French Society of ENT (SFORL) guidelines (short version): Audiometry in adults and children - 19/06/18

Doi : 10.1016/j.anorl.2018.05.009

V. Favier ^a,^⁎ , C. Vincent ^b, É. Bizaguet ^c, D. Bouccara ^d, R. Dauman ^e, B. Frachet ^f, F. Le Her ^g, C. Meyer-Bisch ^h, S. Tronche ⁱ, F. Sterkers-Artières ^j, F. Venail ^k
^a ORL et chirurgie cervico-faciale, CHU de Montpellier, 34090 Montpellier, France
^b Service d’otologie et otoneurologie, CHU de Lille, 59037 Lille cedex, France
^c Laboratoire de correction auditive, 75001 Paris, France
^d Groupe hospitalier Pitié-Salpêtrière, 75013 Paris, France
^e Unité d’audiologie, université et CHU de Bordeaux, 33000 Bordeaux, France
^f Hôpital Rothschild, centre de réglage des implants cochléaires, Association agir pour l'audition/association France Presbyacousie, AP–HP, 75012 Paris, France
^g 41, rue de la Tour-de-Beurre, 76000 Rouen, France
^h 2, rue Paul-Louis-Courrier, 11000 Narbonne, France
ⁱ ORL, 8, rue De-Navarre, 75005 Paris
^j Service d'audiophologie, d'otologie et otoneurologie, institut Saint-Pierre, Palavas, CHU de Montpellier, 34090 Montpellier, France
^k Inserm 1051, service otologie-otoneurologie, plateforme d'audiologie I-PaudioM, CHU de Montpellier, 34090 Montpellier, France

^⁎Corresponding author.

Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Tuesday 19 June 2018
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Abstract

Introduction

French Society of ENT (SFORL) good practice guidelines for audiometric examination in adults and children.

Methods

A multidisciplinary working group performed a review of the scientific literature. Guidelines were drawn up, reviewed by an independent reading group, and finalized in a consensus meeting.

Results

Audiometry should be performed in an acoustically controlled environment (<30dBA); audiometer calibration should be regularly checked; and patient-specific masking rules should be systematically applied. It should be ensured that masking is not overmasking. Adult pure-tone audiometry data should be interpreted taking account of clinical data, speech audiometry and impedancemetry. In case of discrepancies between clinical and pure-tone and speech audiometry data, objective auditory tests should be perform. In children aged 2 years or younger, subjective audiometry should be associated to behavioral audiometry adapted to the child's age. In suspected hearing impairment, behavioral audiometry should be systematically supplemented by objective hearing tests to determine and confirm the level and type of hearing impairment.

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Keywords : Audiometry, Child, Auditory evoked potentials, Auditory steady state response, Masking, Impedancemetry, Otoacoustic emissions, Electrocochleography, Acoumetry