Tone-Burst ve Klik Uyarılı İşitsel Beyin Sapı Yanıtları ile İşitsel Uyarılmış Durgun Durum Yanıtları Sonuçlarının Karşılaştırılması

Yıl 2018, Cilt: 13 Sayı: 3, 68 - 71, 15.11.2018

Hüseyin Öztarakçı Saime Sağıroğlu Mehmet Akif Kılıç

https://doi.org/10.17517/ksutfd.419099

Öz

Amaç: Bu çalışmada, ileri-çok ileri
derecede sensörinöral işitme kaybı olan hastalarda, tone-burst ve klik İşitsel
Beyin Sapı (ABR) ile İşitsel Uyarılmış Durgun Durum (ASSR) sonuçlarını
karşılaştırdık.

Gereç ve Yöntemler: Yaşları 2 ay ile 53 yıl arasında
değişen, ileri-çok ileri derecede sensörinöral işitme kaybı olan, 30 kişilik
hasta grubunun toplam 60 kulağı çalışmaya alındı. Hastalara timpanogram ve
akustik refleks ölçümü, otoakustik emisyon, tone-burst ABR, Klik ABR ve ASSR testleri
yapıldı.

Bulgular: Tone-burst ABR ve
ASSR eşikleri arasında iyi bir korelasyon olduğu gözlendi. Spearman
korelasyon katsayıları 500; 1000; 2000 ve 4000 Hz’ler için sırasıyla 0.612;
0.563; 0.564 ve 0.548 olarak bulundu (p<0.01).

Sonuç: ASSR, frekans spesifik ölçüm
yapabilen otomatik saf ses odyogram eğrisi oluşturarak işitme seviyesini
gösteren, çok kısa sürede objektif sonuç verebilen bir ölçüm yöntemidir. Ayrıca, tone-burst ve klik ABR ile ASSR gibi
tüm testlerin birlikte kullanılması önerilir.

Anahtar Kelimeler

İşitme kaybı, İşitsel Beyin Sapı Yanıtları, İşitsel Uyarılmış Durgun Durum Yanıtları

A Comparison of the Results Measured by Audotory Steady State Responses and Using Frrequency-Spesific Evoked Auditory Brainstem Response

Öz

Objective: In this study, we compared the results
of Auditory Brainstem Responses (tone-burst and klik ABR) and Auditory Aware
Static State Responses (ASSR) in patients with sensorineural hearing loss at
advanced and very advanced.

Material and Methods: A total of 60 ears of a 30-patient
group with sensorineural hearing loss between 2 months and 53 years of age were
included in the study. Patient's tympanogram and acoustic reflex measurement,
otoacoustic emission, tone-burst ABR and ASSR tests were performed.

Results: There was a good correlation between
tone-burst ABR and ASSR thresholds. Spearman's correlation coefficients were
found 500; 1000; 2000 and 4000 Hz,; 0.612 ,0.563; 0.564 and 0.548 respectively
(p <0.01).

Conclusion: ASSR is a measurement method which can
produce a frequency specific measurement, which gives better results at high
frequencies, produces a pure sound audiogram curve shows hearing level and it
is an objective measurement method which give results in a very short time. Additionaly, we recommended use
combination of all tests such as tone-burst ABR and ASSR.

Anahtar Kelimeler

Hearing loss, Auditory brainstem responses, Auditory aware static state responses, Otoacoustic emission

Kaynakça

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