Psarommatis I M, Tsakanikos M D, Diamantopoulou P M, Douniadakis D E, Apostolopoulos N K
ENT Department, P. & A. Kyriakou Children's Hospital of Athens, Greece.
Scand Audiol Suppl. 2001(52):25-7. doi: 10.1080/010503901300006976.
Hearing loss is a common problem which, if remaining undetected during early childhood, could affect the patient's linguistic and mental abilities permanently. Although recommended, mass hearing screening has so far been problematic or even impossible due to several reasons. The available otoacoustic emission devices appear to be effective tools for universal hearing screening. The aim of this study is to evaluate the reliability and practicability of a new device for recording click-evoked otoacoustic emissions (cEOEs) on a pediatric population. Sixty children aged between 6 days and 14 years were evaluated audiologically both by auditory brainstem responses (ABR) and otoacoustic emissions. The latter were obtained by using the well-known ILO88v3.92 otoacoustic analyser and a new, portable device ('Echocheck', Otodynamics Ltd, UK). Sensitivity and specificity of cEOEs recorded by 'Echocheck'was found to be 93% and 91%, respectively, when compared to ABR results. Additionally, 'Echocheck' recordings were proved to be much easier to perform, needing considerably less time in comparison with those of the ILO88 system. In our opinion, 'Echocheck' as well as all similar portable devices--screeners--may represent a much-desired solution for implementing universal hearing screening programmes.
听力损失是一个常见问题，如果在儿童早期未被发现，可能会永久性地影响患者的语言和心理能力。尽管有推荐，但由于多种原因，大规模听力筛查迄今为止一直存在问题甚至无法进行。现有的耳声发射设备似乎是进行普遍听力筛查的有效工具。本研究的目的是评估一种用于记录小儿人群瞬态诱发耳声发射（cEOE）的新设备的可靠性和实用性。对60名年龄在6天至14岁之间的儿童进行了听力学评估，评估方法包括听性脑干反应（ABR）和耳声发射。后者通过使用著名的ILO88v3.92耳声分析仪和一种新的便携式设备（“Echocheck”，英国Otodynamics有限公司）获得。与ABR结果相比，发现“Echocheck”记录的cEOE的敏感性和特异性分别为93%和91%。此外，事实证明，“Echocheck”的记录操作起来要容易得多，与ILO88系统的记录相比，所需时间要少得多。我们认为，“Echocheck”以及所有类似的便携式设备——筛查仪——可能是实施普遍听力筛查计划的一个非常理想的解决方案。
