{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T00:35:57Z","timestamp":1749515757896,"version":"3.37.0"},"reference-count":21,"publisher":"American Academy of Audiology","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["j am acad audiol"],"published-print":{"date-parts":[[2023,10,1]]},"abstract":"<jats:p><jats:bold>Abstract<\/jats:bold>  <jats:bold>Background<\/jats:bold>\u2003The Claus Elberling Chirp (CE-Chirp) stimulus used in the auditory brainstem responses (ABRs) was developed to compensate for the cochlear wave delay. As a version of broadband CE-Chirp stimulus, the use of level-specific (LS) CE-Chirp stimuli,\n which are created with varying delay models suitable for the intensity levels at which the sound is transmitted, is becoming increasingly common. <jats:bold>Purpose<\/jats:bold>\u2003The aim of this study was to compare click ABRs with LS CE-Chirp ABR thresholds in adults with sensorineural hearing loss.\n <jats:bold>Research Design<\/jats:bold>\u2003The research is a cross-sectional, analytical research. <jats:bold>Study Sample<\/jats:bold>\u2003Twenty-two adult patients (<jats:italic>n<\/jats:italic>\u2009=\u200944 ears) with bilateral sensorineural hearing loss were included in the study. <jats:bold>Data Collection and Analysis<\/jats:bold>\u2003Pure-tone\n audiometry, click ABR, and LS CE-Chirp ABR tests were performed on adult (13 males and 9 females; 42.86\u2009\u00b1\u200914.50 years) patients with bilateral sensorineural hearing loss. Click ABR and LS CE-Chirp ABR thresholds were compared in terms of proximity to behavioral hearing\n thresholds of 2\u2009kHz, 4\u2009kHz, and 2 to 4\u2009kHz averages. <jats:bold>Results<\/jats:bold>\u2003Both types of ABR stimuli were able to identify with total hearing loss (<jats:italic>n<\/jats:italic>\u2009=\u20096). A significant difference was found between LS CE-Chirp ABR thresholds (53.81\u2009\u00b1\u200920.28\n decibel normal hearing level [dB nHL]) and click ABR thresholds (58.81\u2009\u00b1\u200919.11\u2009dB nHL) in the other ears (<jats:italic>n<\/jats:italic>\u2009=\u200938) with hearing loss (<jats:italic>p<\/jats:italic>\u2009=\u20090.00). When both ears were evaluated together and the right and left ears were evaluated\n separately, no difference was found between LS CE-Chirp ABR thresholds and 4\u2009kHz hearing thresholds (<jats:italic>p<\/jats:italic>\u2009=\u20090.66, 0.80, and 0.69, respectively). <jats:bold>Conclusion<\/jats:bold>\u2003In adults with hearing loss, the LS CE-Chirp provides ABR thresholds closer to the behavioral\n hearing thresholds at 2 and 4\u2009kHz compared with the click stimulus. Notably, there was no difference between LS CE-Chirp ABR thresholds and the 4\u2009kHz behavioral hearing thresholds. We concluded that the LS CE-Chirp can be used effectively in the estimation of behavioral hearing\n thresholds in adults with hearing loss.<\/jats:p>","DOI":"10.1055\/a-2165-0874","type":"journal-article","created":{"date-parts":[[2023,9,1]],"date-time":"2023-09-01T23:10:50Z","timestamp":1693609850000},"page":"199-205","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of Click and Level-Specific CE Chirp-Stimulated Auditory Brainstem Responses in Adults with Hearing Loss"],"prefix":"10.3766","volume":"34","author":[{"given":"Seval","family":"Ceylan","sequence":"first","affiliation":[{"name":"Izmir Tinaztepe University Vocational School of Health Services, Audiometry Program, Izmir, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u015eule","family":"\u00c7eki\u00e7","sequence":"additional","affiliation":[{"name":"Department of Audiology, Faculty of Health Sciences, Ankara Y\u0131ld\u0131r\u0131m Beyaz\u0131t University, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2087","reference":[{"key":"ref1","first-page":"123","volume-title":"\u0130\u015fitsel Uyar\u0131lm\u0131\u015f Potansiyellere Giri\u015f","author":"S Erbek","year":"2005"},{"volume-title":"Normative Data for Neurodiagnostic Auditory Brainstem Response testing (ABR), Speech Pathology and Audiology [Ph.D. dissertation]","year":"2009","author":"D A Ness","key":"ref2"},{"issue":"04","key":"ref3","first-page":"412","article-title":"Comparison of click and CE-chirp\u00ae stimuli on Brainstem Auditory Evoked Potential recording","volume":"17","author":"G IR Rodrigues","year":"2012","journal-title":"Rev Soc Bras Fonoaudiol"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"812","DOI":"10.1016\/j.ijporl.2014.02.020","article-title":"Prediction of frequency-specific hearing threshold using chirp auditory brainstem response in infants with hearing losses","volume":"78","author":"Z M 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Otorhinolaryngol"},{"issue":"03","key":"ref16","doi-asserted-by":"crossref","first-page":"127","DOI":"10.4103\/indianjotol.INDIANJOTOL_103_19","article-title":"Auditory brainstem response to level-specific CE-CHIRP\u00ae threshold estimation in normal-hearing adults","volume":"26","author":"A A Dzulkarnain","year":"2020","journal-title":"Indian J Otol"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"110819","DOI":"10.1016\/j.ijporl.2021.110819","article-title":"Auditory brainstem response with click and CE-Chirp\u00ae level specific stimuli in hearing infants","volume":"147","author":"D DS Ormundo","year":"2021","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1016\/j.inat.2017.10.001","article-title":"Level specific CE-Chirp\u00ae BAEP's: a new faster technique in neuromonitoring cochlear nerve during cerebello-pontine angle tumor surgery","volume":"11","author":"E Di 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