Pure-tone audiometry and auditory brainstem responses in noise-induced deafness

Am J Otolaryngol. 1996 Jan-Feb;17(1):31-5. doi: 10.1016/s0196-0709(96)90040-x.

Abstract

Purpose: The objective of this study is to find the relationship between pure-tone audiometry results and the auditory brainstem response wave abnormalities.

Subjects and methods: The pure-tone audiometry (PTA) and auditory brainstem responses (ABRs) from 22 patients (44 ears) with diagnosed noise-induced permanent hearing loss were studied. Three indices of PTA were average thresholds of 0.5 kHz/, /1 kHz, and 2 kHz (PTA1); 2 kHz and 4 kHz (PTA2); and 4 kHz (PTA3) were subdivided into 3 thresholds of hearing. Their relationships with ABR results were analysed. The patterns of PTA from various groups of ABR wave patterns were studied.

Results: In this study, the abnormal ABR wave patterns were detected in 72.7% of the ears. The ears with prolonged ABR wave latency, absent early waves, prolong interpeak wave I-V latency was 20.5%, 18.2%, and 21.1%, respectively. Normal ABRs were recorded in 27.3% of the ears despite marked thresholds elevation of the PTA at high frequencies. Other relationships between PTA results and ABR wave results were discussed.

Conclusion: There were relationships between severity of noise-induced hearing loss indicated by PTA and the patterns of ABR wave abnormalities among workers with noise-induced permanent hearing loss.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Audiometry, Pure-Tone*
  • Evoked Potentials, Auditory, Brain Stem*
  • Hearing Loss, Noise-Induced / diagnosis*
  • Humans
  • Middle Aged
  • Occupational Health