Current Status of the Auditory Steady-State Responses for Estimating an Infant's Audiogram

The auditory steady-state responses (ASSRs) to stimuli presented using repetition (or modulation) rates in the 70–110 Hz range (the “80-Hz ASSR”) have recently gained considerable attention and some excitement by audiologists, especially those involved in the assessment and subsequent hearing-aid fitting of very young infants with hearing loss. Equipment manufacturers are marketing their new ASSR systems for such testing. In this paper, we shall review the 80-Hz ASSR technique, the evidence for its use, and finally, summarize what we believe is the current status of the 80-Hz ASSRs for infant hearing threshold assessment. Brief “take-home points” are provided in the boxes throughout this paper. For a detailed and comprehensive review of the methodology, normative aspects, and threshold results of all ASSRs, the recent review paper by Picton and colleagues (Picton, John, Dimitrijevic and Purcell 2003) is recommended.

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