Update on Bone-Conduction Auditory Brainstem Responses: A Review
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Auditory brainstem responses (ABR) have been used as a powerful and the most commonobjective tool to evaluate hearing sensitivity and to diagnose the types of hearing loss andneurological disorders, through the auditory peripheral pathway to a central level of the brainstem,since 1971. Although bone-conduction (BC) ABR could be an alternative to air-conduction(AC) ABR, as the former overcomes some limitations of the latter, the majority of cliniciansrarely utilize it due to a lack of knowledge and no routine test administration. This reviewpresents the weaknesses of AC ABR that apply to all clinical population, and discusses thedevelopment of BC ABR. The optimal placements of bone oscillators to obtain favorableclinical outcomes in infants, children, and adults, and the appropriate stimuli for BC ABRare examined. While providing absolute thresholds and latencies of BC ABR based on previousstudies compared to AC ABR, this review includes clinical data of infants and youngchildren with both normal hearing in terms of maturation, and with pathology such as congenitalexternal auditory canal atresia. We recommend the future clinical application of BCABR for candidacy as well as for patients with BC hearing implants.
Abstract
Auditory brainstem responses (ABR) have been used as a powerful and the most commonobjective tool to evaluate hearing sensitivity and to diagnose the types of hearing loss andneurological disorders, through the auditory peripheral pathway to a central level of the brainstem,since 1971. Although bone-conduction (BC) ABR could be an alternative to air-conduction(AC) ABR, as the former overcomes some limitations of the latter, the majority of cliniciansrarely utilize it due to a lack of knowledge and no routine test administration. This reviewpresents the weaknesses of AC ABR that apply to all clinical population, and discusses thedevelopment of BC ABR. The optimal placements of bone oscillators to obtain favorableclinical outcomes in infants, children, and adults, and the appropriate stimuli for BC ABRare examined. While providing absolute thresholds and latencies of BC ABR based on previousstudies compared to AC ABR, this review includes clinical data of infants and youngchildren with both normal hearing in terms of maturation, and with pathology such as congenitalexternal auditory canal atresia. We recommend the future clinical application of BCABR for candidacy as well as for patients with BC hearing implants.
참고문헌 (30)
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