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Otoacoustic emissions growth rate threshold: distortion product in neonates

BACKGROUND: distortion product otoacoustic emission measures (DPOAE) verifies, among other characteristics, the emergence and growth rate of the DPOAE response according to sound stimulus intensity (growth curve). AIM: to estimate the DPOAE threshold in neonates according to the DPOAE growth curve at 2kHz and 4kHz, with stimulus presentation ranging between 35 and 70 dB SPL. METHOD: participants were 51 neonates, with 24 to 84 hours of life and with no indication of risk for hearing impairment. The DPOAE were registered in the growth curve function at 2kHz and at 4kHz. Neonates were evaluated during the period of hospital stay, after birth. Three possible thresholds were considered (LIM 1, LIM 2 and LIM 3) based on the presence of response at 3dB SPL in the signal to noise ratio. RESULTS: the average thresholds intensities ranged from 47.55 to 49.85dB at 2kHz and from 55.52 to 59.94dB at 4kHz. The mean amplitude response ranged from 6.67 to 8.27dB at 2kHz and from 6.99 to 11.35dB at 4kHz. There was significant difference between the three thresholds for the two studied frequencies. CONCLUSION: the procedure was feasible for the neonatal population revealing mean thresholds of up to 60dB for both frequencies. Even though participants presented elevated thresholds, robust amplitude responses were observed.

Otoacoustic Emissions, Spontaneous; Hearing Tests; Infant, Newborn; Hearing


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