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International Journal of Otolaryngology
Volume 2012, Article ID 350437, 6 pages
http://dx.doi.org/10.1155/2012/350437
Clinical Study

Clinical Experience of Auditory Brainstem Response Testing on Pediatric Patients in the Operating Room

1Department of Otolaryngology and Communication Enhancement, Children's Hospital Boston, 300 Longwood Avenue LO-367 Boston, MA 02115, USA
2Department of Otology and Laryngology, Harvard Medical School, Boston, MA 02115, USA

Received 25 July 2011; Revised 15 September 2011; Accepted 29 September 2011

Academic Editor: Jizhen Lin

Copyright © 2012 Guangwei Zhou et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives. To review our experience of conducting auditory brainstem response (ABR) test on children in the operating room and discuss the benefits versus limitations of this practice. Methods. Retrospective review study conducted in a pediatric tertiary care facility. A total of 267 patients identified with usable data, including ABR results, medical and surgical notes, and follow-up evaluation. Results. Hearing status successfully determined in all patients based on the ABR results form the operating room. The degrees and the types of hearing loss also documented in most of the cases. In addition, multiple factors that may affect the outcomes of ABR in the operating room identified. Conclusions. Hearing loss in children with complicated medical issues can be accurately evaluated via ABR testing in the operating room. Efforts should be made to eliminate adverse factors to ABR recording, and caution should be taken when interpreting ABR results from the operating room.