Letter to the Editor  |   June 2007
Response to Sauter (2007)
Author Affiliations & Notes
  • Judith E. C. Lieu
    Washington University School of Medicine, St. Louis, MO
  • Contact author: Roanne K. Karzon, St. Louis Children’s Hospital, Audiology 3S23, One Children’s Place, St. Louis, MO 63110. E-mail: roannekk@bjc.org.
Hearing Disorders / Special Populations / Early Identification & Intervention / Healthcare Settings / Letter to the Editor
Letter to the Editor   |   June 2007
Response to Sauter (2007)
American Journal of Audiology June 2007, Vol.16, 77-78. doi:10.1044/1059-0889(2007/008)
History: Accepted 15 Mar 2007 , Received 28 Nov 2006
American Journal of Audiology June 2007, Vol.16, 77-78. doi:10.1044/1059-0889(2007/008)
History: Accepted 15 Mar 2007 , Received 28 Nov 2006

Purpose: To respond to the companion letter by T. B. Sauter (2007)  commenting on “Initial Audiologic Assessment of Infants Referred From Well Baby, Special Care, and Neonatal Intensive Care Unit Nurseries” by R. K. Karzon and J. E. C. Lieu (2006) .

Method: Sauter states that he is in agreement with the article by Karzon and Lieu with respect to the 2-hr time for the initial diagnostic appointment and the reliance on auditory brainstem response (ABR) as the primary method for threshold estimation in young infants. However, he questions the order of test stimuli within the ABR protocol and the order of tests within the test battery. Our comments reflect the clinical experience of the authors and are supported by evidence from the literature.

Conclusions: Development of a protocol for the initial evaluation of infants referred from newborn screening poses diagnostic challenges. A 2-hr appointment with a battery of tests works well with this population.

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