Ninetieth percentile cutoffs for acoustic reflex thresholds (ART) were determined for a sample of 1,374 adult subjects with normal hearing and sensorineural loss of cochlear origin. It was found that 12.2 percent had one ear ART elevated above the ninetieth percentile, but only 5.6 percent had more than one elevated ART. (DB)

Text and graphs describe the Dynamic Range Configuration audiogram developed at the Central Institute for the Deaf in St. Louis, Missouri. The audiogram displays the portion of the average speech spectrum audible to the child, with and without amplification, and can be effective in counseling parents and planning appropriate amplification.…

The application of the Articulation Index (AI) model to the fitting of linear amplification was evaluated for 12 subjects with sensorineural hearing loss. For all subjects, the relationship between percent-correct scores on a nonsense syllable test and AIs was monotonic, indicating that AI was effective for comparing conditions typical of those…

Sensitivity and specificity of static acoustic admittance (SAA) and tympanometric width (TW) were assessed for 116 pediatric patients. A statistically significant change in SAA was observed in immediate repeat measures. No significant change across the two sequential measures was observed for TW, peak pressure, or the estimate of ear canal volume.…

This tutorial paper examines the potential of otoacoustic emissions (OAEs) in diagnostic audiology. It discusses classification of OAEs, basic properties of various types of OAEs, and clinical applications. It concludes that both transiently evoked and distortion product OAEs have beneficial clinical application resulting from their objectivity,…

This paper provides guidelines for the audiologic assessment of infants and young children, highlighting recent technologic advances in auditory electrophysiology, acoustic immitance measure procedures, and behavioral audiometric techniques. First, audiologic assessment guidelines developed by the American Speech-Language-Hearing Association are…

This paper addresses three areas related to amplification for infants and toddlers with hearing impairments: (1) identification issues as they relate to early amplification; (2) selection of amplification; and (3) assessment of aided function. Identification issues discussed include the goal of early identification of hearing loss and the impact…

This paper addresses incidence of hearing loss in school-age children, components of hearing conservation programs, and hearing loss education. Incidence figures for the following hearing loss categories are detailed: unilateral hearing loss, fluctuating hearing loss, minimal sensorineural hearing loss, and mild to profound hearing loss.…

This article describes assessment and management strategies for infants and toddlers with normal hearing or fluctuating conductive hearing loss, who are identified as having central auditory impairment and/or judged to have abnormal auditory behavior. Management strategies include audiologic, medical, and speech and language management. Three case…

To meet the need for educational audiologists in Hawaii schools, a cooperative program was designed to establish an educational audiology component in the existing speech-language pathology program at the University of Hawaii. Planned by the University of Hawaii, the Hawaii Department of Education, and the State Education Agency, the Hawaii-based…