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Yalcouyé A, Traoré O, Taméga A, Maïga AB, Kané F, Oluwole OG, Guinto CO, Kéita M, Timbo SK, DeKock C, Landouré G, Wonkam A. Etiologies of Childhood Hearing Impairment in Schools for the Deaf in Mali. Front Pediatr 2021; 9:726776. [PMID: 34912757 PMCID: PMC8667071 DOI: 10.3389/fped.2021.726776] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Accepted: 11/01/2021] [Indexed: 11/13/2022] Open
Abstract
Objectives: To identify the etiologies of hearing impairment (HI) in schools for students who are deaf and to use a systematic review to summarize reports on the etiologies and clinical and genetic features of HI in Mali. Methods: We included individuals with HI that started before the age of 15 years old. Patients were carefully evaluated under standard practices, and pure-tone audiometry was performed where possible. We then searched for articles published on HI in the Malian population from the databases' inception to March 30, 2020. Results: A total of 117 individuals from two schools for the deaf were included, and a male predominance (sex ratio 1.3; 65/52) was noted. HI was pre-lingual in 82.2% (n = 117), and the median age at diagnosis was 12 years old. The etiologies were environmental in 59.4% (70/117), with meningitis being the leading cause (40%, 20/70), followed by cases with genetic suspicion (29.3%, 21/117). In 11.3% (8/117) of patients, no etiology was identified. Among cases with genetic suspicion, three were syndromic, including two cases of Waardenburg syndrome, while 15 individuals had non-syndromic HI. An autosomal recessive inheritance pattern was observed in 83.3% of families (15/18), and consanguinity was reported in 55.5% (10/18) of putative genetic cases. Conclusion: This study concludes that environmental factors are the leading causes of HI in Mali. However, genetic causes should be investigated, particularly in the context of a population with a high consanguinity rate.
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Affiliation(s)
- Abdoulaye Yalcouyé
- Faculté de Médecine et d'Odondostomatologie, Université des Sciences, Techniques et Technologies de Bamako (USTTB), Bamako, Mali.,Division of Human Genetics, Department of Pathology, University of Cape Town, Cape Town, South Africa
| | - Oumou Traoré
- Faculté de Médecine et d'Odondostomatologie, Université des Sciences, Techniques et Technologies de Bamako (USTTB), Bamako, Mali
| | - Abdoulaye Taméga
- Faculté de Médecine et d'Odondostomatologie, Université des Sciences, Techniques et Technologies de Bamako (USTTB), Bamako, Mali
| | - Alassane B Maïga
- Faculté de Médecine et d'Odondostomatologie, Université des Sciences, Techniques et Technologies de Bamako (USTTB), Bamako, Mali
| | - Fousseyni Kané
- Faculté de Médecine et d'Odondostomatologie, Université des Sciences, Techniques et Technologies de Bamako (USTTB), Bamako, Mali
| | - Oluwafemi G Oluwole
- Division of Human Genetics, Department of Pathology, University of Cape Town, Cape Town, South Africa
| | - Cheick Oumar Guinto
- Faculté de Médecine et d'Odondostomatologie, Université des Sciences, Techniques et Technologies de Bamako (USTTB), Bamako, Mali.,Service de Neurologie, Centre Hospitalier Universitaire du Point "G", Bamako, Mali
| | - Mohamed Kéita
- Faculté de Médecine et d'Odondostomatologie, Université des Sciences, Techniques et Technologies de Bamako (USTTB), Bamako, Mali.,Service d'ORL, Centre Hospitalier Universitaire de Gabriel Touré, Bamako, Mali
| | - Samba Karim Timbo
- Faculté de Médecine et d'Odondostomatologie, Université des Sciences, Techniques et Technologies de Bamako (USTTB), Bamako, Mali.,Service d'ORL, Centre Hospitalier Universitaire de Gabriel Touré, Bamako, Mali
| | - Carmen DeKock
- Division of Human Genetics, Department of Pathology, University of Cape Town, Cape Town, South Africa
| | - Guida Landouré
- Faculté de Médecine et d'Odondostomatologie, Université des Sciences, Techniques et Technologies de Bamako (USTTB), Bamako, Mali.,Service de Neurologie, Centre Hospitalier Universitaire du Point "G", Bamako, Mali
| | - Ambroise Wonkam
- Division of Human Genetics, Department of Pathology, University of Cape Town, Cape Town, South Africa.,Department of Medicine, University of Cape Town, Cape Town, South Africa
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