APPLICATION OF SHORT-LATENCY AUDITORY EVOKED POTENTIALS IN YOUNG CHILDREN WITH BENIGN RHINO-SINUSAL TUMORS

Dekabr, 2025-Yil 323 APPLICATION OF SHORT-LATENCY AUDITORY EVOKED POTENTIALS IN YOUNG CHILDREN WITH BENIGN RHINO-SINUSAL TUMORS Yunusova Nafosat Abduhamidovna Basic doctoral student Department of Otorhinolaryngology, Samarkand State Medical University. https://doi.org/10.5281/zenodo.18047896 Introduction Benign rhino-sinusal tumors in young children, although relatively rare, may cause functional disturbances due to their proximity to critical anatomical structures, including the auditory pathways, Eustachian tube, and nasopharynx. These tumors can lead to conductive or mixed hearing impairment as a result of nasal obstruction, chronic rhinosinusitis, or middle ear ventilation disorders. Early detection of auditory dysfunction in young children is challenging because of limited cooperation and the inability to reliably perform behavioral audiometric tests. Short-latency auditory evoked potentials, also known as auditory brainstem responses, provide an objective and noninvasive method for assessing auditory pathway integrity from the cochlea to the brainstem. Their application is particularly valuable in pediatric patients, allowing early identification of hearing impairment and monitoring of auditory function before and after treatment. Objective The objective of this study was to evaluate the diagnostic value and clinical applicability of short-latency auditory evoked potentials in assessing auditory function in young children with benign rhino-sinusal tumors. Materials and Methods The study included young children diagnosed with benign rhino-sinusal tumors who were examined in a specialized otorhinolaryngology setting. A comprehensive clinical evaluation was performed, including detailed history taking, endoscopic examination of the nasal cavity and nasopharynx, and radiological imaging to determine tumor localization and extent. Otoscopic examination was conducted to assess middle ear status. Short-latency auditory evoked potentials were recorded using standard surface electrodes placed on the scalp, with click stimuli delivered monaurally through earphones. Measurements focused on the presence, latency, and amplitude of waves I, III, and V, as well as interpeak intervals. The results were compared with age-matched normative data. In selected cases, examinations were repeated after surgical or conservative treatment to assess changes in auditory pathway function. Results Short-latency auditory evoked potentials were successfully recorded in all examined children, regardless of age and level of cooperation. Prolongation of absolute wave latencies and interpeak intervals was observed in children with significant nasal obstruction and middle ear ventilation disorders. In cases where tumors caused secondary otitis media with effusion, delayed wave V latency was commonly detected, indicating conductive hearing involvement. Dekabr, 2025-Yil 324 Post-treatment assessments demonstrated partial or complete normalization of auditory evoked potential parameters in the majority of patients, reflecting improvement in auditory pathway function following tumor removal or reduction of nasal obstruction. Discussion The findings indicate that short-latency auditory evoked potentials are a reliable and sensitive method for evaluating auditory function in young children with benign rhino-sinusal tumors. This technique allows objective assessment of hearing status without requiring active patient participation, making it particularly suitable for early childhood. Detection of latency changes provides valuable information on the functional impact of rhino-sinusal pathology on the auditory system. Furthermore, repeated measurements enable monitoring of treatment effectiveness and early identification of persistent or progressive auditory dysfunction. Conclusion Short-latency auditory evoked potentials play an important role in the comprehensive assessment of auditory function in young children with benign rhino-sinusal tumors. Their application facilitates early diagnosis of hearing impairment, supports clinical decision-making, and allows objective monitoring of auditory outcomes before and after treatment. Routine use of this method can contribute to improved functional prognosis and overall quality of care in pediatric otorhinolaryngology. Keywords: Short-latency auditory evoked potentials, Benign rhino-sinusal tumors, Pediatric audiology, Juvenile nasopharyngeal angiofibroma, Auditory nerve function, Brainstem auditory response, Hearing assessment in children, Conductive hearing loss, Objective audiometry, Postoperative monitoring References: 1. Taxsinovna N. M. et al. VESTIBULAR VASCULAR REACTIONS IN ASSESSMENT OF VESTIBULAR DYSFUNCTION IN PATIENTS WITH CRANIOCEREBRAL TRAUMA //INNOVATIVE ACHIEVEMENTS IN SCIENCE 2024. – 2024. – Т. 3. – №. 29. – С. 104-111. 2. Uskov A. et al. Modern methods of therapeutic fasting as a way to overcome the pharmacoresistance of mental pathology //Science and innovation. – 2023. – Т. 2. – №. D12. – С. 179-185. 3. Abdukodirova S., SPECIFIC CHARACTERISTICS AND TREATMENT OF ACUTE OBSTRUCTIVE BRONCHITIS IN CHILDREN OF EARLY AGE //Science and innovation. – 2023. – Т. 2. – №. D11. – С. 5-8. 4. Tahirova J. et al. Insomnia problem causes of sleep disorder, help measures at home //Science and innovation. – 2022. – Т. 1. – №. D8. – С. 521-525. 5. Sultanov S. et al. Long-term salbi effects of the covid-19 pandemic on the health of existing residents of alcohol addiction //Science and innovation. – 2023. – Т. 2. – №. D11. – С. 430-438. 6. Madaminov M., Breast cancer detection methods, symptoms, causes, treatment //Science and innovation. – 2022. – Т. 1. – №. D8. – С. 530-535. Dekabr, 2025-Yil 325 7. Khaitov A. A. et al. Optimization of one-stage sanitation of the nasopharynx and tympanic 8. cavity in case of recurrent exudative otitis media // Current scientific research in the modern world. - 2018. - No. 1-8. - P. 81-84. (in Russ) 9. Jalalova D. et al. СОЧЕТАННАЯ СТОМАТОЛОГИЧЕСКАЯ И ГЛАЗНАЯ ПАТОЛОГИЯ //Science and innovation. – 2022. – Т. 1. – №. D8. – С. 91-100. 10. Tohirova J. D. Jalalova TYPES OF HEMORRHAGIC DISEASES //CHANGES IN NEWBOENS, THEIR EARLY DIAGNOSIS. - 2022. 11. Tahirova J. et al. Neurose causes and mechanisms of development, symptoms, treatment, prevention //Science and innovation. – 2022. – Т. 1. – №. D8. – С. 515-520. 12. Kiyomov I., IMPROVING SURGICAL TREATMENT METHODS FOR PATIENTS WITH NASAL PATHOLOGY //Science and innovation. – 2023. – Т. 2. – №. D11. – С. 226-231. 13. Sarkisova V. et al. CYTOKINE PROFILE IN PATIENTS WITH GRANULOMATOSIS WITH POLYANGIITIS (WEGENER'S) //Science and innovation. – 2023. – Т. 2. – №. D11. – С. 336-343. 14. Sarkisova V., Lapasova Z., O. Rakhmanov INFLAMMATORY DISEASES OF THE PELVIC WOMEN ORGANS. – 2023. 15. Jalalova D., Raxmonov X., РОЛЬ С–РЕАКТИВНОГО БЕЛКА В ПАТОГЕНЕЗЕ СОСУДИСТЫХ ЗАБОЛЕВАНИЙ ОРГАНА ЗРЕНИЯ У БОЛЬНЫХ АРТЕРИАЛЬНОЙ ГИПЕРТЕНЗИЕЙ //Science and innovation. – 2022. – Т. 1. – №. D8. – С. 114-121. 16. Malakhov A. et al. Modern views on the treatment and rehabilitation of patients with dementia //Science and innovation. – 2023. – Т. 2. – №. D12. – С. 322-329. 17. Jalalova D., Raxmonov X., ЗНАЧЕНИЕ ДИСФУНКЦИИ ЭНДОТЕЛИЯ В РАЗВИТИЕ РЕТИНОПАТИИ У БОЛЬНЫХ АГ И ПУТИ ЕГО КОРРЕКЦИИ //Science and innovation. – 2022. – Т. 1. – №. D8. – С. 101-113. 18. Madaminov M., Acute tonsillitis (angina) causes, complications, diagnosis, treatment, prevention //Science and innovation. – 2022. – Т. 1. – №. D8. – С. 771-779. 19. F. The problem of insomnia causes of sleep disorder, remedies at home //Science and innovation. – 2023. – Т. 2. – №. D1. – С. 79-84. 20. Sattarova S., FEATURES OF ELECTROPHYSIOLOGICAL METHODS FOR GUILLAIN–BARRÉ SYNDROME //Science and innovation. – 2023. – Т. 2. – №. D10. – С. 199-204. 21. F. Hymoritis symptoms, treatment, methods of folk medicine, prevention //Science and innovation. – 2023. – Т. 2. – №. D1. – С. 72-78. 22. Zhalalova D. et al. INFORMATION POINT OF PERIPHERAL BLOOD INDEXES IN THE DIAGNOSIS OF THE ETIOLOGY OF OPTIC NERVE DAMAGE //Science and innovation. – 2023. – Т. 2. – №. D11. – С. 124-130. 23. Takhsinovna N. M., Musinovna R. K. CHARACTERISTICS OF COMPLAINTS FROM WORKERS IN NOISE PROFESSIONS, HAVING HEARING IMPAIRMENTS //Health Horizon: Congress on Public Health and Biomedical Sciences. – 2025. – Т. 1. – №. 1. – С. 28-30. Dekabr, 2025-Yil 326 24. Rotanov, A., (2023). Elderly epilepsy: neurophysiological aspects of non-psychotic mental disorders. Science and innovation, 2(D12), 192-197. 25. Taxsinovna N. M. et al. VESTIBULAR VASCULAR REACTIONS IN ASSESSMENT OF VESTIBULAR DYSFUNCTION IN PATIENTS WITH CRANIOCEREBRAL TRAUMA //INNOVATIVE ACHIEVEMENTS IN SCIENCE 2024. – 2024. – Т. 3. – №. 29. – С. 104-111.