E-ISSN 2602-4837
The Turkish Journal of Ear Nose and Throat [Tr-ENT]
Tr-ENT. 2018; 28(3): 132-140 | DOI: 10.5606/Tr-ENT.2018.29392

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

Ahmet Fevzi Parlak1, Alper Köycü2, Hatice Seyra Erbek2
1Department of Audiology, Faculty of Health Science, Başkent University, Ankara, Turkey
2Department of Otorhinolaryngology Head and Neck Surgery, Başkent University Faculty of Medicine, Ankara, Turkey

INTRODUCTION: 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.
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.
DISCUSSION AND 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

Ahmet Fevzi Parlak, Alper Köycü, Hatice Seyra Erbek. Normative auditory brainstem response values to chirp stimulus in adults with normal hearing. Tr-ENT. 2018; 28(3): 132-140

Sorumlu Yazar: Alper Köycü, Türkiye
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