelutti M, Cóser PL, Biaggio EPVLS. CE-Chirp® vs. Clique no diagnóstico neuroaudiológico pelo PEATE. Braz J Otolaryn 2017; 83 (03) 313-317
    Suche in Google Scholar
  • 10 Jamal FN, Arafat Dzulkarnain AA, Shahrudin FA, Marzuki MN. Test-retest reliability of level-specific CE-Chirp auditory brainstem response in normal-hearing adults. J Audiol Otol 2021; 25 (01) 14-21
    PubMedSuche in Google Scholar
  • 11 Bargen GA. Chirp-evoked auditory brainstem response in children: a review. Am J Audiol 2015; 24 (04) 573-583
    PubMedSuche in Google Scholar
  • 12 Ceylan S, Şahin M, Öğüt MF. Comparison of CE-Chirp and click auditory brainstem response methods in patients with unilateral total hearing loss. Meandros Med Dent J 2021; 22: 235-241
    Suche in Google Scholar
  • 13 Almeida MG, Argolo Sena-Yoshinaga T, Freixo Côrtes-Andrade I, Nóbrega Campos de Sousa M, Ruthi Lewis D. Automated auditory brainstem responses with CE-Chirp ® at different intensity levels. Audiol Commun Res 2014; 19 (02) 117-123
    Suche in Google Scholar
  • 14 Talaat HS, Hammad A, El Abedein AMZ. Hearing threshold evaluation in children using narrow band chirp auditory brainstem response and tone burst auditory brainstem response. Int J Otolaryngol Head Neck Surg 2020; 9 (01) x
    Suche in Google Scholar
  • 15 Biagio-de Jager L, van Dyk Z, Vinck BH. Diagnostic accuracy of CE Chirp. Int J Pediatr Otorhinolaryngol 2020; 135: 110071
    PubMedSuche in Google Scholar
  • 16 Dzulkarnain AA, Shuckri SA, Ismail N. Auditory brainstem response to level-specific CE-CHIRP® threshold estimation in normal-hearing adults. Indian J Otol 2020; 26 (03) 127
    Suche in Google Scholar
  • 17 Ormundo DDS, Lewis DR. Auditory brainstem response with click and CE-Chirp® level specific stimuli in hearing infants. Int J Pediatr Otorhinolaryngol 2021; 147: 110819
    PubMedSuche in Google Scholar
  • 18 Di Scipio E, Mastronardi L. Level specific CE-Chirp® BAEP's: a new faster technique in neuromonitoring cochlear nerve during cerebello-pontine angle tumor surgery. Interdiscip Neurosurg 2018; 11: 4-7
    Suche in Google Scholar
  • 19 Chertoff M, Lichtenhan J, Willis M. Click- and chirp-evoked human compound action potentials. J Acoust Soc Am 2010; 127 (05) 2992-2996
    PubMedSuche in Google Scholar
  • 20 Venail F, Artaud JP, Blanchet C, Uziel A, Mondain M. Refining the audiological assessment in children using narrow-band CE-Chirp-evoked auditory steady state responses. Int J Audiol 2015; 54 (02) 106-113
    PubMedSuche in Google Scholar
  • 21 Wang BC, Liang Y, Liu XL. et al. Comparison of chirp versus click and tone pip stimulation for cervical vestibular evoked myogenic potentials. Eur Arch Otorhinolaryngol 2014; 271 (12) 3139-3146
    CrossrefPubMedSuche in Google Scholar
  • 22 Murofushi T, Tsubota M, Tsuda Y, Yoshimura E. Cervical vestibular evoked myogenic potential with chirp sounds. J Vestib Res 2020; 30 (03) 153-158
    PubMedSuche in Google Scholar