Normative auditory brainstem response values to chirp stimulus in adults with normal hearing

Year 2018, Volume: 28 Issue: 3, 132 - 140, 20.09.2018

Ahmet Fevzi Parlak Alper Köycü Hatice Seyra Erbek

Abstract

Objectives: This study aimed to establish normative values for our clinic by determining Wave V latency and amplitudes with chirp stimulus in adults with normal hearing. Patients and Methods: A total of 62 31 males, 31 females; range, 18-60 years individuals who had no complaints related to hearing and normal otoscopic examinations participated in the study. The participants were divided into two groups, of those age 18-39 years and 40-60 years. In the auditory brainstem response ABR recording parameters, CE-Chirp stimuli were used in repeated frequency rarefaction polarity at the rate of 33.1/sec. For the recording window, a setting of 15 milliseconds was selected and a frequency range of 50-1500 Hz for the recording filter. At each level of intensity, 1500 samples were collected and averaged. Results: At 90 dB nHL, Wave I could not be obtained in 17 subjects and Wave III in 14 subjects. In Wave V values obtained from all of the subjects, the highest amplitude 0.41±0.12 microvolt was determined as 70 dB nHL and the lowest latency 4.62±0.34 millisecond 90 dB nHL. In the evaluation according to gender, the Wave V latencies were more delayed in males than in females. In the age-group evaluation, Wave V latencies were more delayed in the 40-60 years age group than in the younger age group. Conclusion: With CE-Chirp ABR over 70 dB nHL, as there was upward spread of excitation, the wave formations obtained were distorted and amplitudes decreased. Therefore, the determination of the threshold at sound levels of 70 dB nHL and below was considered appropriate for use as a diagnostic method.

Keywords

Auditory brainstem response, auditory brainstem response, CE-Chirp

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