Citation Information :
Awang MA, Salim R, Rashid MF, Mohamad WN, Omar M, Zakaria MN. The Clinical Usefulness of the Traditional Auropalpebral Reflex Test When Assessing a Mentally Challenged Hearing-impaired Adult. Int J Otorhinolaryngol Clin 2023; 15 (1):48-50.
Aim: This report highlights the usefulness of performing the traditional auropalpebral reflex (APR) test for hearing diagnosis in a difficult-to-test adult patient.
Background: Getting an accurate hearing diagnosis is the ultimate aim when assessing patients with hearing loss. Even though there are many sophisticated hearing tests available nowadays, the use of an old-fashioned hearing test is still beneficial.
Case description: Attempts were made to diagnose the hearing status of a mentally challenged 35-year-old man. Pure-tone audiometry (PTA) testing failed to provide reliable results as the patient was unable to understand even simple instructions. The APR test was carried out, and he was found to have at least bilateral severe hearing loss, consistent with the results of the auditory brainstem response (ABR) test.
Conclusion: Performing the traditional APR test is advantageous in clinical settings as it is simple to administer and able to estimate hearing levels in bilateral severe or profound hearing loss cases (particularly in situations where other audiological tests are not available).
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