The Canossian School for the Hearing Impaired-Singapore General Hospital (CSHI-SGH) Cochlear Implant Program: children's auditory speech perception scores pre- and postimplant.
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Biomedical subjects
Publications and source records attributed to K H Yiap.
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The advent of the Auditory Brainstem Response (ABR) has markedly enhanced detecting site of lesion in hearing patients suspected of having an VIIIth nerve tumour. In these patients, changes may occur in latency, morphology, or both in the affected ear. Four clinical cases illustrating the usefulness of the ABR test as a cross-check of medical imaging procedures in the evaluation of patients suspected of having VIIIth nerve tumours are presented.
It is essential to know the expected auditory brainstem response latencies of a normal hearing population to utilise this procedure as a diagnostic tool. Absolute wave latencies of the auditory brainstem responses were recorded on 50 normal hearing subjects, aged 3 months to 56 years using a standard sound pressure level of 115 dB alternate clicks. The recordings were examined for differences in latencies between the age groups, sexes and the left and right ears. The results showed that the absolute latencies of subjects aged 2 years and above were the same and no significant differences were obtained between the left and right ears. The infants showed longer latencies. The brainstem transmission time values were calculated as from Wave NI-NIII, Wave NI-NV and Wave NIII-NV. A comparison of the brainstem transmission times between the left and right ears of each individual subject showed that in all cases the differences did not exceed more than 0.2 msec. A value of more than 0.2 msec between the two ears of an individual may be of diagnostic importance. In comparing the male and female brainstem transmission times, there was a significant difference statistically. Another value to use was the Wave PV, which is the most prominent and stable peak. The results showed that the Wave PV latency progressively shortens during infancy to attain the adult value somewhere between 18 and 24 months.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.