Recent advances in the hearing assessment of children.

The remarkable specificity and sensitivity of otoacoustic emissions (OAEs) in identifying cochlear dysfunction, and the speed and objectivity with which the test can be conducted has made the OAE procedure the 'standard-of-care' in pediatric audiology assessment. Together with the auditory brainstem responses (ABRs), the OAE procedure not only separates sensory from neural impairment, but also facilitates early audiologic diagnosis and management. This article describes some unique applications of the OAE procedure in the diagnosis, monitoring and treatment of auditory dysfunction.