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October 1967

A Pure-Tone Audiogram on the Infant: The PIWI Technique

Author Affiliations

From the Medical Center Ear, Nose, and Throat Associates, Houston.

Arch Otolaryngol. 1967;86(4):435-440. doi:10.1001/archotol.1967.00760050437015

THE NEED AND importance of assesment of hearing function early in the child's life has been expressed often and is well accepted. It needs no further elaboration here. Conventional pure tone techniques are generally accepted to be effective on the young child down through the age of 5 or 6 years. Many techniques have been employed in an attempt to measure thresholds of hearing in the very young child or infant, such as the objective electroencephalogram or galvanic skin response (GSR) tests, and the subjective play audiometry procedures. The validity of EEG and GSR audiometry remains to be demonstrated in very young children. A number of studies have been reported using play audiometry in testing the child under 5 years of age. GuilforHaug1 and Haug and Guilford,2 in 1952 and 1960, with the Pediacoumeter jack-in-the-box apparatus, reported on a modification of the peep-show procedure, as originally described by

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