J Audiol Otol.  2016 Sep;20(2):59-67. 10.7874/jao.2016.20.2.59.

Crosscheck Principle in Pediatric Audiology Today: A 40-Year Perspective

• Hall JW

• KMID: 2351556
• DOI: http://doi.org/10.7874/jao.2016.20.2.59

Abstract

The crosscheck principle is just as important in pediatric audiology as it was when first described 40 years ago. That is, no auditory test result should be accepted and used in the diagnosis of hearing loss until it is confirmed or crosschecked by one or more independent measures. Exclusive reliance on only one or two tests, even objective auditory measures, may result in a auditory diagnosis that is not clear or perhaps incorrect. On the other hand, close and careful analysis of findings for a test battery consisting of objective procedures and behavioral tests whenever feasible usually leads to prompt and accurate diagnosis of auditory dysfunction. This paper provides a concise review of the crosscheck principle from its introduction to its clinical application today. The review concludes with a description of a modern test battery for pediatric hearing assessment that supplements traditional behavioral tests with a variety of independent objective procedures including aural immittance measures, otoacoustic emissions, and auditory evoked responses.

Keyword

Auditory brainstem response; Auditory steady state response; Aural immittance measures; Crosscheck principle; Otoacoustic emissions

MeSH Terms

Audiology*
Behavior Rating Scale
Diagnosis
Evoked Potentials, Auditory
Evoked Potentials, Auditory, Brain Stem
Hand
Hearing
Hearing Loss