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Botelho JBL, de Carvalho DM, dos Santos-Melo GZ, Cardoso J, do Nascimento SM, de Figueiredo WLD, Lacerda LA, Nogueira KH. Follow-up of children diagnosed with deafness in a neonatal hearing screening program in Manaus. Rev Saude Publica 2022; 56:120. [PMID: 36629711 PMCID: PMC9749742 DOI: 10.11606/s1518-8787.2022056004207] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2021] [Accepted: 03/18/2022] [Indexed: 12/28/2022] Open
Abstract
OBJECTIVE To evaluate the follow-up of children diagnosed with deafness in neonatal hearing screening and risk factors for hearing loss. METHODS Quantitative, cross-sectional, and retrospective study to evaluate factors associated with hearing loss and the follow-up of cases of children diagnosed with audiological dysfunction, by analyzing electronic medical records of 5,305 children referred to a Specialized Center in Type I Rehabilitation, from January/2016 to February/2020, in the city of Manaus, Amazonas. The statistical study used Pearson's chi-square test and binary logistic regression in which odds ratio scans were obtained with reliability intervals of 95%. RESULTS Of the 5,305 children referred for the otoacoustic emission retest, 366 (6.9%) failed the retest. Children diagnosed with sensorineural hearing loss continued in the study, totaling 265 (72.4%). Only 58 (21.9%) children continued in the study to its end, of these 39 had received hearing aids at that point; and 16 (41%) had surgical indication for cochlear implants, of which only 3 (18.7%) had undergone surgery. Among the risk factors for hearing loss, we found 2.6 times more chance of failure in the otoacoustic emissions retest in those children who had a family history of hearing loss and ICU stay. CONCLUSION Although the screening flow reaches a large part of live births, the dropout rates during the process are high, therefore, the socioeconomic and geographic characteristics of regions such as the Amazon should be considered as relevant factors to the evasion of rehabilitation programs of these children. Hospitalization in the neonatal ICU and family history of hearing loss in the investigations could be identified as the main and most important factors for alteration of the otoacoustic emissions retests.
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Affiliation(s)
- João Bosco Lopes Botelho
- Universidade do Estado do AmazonasFaculdade de MedicinaDepartamento de MedicinaManausAmazonasBrasil Universidade do Estado do Amazonas. Faculdade de Medicina. Departamento de Medicina. Manaus, Amazonas, Brasil
| | - Diego Monteiro de Carvalho
- Universidade do Estado do AmazonasFaculdade de MedicinaDepartamento de MedicinaManausAmazonasBrasil Universidade do Estado do Amazonas. Faculdade de Medicina. Departamento de Medicina. Manaus, Amazonas, Brasil
| | - Giane Zupellari dos Santos-Melo
- Universidade do Estado do AmazonasFaculdade de MedicinaDepartamento de MedicinaManausAmazonasBrasil Universidade do Estado do Amazonas. Faculdade de Medicina. Departamento de Medicina. Manaus, Amazonas, Brasil
| | - José Cardoso
- Universidade do Estado do AmazonasFaculdade de MedicinaDepartamento de MedicinaManausAmazonasBrasil Universidade do Estado do Amazonas. Faculdade de Medicina. Departamento de Medicina. Manaus, Amazonas, Brasil
| | - Samuel Machado do Nascimento
- Centro Universitário FametroFaculdade de MedicinaDepartamento de MedicinaManausAmazonasBrasil Centro Universitário Fametro. Faculdade de Medicina. Departamento de Medicina. Manaus, Amazonas, Brasil
| | - Wenberger Lanza Daniel de Figueiredo
- Universidade Nilton LinsFaculdade de MedicinaDepartamento de MedicinaManausAmazonasBrasil Universidade Nilton Lins. Faculdade de Medicina. Departamento de Medicina. Manaus, Amazonas, Brasil
| | - Larissa Abreu Lacerda
- Universidade do Estado do AmazonasFaculdade de MedicinaDepartamento de MedicinaManausAmazonasBrasil Universidade do Estado do Amazonas. Faculdade de Medicina. Departamento de Medicina. Manaus, Amazonas, Brasil
| | - Kristian Holanda Nogueira
- Universidade do Estado do AmazonasFaculdade de MedicinaDepartamento de MedicinaManausAmazonasBrasil Universidade do Estado do Amazonas. Faculdade de Medicina. Departamento de Medicina. Manaus, Amazonas, Brasil
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Liu Y, Zhao C, Yang L, Chen P, Yang J, Wang D, Ren R, Li Y, Zhao S, Gong S. Characteristics of sound localization in children with unilateral microtia and atresia and predictors of localization improvement when using a bone conduction device. Front Neurosci 2022; 16:973735. [PMID: 36090257 PMCID: PMC9461951 DOI: 10.3389/fnins.2022.973735] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2022] [Accepted: 08/05/2022] [Indexed: 11/23/2022] Open
Abstract
This study aimed to determine the characteristics of sound localization in children with unilateral microtia and atresia (UMA) and the influence of a non-surgical bone conduction device (BCD). Hearing benefits were evaluated by the word recognition score (WRS), speech reception threshold, the international outcome inventory for hearing aids (IOI-HA), and the Speech, Spatial, and Qualities of Hearing Test for Parent (SSQ-P). Sound localization was measured using broadband noise stimuli randomly played from seven loudspeakers at different stimulus levels [65, 70, and 75 dB sound pressure levels (SPLs)]. The average unaided WRS and speech-to-noise ratio (SNR) for UMA patients was 18.27 ± 14.63 % and −5 ± 1.18 dB SPL, and the average aided WRS and SNR conspicuously changed to 85.45 ± 7.38 % and −7.73 ± 1.42 dB SPL, respectively. The mean IOI-HA score was 4.57 ± 0.73. Compared to the unaided condition, the mean SSQ-P score in each domain improved from 7.08 ± 2.5, 4.86 ± 2.27, and 6.59 ± 1.4 to 8.72 ± 0.95, 7.61 ± 1.52, and 8.55 ± 1.09, respectively. In the sound localization test, some children with UMA were able to detect sound sources quite well and the sound localization abilities did not deteriorate with the non-surgical BCD. Our study concludes that for children with UMA, the non-surgical BCD provided a definite benefit on speech recognition and high satisfaction without deteriorating their sound localization abilities. It is an efficient and safe solution for the early hearing intervention of these patients.
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Affiliation(s)
- Yujie Liu
- Ministry of Education Key Laboratory of Otolaryngology Head and Neck Surgery, Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Chunli Zhao
- Department of Otolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China
| | - Lin Yang
- Ministry of Education Key Laboratory of Otolaryngology Head and Neck Surgery, Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Peiwei Chen
- Ministry of Education Key Laboratory of Otolaryngology Head and Neck Surgery, Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Jinsong Yang
- Ministry of Education Key Laboratory of Otolaryngology Head and Neck Surgery, Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Danni Wang
- Ministry of Education Key Laboratory of Otolaryngology Head and Neck Surgery, Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Ran Ren
- Ministry of Education Key Laboratory of Otolaryngology Head and Neck Surgery, Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Ying Li
- Ministry of Education Key Laboratory of Otolaryngology Head and Neck Surgery, Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Shouqin Zhao
- Ministry of Education Key Laboratory of Otolaryngology Head and Neck Surgery, Department of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China
- *Correspondence: Shouqin Zhao,
| | - Shusheng Gong
- Department of Otolaryngology Head and Neck Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, China
- Shusheng Gong,
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Park SK, Chang J, Im GJ, Ahn JH, Lee JH, do Han K, Chung JW, Kim JS, Jang H, Lee SH. Status of early hearing detection and intervention in South Korea: a nationwide population-based study of national infant health checkup. Sci Rep 2020; 10:16838. [PMID: 33033313 PMCID: PMC7545194 DOI: 10.1038/s41598-020-73904-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2020] [Accepted: 09/23/2020] [Indexed: 11/09/2022] Open
Abstract
The aim of this study was to evaluate the status of early hearing detection and intervention after newborn hearing screening (NHS) in South Korea. A retrospective review of Korean national health insurance service data of all infants receiving the 4-month old national infant health checkup between 2010 and 2016 from a nationwide population-based database was conducted. Based on the results of the NHS-administered hearing questionnaires as part of the national infant health checkup, individuals were classified into "pass" (1,730,615 infants) or "refer" (10,941 infants) groups. Next, an analysis was conducted of age and the frequencies of tracking audiologic tests and surgeries of the middle ear (ME) and cochlear implants (CI). Diagnostic auditory brainstem response and audiometry, and surgeries of ME and CI were significantly performed more and earlier in the refer group compared with the pass group. For infants in the pass group who were presumed to have delayed or acquired hearing loss, the time of the first audiology tests and CI surgery was significantly delayed compared to those in the refer group; the average ages for first CI were 37 and 52 months in the refer group and pass group, respectively. Therefore, for early detection of delayed-onset hearing loss, regular hearing screening programs should be considered throughout the preschool ages.
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Affiliation(s)
- Su-Kyoung Park
- Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University College of Medicine, Kangnam Sacred-Heart Hospital, Seoul, Korea
| | - Jiwon Chang
- Department of Otorhinolaryngology-Head and Neck Surgery, Hallym University College of Medicine, Kangnam Sacred-Heart Hospital, Seoul, Korea
| | - Gi Jung Im
- Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, Korea
| | - Joong Ho Ahn
- Department of Otolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Jun Ho Lee
- Department of Otolaryngology-Head and Neck Surgery, Seoul University College of Medicine, Seoul, Korea
| | - Kyung do Han
- Department of Statistics and Actuarial Science, Soongsil University, Seoul, Korea
| | - Jong Woo Chung
- Department of Otolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Jin-Sook Kim
- Division of Speech Pathology and Audiology, Hallym University College of Natural Sciences, Chuncheon, Korea
| | - Hyunsook Jang
- Division of Speech Pathology and Audiology, Hallym University College of Natural Sciences, Chuncheon, Korea
| | - Seung Hwan Lee
- Department of Otolaryngology-Head and Neck Surgery, School of Medicine, Hanyang University, 222, Wangsimni-ro,Seongdong-gu, Seoul, 04763, Republic of Korea.
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