Clinical Applications of Auditory Late Responses in Test Battery Approach: a ‎Narrative Review

Document Type : Review Article

Authors

1 epartment of Audiology, School of Rehabilitation, Shahid Beheshti University of Medical ‎Sciences, Tehran, Iran‎

2 Department of Audiology, School of Rehabilitation, Shahid Beheshti University of Medical ‎Sciences, Tehran, Iran‎

Abstract

Purpose:
The use of objective electrophysiological tests of hearing with the approaches of threshold estimation, otoneurology diagnosis, as well as evaluating the usefulness of hearing prostheses, including hearing aids and cochlear implants, have been of interest to clinicians and researchers in the field of hearing sciences since the beginning. Among the existing objective hearing tests, the recording of auditory late responses (ALRs) is a sign of detecting auditory stimuli in the auditory cortical areas and provides information on the correct functioning of the cortical and subcortical auditory areas. This information cannot be obtained using objective and routine tests such as auditory brainstem responses (ABRs). The purpose of the present study is to review the practical and multiple approaches of this tool in the test battery approach in order to evaluate the hearing system of children and adults and the usefulness of rehabilitation in hearing impaired individuals.
Methods:
This study is a narrative review and searches for sources using the keywords "cortical auditory evoked potentials", "auditory late responses", "N1-P2", "hearing aids", "cochlear implantation", "auditory training", and "auditory threshold" between the period of 2000 and 2023 in Google Scholar, PubMed, SID, and Magiran databases were performed.
Results:
Among the studies found, duplicates were removed and those with available full text were used in this study. By evaluating the results obtained from them, the use of ALRs in estimating the hearing threshold of children and adults is confirmed, and this test can be used to evaluate the usefulness of the chosen rehabilitation strategy, including hearing aid, cochlear implantation, and auditory training.
Conclusion:
The study showed that ALRs are a useful tool for evaluating the cortical auditory areas and can, along with other electrophysiological hearing tests such as ABRs, provide more awareness in a wider range of the auditory system, especially for diagnostic approaches and evaluation of the usefulness of rehabilitation interventions, especially at a young age, for therapists.

Keywords

References

  1. Najafi S, Rouzbahani M, Heidari F, Hosseini AF. Preliminary normative variation of auditory P300 parameters in adult individuals. Aud Vestib Res 2017; 26(2): 112-116.
  2. Oliveira LS, Didoné DD, Durante AS. Automated cortical auditory evoked potentials threshold estimation in neonates. Braz J Otorhinolaryngol 2019; 85(2): 206-212.
  3. Romero ACL, Frizzo ACF, Chagas EFB, Isaac MdL. Cortical auditory evoked potential in babies and children listeners. Braz J Otorhinolaryngol 2020; 86(4): 395-404
  4. Macaskill M, Omidvar S, Koravand A. Long Latency Auditory Evoked Responses in the Identification of Children With Central Auditory Processing Disorders: A Scoping Review. J Speech Lang Hear Res 2022; 65(9): 3595-3619.
  5. Boo SH, Jeong SW. Cortical Auditory Evoked Potential in Adults With Cochlear Implants: A Comparison With Adults With Normal Hearing. J Audiol Otol 2022; 26(1): 43-49.
  6. Hall JW. New Handbook of Auditory Evoked Responses: Pearson 2007; 631-715.
  7. Lightfoot G. Summary of the N1-P2 Cortical Auditory Evoked Potential to Estimate the Auditory Threshold in Adults. Semin hear 2016; 37(1): 1-8.
  8. Didoné DD, Oliveira LS, Durante AS, Almeida Kd, et al. Cortical auditory evoked potential in assessment of neonates: a study about minimum level of responses in term and preterm newborns. Braz J Otorhinolaryngol 2020; 86(6): 687-695.
  9. Mahdavi ME, Peyvandi AA. Accuracy of cortical evoked response audiometry in estimating normal hearing thresholds. Tehran University Medical Journal 2007; 65(3): 17-22. [Persian]
  10. Wagner M, Shafer VL, Haxhari E, Kiprovski K, et al. Stability of the Cortical Sensory Waveforms, the P1-N1-P2 Complex and T-Complex, of Auditory Evoked Potentials. Journal of speech, language, and hearing research : J Speech Lang Hear Res 2017; 60(7): 2105-2115.
  11. Bidelman GM, Pousson M, Dugas C, Fehrenbach A. Test–retest reliability of dual-recorded brainstem versus cortical auditory-evoked potentials to speech. J Am Acad Audiol 2018; 29(2): 164-174.
  12. Durante AS, Wieselberg MB, Roque N, Carvalho S, et al. Assessment of hearing threshold in adults with hearing loss using an automated system of cortical auditory evoked potential detection☆. Braz J Otorhinolaryngol 2017; 83(2): 147-154.
  13. Kalaiah MK, Poovaiah S, Shastri U. Threshold Estimation Using “Chained Stimuli” for Cortical Auditory Evoked Potentials in Individuals With Normal Hearing and Hearing Impairment. Am J Audiol 2019; 28(25): 428-436
  14. Bott A, Hickson L, Meyer C, Bardy F, et al. Is cortical automatic threshold estimation a feasible alternative for hearing threshold estimation with adults with dementia living in aged care? Int J Audiol 2020; 59(10): 745-752.
  15. Pike M, Biagio-de Jager L, Le Roux T, Hofmeyr LM. Short-term test-retest reliability of electrically evoked cortical auditory potentials in adult cochlear implant recipients. Front Neurol 2020; 11: 305.
  16. Heidari F, Farahani S, Mohammadkhani G, Jafarzadepour E, Jalaie S. Comparison of auditory event-related potential P300 in sighted and early blind individuals. Auditory and Vestibular Research 2009; 18(1-2): 81-87. [Persian]
  17. Silva LAF, Magliaro FCL, Carvalho ACMd, Matas CG. Cortical maturation of long latency auditory evoked potentials in hearing children: the complex P1-N1-P2-N2. Codas 2017; 29(4): e20160216.
  18. Didoné DD, Oliveira LS, Durante AS, Almeida Kd, et al. Cortical auditory-evoked potential as a biomarker of central auditory maturation in term and preterm infants during the first 3 months. Clinics 2021; 76: e2944.
  19. Sharma A, Dorman MF, Spahr AJ. Rapid development of cortical auditory evoked potentials after early cochlear implantation. Neuroreport 2002; 13(10): 1365-1368.
  20. Silva LAF, Couto MIV, Tsuji RK, Bento RF, et al. Auditory pathways' maturation after cochlear implant via cortical auditory evoked potentials. Braz J Otorhinolaryngol 2014; 80(2): 131-137.
  21. Maruthy S. Consequences of hearing aid acclimatization on ALLRs and its relationship with perceived benefit and speech perception abilities. Eur Arch Otorhinolaryngol 2019; 276(4): 1001-1010.
  22. Távora-Vieira D, Mandruzzato G, Polak M, Truong B, Stutley A. Comparative analysis of cortical auditory evoked potential in cochlear implant users. Ear hear 2021; 42(6): 1755-1769.
  23. Karawani H, Jenkins K, Anderson S. Neural plasticity induced by hearing aid use. Front Aging Neurosci 2022; 14: 884917.
  24. Távora-Vieira D, Wedekind A, Ffoulkes E, Voola M, Marino R. Cortical auditory evoked potential in cochlear implant users: An objective method to improve speech perception. PloS One 2022; 17(10): e0274643.
  25. Katz J, Chasin M, English KM, Hood LJ, Tillery KL. Handbook of clinical audiology: Wolters Kluwer Health Philadelphia, PA 2015: 337-355.
  26. de Melo Â, Mezzomo CL, Garcia MV, Biaggio EPV. Computerized auditory training in students: electrophysiological and subjective analysis of therapeutic effectiveness. Int Arch Otorhinolaryngol 2018; 22(1): 23-32.
Journal of Paramedical Sciences & Rehabilitation
Volume 13, Issue 1
April 2024
Pages 83-92

Files

Share

How to cite

Statistics