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July 1988

Comprehensive Battery to Assess the Auditory System in Infants

Author Affiliations

Burlington, Mass

Arch Otolaryngol Head Neck Surg. 1988;114(7):713. doi:10.1001/archotol.1988.01860190017009

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At the Eastern Section meeting of the Triological Society held in New York City, David R. Stapells, PhD, and colleagues from Montefiore Hospital, New York, discussed a method of assessing the audiologic status of infants. The test battery used includes computer-controlled air and bone conduction behavioral audiologic assessments, otoscopy, immitance measures, auditory brain-stem response (ABR) elicited by bone and air conduction clicks and tones, and cortical auditory evoked potentials to speech sounds. Using three cases as examples, the authors stressed the necessity of interpreting the complete test battery in assessing the infants' auditory function, since single test interpretations can be misleading. In particular, despite normal ABR testing, cortical auditory evoked potentials can uncover potential cortical dysfunction, suggesting future delays in speech and language function. Otitis media, on the other hand, can produce an abnormal ABR, therefore inappropriately suggesting a significant auditory deficit. Evaluation of the infant auditory system, therefore, must

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