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采用改良听觉脑干反应方案对犬进行快速听力阈值评估。

Rapid hearing threshold assessment with modified auditory brainstem response protocols in dogs.

作者信息

Stanger Axel, Buhmann Gesine, Dörfelt Stefanie, Zablotski Yury, Fischer Andrea

机构信息

Centre for Clinical Veterinary Medicine, Ludwig-Maximilians-Universität München, Munich, Germany.

出版信息

Front Vet Sci. 2024 Mar 6;11:1358410. doi: 10.3389/fvets.2024.1358410. eCollection 2024.

Abstract

INTRODUCTION

Auditory brainstem response (ABR) is the gold standard for hearing testing in dogs. ABR is commonly used in puppies to diagnose congenital sensorineural deafness. Long test times limit the use for a more comprehensive hearing screening in veterinary practice. This study aimed to establish a super-fast hearing screening protocol in dogs.

METHODS

Hearing thresholds were routinely measured with a mobile device designed for newborn hearing screening in 90 dogs. We introduced modifications of the ABR protocol, e. g., a binaural test mode, higher stimulus rates, a broadband chirp stimulus, and an algorithm for automatic peak V detection in a stepwise fashion. Hearing thresholds were then measured with fast protocols utilizing either 30 Hz click or 90 Hz broadband chirp stimuli with 80, 60, 40, 30, 20, 10, 0 and -10 dBnHL stimulation intensities. Interrater reliability, agreement between click and chirp hearing thresholds and correlations with clinical characteristics of the dogs were assessed.

RESULTS

Using all innovations, the test time for hearing threshold assessment in both ears was reduced to 1.11 min (mean). The chirp stimulus accentuated both, peak V and the subsequent trough, which are essential features for judgement of the hearing threshold, but preceding peaks were less conspicuous. Interrater reliability and agreement between click and chirp hearing threshold was excellent. Dogs >10 years of age and dogs with abnormal hearing score or otitis score had significantly higher hearing thresholds than younger dogs ( ≤ 0.001) or dogs without abnormalities ( < 0.001).

CONCLUSION

The results demonstrate that modifications in ABR protocols speed-up test times significantly while the quality of the recordings for hearing threshold assessment is maintained. Modified ABR protocols enable super-fast hearing threshold assessment in veterinary practice.

摘要

引言

听觉脑干反应(ABR)是犬类听力测试的金标准。ABR常用于幼犬先天性感音神经性耳聋的诊断。较长的测试时间限制了其在兽医实践中进行更全面听力筛查的应用。本研究旨在建立一种犬类超快速听力筛查方案。

方法

使用专为新生儿听力筛查设计的移动设备,对90只犬常规测量听力阈值。我们逐步引入ABR方案的修改,例如双耳测试模式、更高的刺激率、宽带啁啾刺激以及自动检测V波峰的算法。然后使用快速方案测量听力阈值,该方案采用30 Hz短声或90 Hz宽带啁啾刺激,刺激强度分别为80、60、40、30、20、10、0和-10 dBnHL。评估了评分者间的可靠性、短声和啁啾听力阈值之间的一致性以及与犬类临床特征的相关性。

结果

采用所有创新方法后,双耳听力阈值评估的测试时间缩短至平均1.11分钟。啁啾刺激突出了V波峰及其后的波谷,这是判断听力阈值的关键特征,但之前的波峰不太明显。评分者间的可靠性以及短声和啁啾听力阈值之间的一致性极佳。年龄大于10岁的犬以及听力评分或耳炎评分异常的犬,其听力阈值显著高于年轻犬(≤0.001)或无异常的犬(<0.001)。

结论

结果表明,ABR方案的修改显著加快了测试时间,同时保持了听力阈值评估记录的质量。修改后的ABR方案能够在兽医实践中实现超快速听力阈值评估。

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