Audibility threshold for high frequencies inchildren with medical history of multiples episodes of bilateral secretory otitis media

Extended high-frequency hearing loss among Afro-Colombian adolescents from a rural area in Colombia: a cross-sectional study

OBJECTIVES

Research trends concerning hearing loss within teen rural populations are limited and current evidence suggests that extended high-frequency audiometry can be a sensitive tool to detect subclinical hearing loss. Moreover, current research emphasises the importance of representing different ethnic populations in science. This study aimed to determine the prevalence of acquired hearing loss through conventional pure-tone (0.25-8 kHz) and extended high frequency (EHF) (9-20 kHz) audiometry in Afro-Colombian adolescents from a rural area in Colombia.

DESIGN

Observational, cross-sectional study.

PARTICIPANTS

230 Afro-Colombian adolescents aged 13-17 years who attended high school in a rural population from Cartagena, Colombia.

INTERVENTIONS

Otoscopic examination, conventional (0.25-8 kHz) and EHF (9-20 kHz) audiometry tests were performed during February-March 2021. Sociodemographic and associated factor questionnaires were also applied to assess probable factors associated with EHF hearing loss.

MAIN OUTCOME MEASURES

Prevalence of acquired hearing loss using conventional and EHF audiometry, and factors associated with hearing loss.

RESULTS

Of 230 adolescents who met the eligibility criteria, 133 (57.82%) were female. The mean age was 15.22 years (SD: 1.62). The prevalence of hearing loss in at least one ear assessed with conventional audiometry was 21.30% and with EHF audiometry 14.78%. The main abnormal otoscopic findings included: neotympanum (1.30%), myringosclerosis (0.87%) and monomeric scars (0.43%). Factors associated with a higher probability of EHF hearing loss found through logistic regression were older age (prevalence ratio (PR): 1.45; 95% CI 1.16 to 1.80), attending the 'Picó' four or more times a month (PR: 6.63; 95% CI 2.16 to 20.30), attending bars more than three times a month (PR: 1.14; 95% CI 1.03 to 1.59) and self-reported hearing difficulties (PR: 1.24; 95% CI 1.22 to 4.05).

CONCLUSIONS

Our results suggest that acquired hearing loss is already widespread among this young rural population.

Prevalence of extended high-frequency hearing loss among adolescents from two rural areas in Colombia

OBJECTIVE

Worldwide research trends on the prevalence of hearing loss within young rural populations are scarce. Current evidence suggests extended high-frequency audiometry could be a sensitive predictor to detect subclinical hearing loss. This study aimed to determine the prevalence of hearing loss through conventional pure tone (0.25-8 kHz) and extended high-frequency (9-20 kHz) audiometry tests in a group of adolescents aged 13 to 19 years old from two rural areas of Colombia. A sociodemographic and associated factor for hearing loss questionnaire was applied.

DESIGN

Cross-sectional study.

STUDY SAMPLE

Three hundred sixty-six adolescents aged 13 to 19 years old from two rural municipalities in Colombia: Soracá, and Palmas del Socorro.

RESULTS

Hearing loss prevalence assessed through pure tone audiometry was 3.28% in right ears and 3.83% in left ears while through extended high-frequency audiometry was 14.21% and 13.11%, respectively. Associated factors found by the logistic regression were age (OR: 1.36; CI 95% 1.13-1.64) and obesity (OR: 3.74; CI 95% 1.07-13.11).

CONCLUSIONS

Using 15 dB as the normal hearing threshold parameter for audiometric frequencies, our results suggest that extended high-frequency hearing loss is already widespread among rural adolescents. This highlights the need for research on extended high-frequency audiometry in rural school-aged children.

A report of extended high frequency audiometry thresholds in school-age children with no hearing complaints

The aim of the study was to establish the extended high frequency thresholds (EHF) of school-age children with no hearing complaints. The study was conducted on 50 children aged 8 to 12 years with pure tone thresholds (0.5, 1 and 2 kHz) of 15 dB HL or less, with normal speech discrimination and tympanometry and with the presence of contralateral acoustic reflexes of 0.5, 1, 2 and 4 kHz. The children were tested for EHF at frequencies of 9, 10, 11.2, 12.5, 14 and 16 kHz. No significant differences were found between the right and left ear for female and male groups. The results allowed us to group the children into a single sample with mean thresholds (dB) of 8.6 (9 kHz), 6.2 (10 kHz), 8.2 (11.2 kHz), 7.1 (12.5 kHz), 0.4 (14 kHz), and -3.6 (16 kHz). We conclude that, for school-age children, the extended EHF below 15 dBHL could be used as an indication of normal hearing sensitivity.

A report of extended high frequency audiometry thresholds in school-age children with no hearing complaints

The aim of the study was to establish the extended high frequency thresholds (EHF) of school-age children with no hearing complaints. The study was conducted on 50 children aged 8 to 12 years with pure tone thresholds (0.5, 1 and 2 kHz) of 15 dB HL or less, with normal speech discrimination and tympanometry and with the presence of contralateral acoustic reflexes of 0.5, 1, 2 and 4 kHz. The children were tested for EHF at frequencies of 9, 10, 11.2, 12.5, 14 and 16 kHz. No significant differences were found between the right and left ear for female and male groups. The results allowed us to group the children into a single sample with mean thresholds (dB) of 8.6 (9 kHz), 6.2 (10 kHz), 8.2 (11.2 kHz), 7.1 (12.5 kHz), 0.4 (14 kHz), and -3.6 (16 kHz). We conclude that, for school-age children, the extended EHF below 15 dBHL could be used as an indication of normal hearing sensitivity.