2026 Early Hearing Detection & Intervention Conference
March 15-17, 2026 • Jacksonville, FL
| The Use of Transient-Evoked Otoacoustic Emissions in the Assessment of Hearing in Children with Autism Spectrum Disorder: A Retrospective Chart Review
The Use of Transient-Evoked Otoacoustic Emissions in the Assessment of Hearing in Children with Autism Spectrum Disorder: A Retrospective Chart Review
Autism Spectrum Disorder (ASD) is a developmental disorder that can impact communication, behavior, and learning. The clinical presentation can include inconsistent/lack of eye contact, not listening to people when spoken to, lack of response to one’s name or calls to attention, repetition of behaviors, impaired language development, and sensitivity to sensory inputs like light or sound. The etiology of ASD is essentially unknown and due to some of these communication deficits, dysfunction of the auditory system has been a suspected cause. The lack of response to one’s name and other sounds can result in the assumption of a hearing loss, which is why part of the evaluation for ASD may include a hearing test. The attribution of symptoms to one disorder does not inherently rule out the other, thus indicating the necessity of thorough evaluation for both hearing loss and ASD when suspected. However, it is known that it is more difficult to audiologically assess children with ASD using behavioral measures as compared to typically developing peers due to their lack of typical responses to test stimuli or limited ability to participate in testing. Given that Otoacoustic Emissions (OAEs) have been historically used to rule out hearing loss in newborns, this form of assessment can also be used for other populations who cannot be tested behaviorally. Literature regarding the clinical utility of TEOAEs in individuals with ASD is limited. We conducted a retrospective chart review of patients seen in the Audiology Department at the Rose F. Kennedy Children’s Evaluation and Rehabilitation Center from November 2024-October 2025, to add to the existing body of literature in support of successfully utilizing TEOAEs in the assessment of hearing in children with ASD. We anticipate these results will be helpful in establishing hearing assessment protocols for children who cannot be tested behaviorally.
- The participant will be able to explain the importance of establishing hearing status in the differential diagnosis of hearing loss and Autism Spectrum Disorder (ASD) in children
- The participant will be able to identify screening and diagnostic procedures for assessing the hearing status in children with Autism Spectrum Disorder as well as other children who may not be able to be assessed behaviorally
- The participant will be able to appraise the benefits of Transient-Evoked Otoacoustic Emissions (TEOAEs) in the assessment of hearing in children with Autism Spectrum Disorder as compared to other testing methods used for children who may not be able to be assessed behaviorally
Presentation:
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Handouts:
Handout is not Available
Transcripts:
CART transcripts are NOT YET available, but will be posted shortly after the conference
Presenters/Authors
Rebecca Greenberg
(Primary Presenter,Author), rebeweiss@montefiore.org;
Rebecca Greenberg is the lead pediatric audiologist and LEND Audiology Faculty at The Rose F. Kennedy Children’s Evaluation and Rehabilitation Center of Albert Einstein College of Medicine and Montefiore Medical Center (CERC), where she previously completed an externship as a LEND Audiology trainee. She holds a Bachelor of Arts in Communication Sciences and Disorders from Queens College, a Doctor of Audiology from The CUNY Graduate Center, and a Certificate of Clinical Competence in Audiology (CCC-A) from the American Speech-Language Hearing Association (ASHA). Dr. Greenberg supervises Audiology trainees at CERC, is a member of the NYS EHDI Advisory Group, and is on the EHDI Conference LEND Audiology Workshop Planning Committee. She is interested in pediatric audiology, interdisciplinary care, and audiologic management of children with developmental differences, particularly Autism Spectrum Disorder.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.
AAA DISCLOSURE:
Financial -
Financial relationship with NYS EHDI.
Nature: Non-financial, part of the NYS EHDI Advisory Group .
Nonfinancial -
Non-Financial relationship with NYS EHDI.
Nature: Non-financial, part of the NYS EHDI Advisory Group .
Hanna Campiglia
(Co-Presenter,Author,Co-Author), Albert Einstein College of Medicine/Montefiore Medical Center, hcampiglia@montefiore.org;
Hanna Campiglia is in her final year of her Au.D. at Pacific University. She currently serves as the LEND Audiology Intern for AUCD and the Oregon State Ambassador for the National Student Academy of Audiology. Hanna earned a Bachelor of Arts in Linguistics with a concentration in Speech & Hearing Sciences at Rutgers University where she worked in the Laboratory for Developmental Language Studies. Her clinical interests include pediatric diagnostics and amplification, cochlear implants, education and advocacy. Hanna is completing her externship at Albert Einstein College of Medicine/Montefiore Medical Center, where she is a LEND trainee.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.
AAA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.
Susan Arzac
(Co-Presenter,Co-Author), sarzac@montefiore.org;
Susan Arzac is in her final year of the Au.D. program at Montclair State University where she completed and defended her research capstone on “Processing phonemic contrasts: A study of auditory evoked potentials in monolinguals and bilinguals.” Ms. Arzac will present the findings of her research at the 53rd Annual Scientific and Technology Conference of the American Auditory Society in Scottsdale, Arizona in February 2026 . Ms.Arzac earned a Bachelor of Science in Zoology from the University of Wisconsin-Madison, and a Bachelor of Science in Speech and Hearing Sciences (Summa Cum Laude) from Arizona State University. Ms. Arzac’s clinical interests include cochlear implants, vestibular testing, and electrophysiological testing. She is currently completing her externship at Albert Einstein College of Medicine/Montefiore Medical Center, where she is a LEND trainee.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.
AAA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.