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Prediction of Hearing Level using the Stapedial Reflex Thresholds -A Comparison of Accuracy for Six MethodsToshihiko Yokoyama and Ikuyo Okada Osaka Municipal Tsurumi Health Center, Dep. Otorhinolaryngology, Children's Medical Center of Osaka Accuracy of six different procedures, Jerger formula (Jerger), Niemeyer-Sesterhenn formula (NS), Baker-lilly formula (B-L), broad-band noise regession by Hyde (Hyde I), multiple regression on broad-band noise by Hyde (Hyde II) and bivariate plotting method by Silman et al. (B-P), used in predicting hearing level from the stapedial reflex threshold data were compared from 63 normal hearing and 66 hearing-impaired ears. As results, none of both predictors suggested by Hyde was accrurate for clinical use. With each formula of Jerger, N-S and B-L, hearing level was correctly predicted in more than one half of all ears. However, the three formulae showed a low rate (23~35%) in accuracy predicting a mild or moderate loss. With the B.P, no method accurately estimated magnitude of hearing loss while maintaining a high proportion (ca. 85%) of separation from normal hearing ears with the hearing-impaired on the basis of position on the bivariate graph. Among these methods, the Jerger suggested to be adequate to predict normal hearing for younger children, and the B.P was particularly useful in identifine simulation in adults as well as functional deafness in elder children.

Prediction of hearing level using the stapedial reflex threshoulds, especially on hyde formulas and bivariate plotting methods.