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All Journal Oto Rhino Laryngologica Indonesiana Medica Hospitalia Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia
Tri Juda Airlangga, HARDJOPRAWITO
Department Of Otorhinolaryngology-Head And Neck Surgery,Faculty Of Medicine, Universitas Indonesia/Dr. Cipto Mangunkusumo Hospital, Jakarta
Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Medicine & Pharmacology Nursing Public Health

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The Auditory brainstem response latencies in children with global developmental delay at Dr. Cipto Mangunkusumo Hospital Muhammad Ade Rahman; Tri Juda Airlangga; Fikry Hamdan Yasin; Rini Sekartini; Achmad Rafli; Ferdi Afian
Oto Rhino Laryngologica Indonesiana Vol. 56 No. 1 (2026): VOLUME 56, NO. 1 JANUARY - JUNE 2026
Publisher : PERHATI-KL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32637/orli.v56i1.790

Abstract

Background: Global developmental delay (GDD) affects multiple developmental domains and remains a major concern in early childhood. The auditory system plays a key role in language development, and the Auditory Brainstem Response (ABR) test provides an objective measure of auditory pathway maturation. However, data on ABR wave latencies among children with GDD who have normal predicted hearing thresholds are limited. Purpose: To describe absolute and interwave latencies of ABR waves I, III, and V, and to compare latencies of ABR waves across demographic and perinatal clinical characteristics in children with GDD. Method: A cross-sectional analytical study was conducted using medical record data from 70 children aged 6 months to 5 years with GDD at Dr. Cipto Mangunkusumo Hospital between January 2021 and May 2025. All subjects had normal predicted hearing thresholds (≤30dB) in ABR result and passed Distortion Product Otoacoustic Emission (DPOAE) screening. Comparations between risk factors (age, gender, gestational age, birth weight, NICU admission, asphyxia, and hyperbilirubinemia) and ABR latencies were analyzed using t-test or Mann–Whitney test. Result: Most subjects were male (71.4%) with a median age of 25 months. The language domain was most frequently affected (92.9%). Male subjects had a significantly longer absolute latency of wave V in the left ear compared to females (6.10±0.31 ms; p < 0.05). Conclusion: Male gender with normal predicted hearing threshold had significant difference in the left-ear wave V latency compared to female. ABR is a valuable tool for early detection of auditory pathway maturation delay in at-risk children.
Co-Authors -, FADILAH Ari Prayitno Aryanti, Lestaria Ayu Astria Sriyana Azwien Niezam Hawalie Dini Widiarni Duhita Yassi Eka Dwi Safitri Elsa Roselina Fadilah - Ferdi Afian Fikri Mirza Putranto Fikry Hamdan Yasin Fitri Arman Fiya Natilda Gortap Sitohang Lestaria Aryanti Muchtarudin Mansyur Muchtarudin Mansyur Muhammad Ade Rahman Prasandhya Astagiri Yusuf Priyono, Harim Rafli, Achmad Rangga Rayendra Saleh Restuti, Ratna Dwi Retta . Rini Sekartini Riznadia Ramadhani Ronny Soewento Ronny Suwento Ronny Suwento, Ronny Rossa Martiastini Safitri, Eka Dwi Soewento, Ronny Suharti, Amien Suko Dwi Priyanto Tri Handayani Tri Handayani Widiarni, Dini Yassi, Duhita Zizlavsky, Semiramis