Neonatal hearing screening: a combined click evoked and tone burst otoacoustic emission approach

International Journal of Pediatric Otorhinolaryngology
Vicky Wei ZhangBuddy Y K Wong

Abstract

This study evaluated an alternative transient evoked otoacoustic emissions method for screening hearing in newborn babies that may reduce the referral rate of initial screening. A total of 1,033 neonates (2,066 ears) from two hospitals were recruited. Subjects had their hearing screened in both ears using a combined approach-both click evoked OAEs (CEOAEs) and 1kHz tone burst evoked OAEs (TBOAEs). 1kHz TBOAEs were more robust than CEOAEs in terms of emission response level and signal-to-noise ratio (SNR) at both 1 and 1.5kHz frequency bands. The prevalence rate for CEOAE and TBOAE responses in these two frequency bands was significantly different. The combined protocol significantly reduced the referral rate-by almost 2 percentage points for first time screening. The implementation of a combined 1kHz TBOAE/CEOAE screening protocol is a feasible and effective way to reduce referral rates, and hence false positive rates, in neonatal hearing screening programs.

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Citations

Aug 27, 2013·International Journal of Pediatric Otorhinolaryngology·W Wiktor JedrzejczakHenryk Skarzynski
Apr 19, 2008·BMC Ear, Nose, and Throat Disorders·Vicky Wei ZhangZhi-Guo Zhang
Oct 4, 2012·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Frank F YangHuang Shu
Jan 24, 2012·International Journal of Pediatric Otorhinolaryngology·W Wiktor JedrzejczakHenryk Skarzynski
Jul 15, 2015·International Journal of Pediatric Otorhinolaryngology·Bartosz TrzaskowskiHenryk Skarzynski
Jul 23, 2015·International Journal of Pediatric Otorhinolaryngology·W Wiktor JedrzejczakHenryk Skarzynski
Jun 21, 2015·International Journal of Pediatric Otorhinolaryngology·W Wiktor JedrzejczakHenryk Skarzynski
Jul 17, 2012·International Journal of Pediatric Otorhinolaryngology·Rita S Y ChanVicky W Zhang
Nov 3, 2012·International Journal of Pediatric Otorhinolaryngology·W Wiktor JedrzejczakHenryk Skarzynski
Jun 28, 2011·Computers in Biology and Medicine·V W ZhangY S Hung
Dec 2, 2008·Analytical and Bioanalytical Chemistry·Ralph Fingerhut, Bernhard Olgemöller

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