Event related potentials in cases of amblyaudia

Authors

  • Wessam Mostafa Essawy Department of Otorhinolaryngology, Faculty of Medicine, Tanta University, Egypt

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20201293

Keywords:

Central auditory processing disorders, Mismatch negativity, Cortical auditory evoked potentials, Dichotic digits test, Competing sentence test

Abstract

Background: Amblyaudia is a weakness in the listener’s binaural processing of auditory information. Subjects with amblyaudia also demonstrate binaural integration deficits and may display similar patterns in their evoked responses in terms of latency and amplitude of these responses. The purpose of this study was to identify the presence of amblyaudia in a population of young children subjects and to measure mismatch negativity (MMN), P300 and cortical auditory evoked potentials (CAEPs) for those individuals.

Methods: Subjects included in this study were divided into 2 groups control group that consisted of 20 normal hearing subjects with normal developmental milestones and normal speech development. The study group (GII) consisted of 50 subjects with central auditory processing disorders (CAPDs) diagnosed by central auditory screening tests. 

Results: With using dichotic tests including dichotic digits test (DDT) and competing sentence test (CST), we could classify these cases into normal, dichotic dysaudia, amblyaudia, and amblyaudia plus with percentages (40%, 14%, 38%, 8% respectively). Using event related potentials, we found that P300 and MMN are more specific in detecting neurocognitive dysfunction related to allocation of attentional resources and immediate memory in these cases.

Conclusions: The presence of amblyaudia in cases of central auditory processing disorders (CAPDs) and event related potentials is an objective tool for diagnosis, prognosis and follow up after rehabilitation.

References

Lamminen RJ, Houlihan D. A brief overview of amblyaudia. Health. 2015;7:927-33.

Whitton JP, Polley DB. Evaluating the perceptual and pathophyisological consequences of auditory deprivation in early postnatal life: a comparison of basic and clinical studies. J of the Associ for Res in Otolaryng. 2011;12:535-46.

Popescu MV, Polley DB. Monaural deprivation disrupts development of binaural selectivity in auditory midbrain and cortex. Neuron. 2010;65:718-31.

Moncrieff DW, Demarest BS, Mormer ER, Littlepage R. Prevalence and severity of auditory processing deficits in adjudicated adolescents screened with dichotic listening tests: implications for diagnosis and intervention. Seminars in Hearing. 2014;35:39-49.

Ucles P, Alonso MF, Aznar E, Lapresta C. Clinical study: the importance of right otitis media in childhood language disorders. Inter J of Otolaryng. 2012;6:1-10.

Perera J. Neurophysiologic underpinnings of interaural asymmetry in young adults with and without binaural integration deficits on dichotic listening tests. Communication science, bachelor of philosophy degree. university of Pittsburgh, 2018.

Moncrieff D, Keith W, Abramson M, Swann A. Diagnosis of amblyaudia in children referred for auditory processing assessment. Inte J of Audiology. 2016;55:333-45.

Hutson KA, Durham D, Imig T. Consequences of unilateral hearing loss: cortical adjustment to unilateral deprivation. Hear Res. 2008;237:19-31.

Pillsbury HC, Grose JH, Hall JW. Otitis media with effusion in children: binaural hearing before and after corrective surgery. Arch Otolaryngol Head Neck Surg. 1991;117:718-23.

Hogan SCM, Moore DR. Impaired binaural hearing in children produced by a threshold level of middle ear disease. J Assoc Res Otolaryngol. 2003;4:123-9.

Bennett KE, Haggard MP, Silva PA. Behaviour and development effects of otitis media with effusion into the teens. Arch Dis Child. 2001:91-5.

Teele DW, Klein JO, Rosner BA. Otitis media with effusion during the first years of life and development of speech and language. Pediatrics. 1984;74:282-7.

Moncrieff DW, Jerger J, Wambacq I, Greenwald R, Black J. ERP Evidence of a dichotic left-ear deficit in some dyslexic children. J of Academic Audiology. 2004;15:518-34.

Mattsson TS, Lind O, Follestad T, Grondahl K, Wilson W, Nicholas J, et al. Electrophysiological characteristics in children with listening difficulties, with or without auditory processing disorder. Inter J of Audiology. 2019;10:1080.

Muniz CN, Lopes DM, Schochat E. Mismatch negativity in children with specific language impairment and auditory processing disorder. Brazilian J otorhinolaryng. 2015;81(4):408-15.

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Published

2020-03-25

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Section

Original Research Articles