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The ears of 200 healthy new\u2010borns aged 5 to 48 hours underwent screening by ABR and EOAE, followed by otoscopic examination. The pass rates for ABR and EOAE were 91% and 58.5%, respectively. On otoscopic examination, 28% (112\/400) ears had occluding vernix obscuring the view of the tympanic membrane. Cleaning of vernix was successfully performed in all but 2 ears that had occluding vernix. Cleaning of vernix significantly increased the pass rates of all 400 ears for ABR and EOAE to 96% and 69%. Decreased tympanic membrane mobility was found in 22.7% (90\/396) of ears that were evaluated otoscopically. Decreased tympanic membrane mobility had a significant effect on EOAE screening; only 33.4% of ears passed EOAE testing. Decreased tympanic membrane mobility did not significantly affect pass rates for ABR screening; 95% of these ears passed the automated ABR screen. Implications for newborn hearing screening are discussed.<\/jats:p>","DOI":"10.1067\/mhn.2000.102573","type":"journal-article","created":{"date-parts":[[2013,5,20]],"date-time":"2013-05-20T14:34:23Z","timestamp":1369060463000},"page":"477-481","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["External and middle ear effects on infant hearing screening test results"],"prefix":"10.1002","volume":"122","author":[{"given":"Karen Jo","family":"Doyle","sequence":"first","affiliation":[{"name":"University of California Irvine Medical Center Irvine California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula","family":"Rodgers","sequence":"additional","affiliation":[{"name":"University of California Irvine Medical Center Irvine California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon","family":"Fujikawa","sequence":"additional","affiliation":[{"name":"University of California Irvine Medical Center Irvine California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin","family":"Newman","sequence":"additional","affiliation":[{"name":"University of California Irvine Medical Center Irvine California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,9]]},"reference":[{"key":"e_1_2_11_2_1","first-page":"25","article-title":"The ALGO\u20101. 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