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Background and Objectives:The aim of this study was to assess the accuracy of threshold estimates determined by the auditory steady-state response (ASSR) in a group of sedated infants and young children with a range of hearing losses. Materials and Method:Two studies were performed because the behavioral audiometric information was not available from infants and young children. In the first study, a retrospective analysis was performed for 36 children (mean age:3 years 4 months) who had completed auditory brainstem response (ABR) and pure tone audiometry to verify that ABR threshold is a good predictor for pure tone threshold in our laboratory. The ABR thresholds to 500 Hz, 1000 Hz tone-pip and click were compared with behavioral thresholds. In the second study, a prospective analysis of 23 children (mean age:12 months), the ABR thresholds to 500 Hz, 1000 Hz tone-pip and click were compared with ASSR thresholds to amplitude and frequency modulated tones. Results:The first study in which strong correlations were found between ABR and pure tone thresholds (r≥0.92) demonstrated that ABR thresholds could be used to predict the pure tone thresholds. The second study which showed that ASSR thresholds were highly correlated with ABR thresholds (r≥0.93) indicated that ASSR thresholds provided reliable audiometric information in infants and young children. Conclusion:These studies showed that ASSR could be used to estimate hearing thresholds with reliable accuracy in infants and young children.

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