audiometric characteristics of children and adults

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Audiometric Characteristics of Children and Adults Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Boys Town National Research Hospital Funded by a grant from NIH

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Audiometric Characteristics of Children and Adults. Andrea Pittman, Ph.D. Patricia Stelmachowicz, Ph.D. Boys Town National Research Hospital. Funded by a grant from NIH. Possible Adult-Child Differences. Audiometric Configurations Right-Left Ear Asymmetry of Hearing Loss - PowerPoint PPT Presentation

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Page 1: Audiometric Characteristics of Children and Adults

Audiometric Characteristics of Children and Adults

Andrea Pittman, Ph.D.Patricia Stelmachowicz, Ph.D.

Boys Town National Research Hospital

Funded by a grant from NIH

Page 2: Audiometric Characteristics of Children and Adults

Possible Adult-Child Differences

Audiometric Configurations Right-Left Ear Asymmetry of Hearing Loss Progression of Hearing Loss

Page 3: Audiometric Characteristics of Children and Adults

Methods Groups 248 audiograms from 60- and 61-year-old

adults 227 audiograms from 6-year-old children

Criteria Right ear thresholds at octave test frequencies

250-8 kHz At least one threshold > 30 dB Confirmed right ear sensorinueral hearing loss

by bone conduction audiometry Air-bone gaps < 10 dB.

Page 4: Audiometric Characteristics of Children and Adults

Audiogram Classification Sloping Rising Flat U-Shaped Noise Notched Tent-Shaped Other

0

20

40

60

80

100

250 500 1000 2000 4000 8000Frequency (Hz)

Hear

ing

Leve

l (dB

HL)

Page 5: Audiometric Characteristics of Children and Adults

Audiogram Classification Sloping Rising Flat U-Shaped Noise Notched Tent-Shaped Other

0

20

40

60

80

100

250 500 1000 2000 4000 8000Frequency (Hz)

Hear

ing

Leve

l (dB

HL)

Page 6: Audiometric Characteristics of Children and Adults

Audiogram Classification Sloping Rising Flat U-Shaped Noise Notched Tent-Shaped Other

0

20

40

60

80

100

250 500 1000 2000 4000 8000Frequency (Hz)

Hear

ing

Leve

l (dB

HL)

Page 7: Audiometric Characteristics of Children and Adults

Audiogram Classification Sloping Rising Flat U-Shaped Noise Notched Tent-Shaped Other

0

20

40

60

80

100

250 500 1000 2000 4000 8000Frequency (Hz)

Hear

ing

Leve

l (dB

HL)

Page 8: Audiometric Characteristics of Children and Adults

Audiogram Classification Sloping Rising Flat U-Shaped Noise Notched Tent-Shaped Other

0

20

40

60

80

100

250 500 1000 2000 4000 8000Frequency (Hz)

Hear

ing

Leve

l (dB

HL)

Page 9: Audiometric Characteristics of Children and Adults

Audiogram Classification Sloping Rising Flat U-Shaped Noise Notched Tent-Shaped Other

0

20

40

60

80

100

250 500 1000 2000 4000 8000Frequency (Hz)

Hear

ing

Leve

l (dB

HL)

Page 10: Audiometric Characteristics of Children and Adults

Audiogram Classification Sloping Rising Flat U-Shaped Noise Notched Tent-Shaped Other

0

20

40

60

80

100

250 500 1000 2000 4000 8000Frequency (Hz)

Hear

ing

Leve

l (dB

HL)

Page 11: Audiometric Characteristics of Children and Adults

Audiogram Classification Sloping Rising Flat U-Shaped Noise Notched Tent-Shaped Other

0

20

40

60

80

100

250 500 1000 2000 4000 8000Frequency (Hz)

Hear

ing

Leve

l (dB

HL)

Page 12: Audiometric Characteristics of Children and Adults

Results: Configurations

0

10

20

30

40

50

60

% O

F AU

DIOG

RAM

S

AdultsChildren

Page 13: Audiometric Characteristics of Children and Adults

Results: Average Audiograms

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

Hear

ing

Leve

l (dB

HL)

Adults Children

Page 14: Audiometric Characteristics of Children and Adults

Results: Sloping

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

Hear

ing

Leve

l (dB

HL)

Adults Children

Page 15: Audiometric Characteristics of Children and Adults

Results: Sloping

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

Hear

ing

Leve

l (dB

HL)

Adults Children

Page 16: Audiometric Characteristics of Children and Adults

Results: Sloping

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

Hear

ing

Leve

l (dB

HL)

Adults Children

Page 17: Audiometric Characteristics of Children and Adults

Results: Flat

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

Hear

ing

Leve

l (dB

HL)

Adults Children

Page 18: Audiometric Characteristics of Children and Adults

Results: U-Shaped

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

Hear

ing

Leve

l (dB

HL)

Adults Children

Page 19: Audiometric Characteristics of Children and Adults

Results: U-Shaped

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

Hear

ing

Leve

l (dB

HL)

Adults Children

Page 20: Audiometric Characteristics of Children and Adults

Results: Tent-Shaped

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

Hear

ing

Leve

l (dB

HL)

Adults Children

Page 21: Audiometric Characteristics of Children and Adults

Results: Tent-Shaped

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

Hear

ing

Leve

l (dB

HL)

Adults Children

Page 22: Audiometric Characteristics of Children and Adults

Results: Other

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

Hear

ing

Leve

l (dB

HL)

Adults Children

Page 23: Audiometric Characteristics of Children and Adults

Results: Other

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

Hear

ing

Leve

l (dB

HL)

Adults Children

Page 24: Audiometric Characteristics of Children and Adults

Results: Other

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

Hear

ing

Leve

l (dB

HL)

Adults Children

Page 25: Audiometric Characteristics of Children and Adults

Results: Other

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

Hear

ing

Leve

l (dB

HL)

Adults Children

Page 26: Audiometric Characteristics of Children and Adults

Results: Other

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

-20

0

20

40

60

80

100

120

250 500 1000 2000 4000 8000Frequency (Hz)

Hear

ing

Leve

l (dB

HL)

Adults Children

Page 27: Audiometric Characteristics of Children and Adults

Asymmetry Left Ear Thresholds 248 60- and 61-year-old adults 227 6-year-old children

Page 28: Audiometric Characteristics of Children and Adults

Results: Asymmetry

0

10

20

30

40

250 500 1000 2000 4000 8000FREQUENCY (Hz)

% O

F AU

DIOG

RAM

S

AdultsChildren

Page 29: Audiometric Characteristics of Children and Adults

0

20

40

60

80

100

120

0 20 40 60 80 100 120Right Ear (dB HL)

0

20

40

60

80

100

120

0 20 40 60 80 100 120Right Ear (dB HL)

Left

Ear (

dB H

L)

Results: Asymmetry @ 250 Hz

Adults Children

Page 30: Audiometric Characteristics of Children and Adults

0

20

40

60

80

100

120

0 20 40 60 80 100 120Right Ear (dB HL)

0

20

40

60

80

100

120

0 20 40 60 80 100 120Right Ear (dB HL)

Left

Ear (

dB H

L)

Results: Asymmetry @ 500 Hz

Adults Children

Page 31: Audiometric Characteristics of Children and Adults

0

20

40

60

80

100

120

0 20 40 60 80 100 120Right Ear (dB HL)

0

20

40

60

80

100

120

0 20 40 60 80 100 120Right Ear (dB HL)

Left

Ear (

dB H

L)

Results: Asymmetry @ 1k Hz

Adults Children

Page 32: Audiometric Characteristics of Children and Adults

0

20

40

60

80

100

120

0 20 40 60 80 100 120Right Ear (dB HL)

0

20

40

60

80

100

120

0 20 40 60 80 100 120Right Ear (dB HL)

Left

Ear (

dB H

L)

Results: Asymmetry @ 2k Hz

Adults Children

Page 33: Audiometric Characteristics of Children and Adults

0

20

40

60

80

100

120

0 20 40 60 80 100 120Right Ear (dB HL)

0

20

40

60

80

100

120

0 20 40 60 80 100 120Right Ear (dB HL)

Left

Ear (

dB H

L)

Results: Asymmetry @ 4k Hz

Adults Children

Page 34: Audiometric Characteristics of Children and Adults

0

20

40

60

80

100

120

0 20 40 60 80 100 120Right Ear (dB HL)

0

20

40

60

80

100

120

0 20 40 60 80 100 120Right Ear (dB HL)

Left

Ear (

dB H

L)

Results: Asymmetry @ 8k Hz

Adults Children