Comparison of pure tone audiometry and auditory steady-state responses thresholds in adults

Garbaruk E.S.; Vikhnina S.M.; Golovanova L.E.; Pustovoit N.V.; Boboshko M.Yu.

doi:https://doi.org/10.17116/otorino20269101111

Garbaruk E.S.

Laboratory of Hearing and Speech of the Pavlov First Saint Petersburg State Medical University

ORCID: 0000-0002-9535-6063

Vikhnina S.M.

Laboratory of Hearing and Speech of the Pavlov First Saint Petersburg State Medical University

ORCID: 0000-0001-7224-2939

Golovanova L.E.

Saint Petersburg Research Institute of Ear, Throat, Nose and Speech;
Mechnikov North-Western State Medical University;
Saint Petersburg Geriatric Medico-Social Center, Municipal Audiology Center

ORCID: 0000-0003-2577-7804

Pustovoit N.V.

Saint Petersburg Geriatric Medico-Social Center, Municipal Audiology Center

ORCID: 0009-0005-5379-8903

Boboshko M.Yu.

Laboratory of Hearing and Speech of the Pavlov First Saint Petersburg State Medical University

ORCID: 0000-0003-2453-523X

Comparison of pure tone audiometry and auditory steady-state responses thresholds in adults

Authors:

Garbaruk E.S., Vikhnina S.M., Golovanova L.E., Pustovoit N.V., Boboshko M.Yu.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2026;91(1): 11‑17

DOI: 10.17116/otorino20269101111

Read: 461 times

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To cite this article:

Garbaruk ES, Vikhnina SM, Golovanova LE, Pustovoit NV, Boboshko MYu. Comparison of pure tone audiometry and auditory steady-state responses thresholds in adults. Russian Bulletin of Otorhinolaryngology. 2026;91(1):11‑17. (In Russ.)
https://doi.org/10.17116/otorino20269101111

Подписка 2026 Вестник оториноларингологии (Russian Bulletin of Otorhinolaryngology)

Использование инфографики авторами научных работ

OBJECTIVE

To compare thresholds obtained by PTA and ASSR at speech frequencies; to analyze causes of possible thresholds discrepancies.

MATERIAL AND METHODS

Totally 244 patients aged from 18 to 104 were examined in two clinics. After basic ENT check-up air and bone conduction PTA at standard frequencies was run, next — ABR and ASSR registration.

RESULTS

Correlation coefficient between ASSR and PTA thresholds was 0.7—0.71 at frequencies 500—1000 Hz and 0.54—0.58 at frequencies 2000—4000 Hz. No significant difference was revealed between thresholds obtained for right and left ears and between results obtained in two clinics. The least discrepancy between PTA and ASSR thresholds (0.8—11.8 dB) was obtained at 1000 Hz, the maximum one (13.7—15.1 dB) was got at 4000 Hz. The significant strong correlation (r=0.7) between PTA and ASSR thresholds discrepancy degree at frequencies 2000 to 4000 Hz and slope audiogram type was revealed. The weak correlation between PTA and ASSR thresholds discrepancy extent and hearing loss degree and patient’s age was got.

CONCLUSION

ASSR registration reliability in adults was shown and the method could be applied in case if either PTA is not accessible or PTA results are invalid. PTA and ASSR thresholds discrepancies were revealed in patients with slope audiometry types, high frequency ASSR thresholds might be better than PTA ones.

Keywords:

pure tone audiometry

auditory steady state response

auditory brainstem response

agreement between methods

Authors:

Garbaruk E.S.

Laboratory of Hearing and Speech of the Pavlov First Saint Petersburg State Medical University

ORCID: 0000-0002-9535-6063

Vikhnina S.M.

Laboratory of Hearing and Speech of the Pavlov First Saint Petersburg State Medical University

ORCID: 0000-0001-7224-2939

Golovanova L.E.

Saint Petersburg Research Institute of Ear, Throat, Nose and Speech;
Mechnikov North-Western State Medical University;
Saint Petersburg Geriatric Medico-Social Center, Municipal Audiology Center

ORCID: 0000-0003-2577-7804

Pustovoit N.V.

Saint Petersburg Geriatric Medico-Social Center, Municipal Audiology Center

ORCID: 0009-0005-5379-8903

Boboshko M.Yu.

Laboratory of Hearing and Speech of the Pavlov First Saint Petersburg State Medical University

ORCID: 0000-0003-2453-523X

Received:

08.09.2025

Accepted:

23.10.2025

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