Failed newborn hearing screens as presentation for otitis media with effusion in the newborn population

Boone, Ryan; Bower, Charles M.; Martin, Patti

doi:10.1016/j.ijporl.2004.11.006

Cited by 74 publications

(71 citation statements)

References 7 publications

(5 reference statements)

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“…Doyle et al (2004) related that fails on the hearing screening for TOAE also can be attributed to the alterations of the middle (secretor otitis) and that the children who present secretor otitis during the neonatal period present bigger risk to develop chronic middle otitis during the first year of life. Boone et al (2005), evaluating the presence of alterations of middle ear in a population of 76 newborns that failed in the hearing screening, identified 64,5% of children with middle otitis, and from these, 34.7% needed ventilation tubes.…”

Section: Discussionmentioning

confidence: 99%

Programa de triagem auditiva neonatal: associação entre perda auditiva e fatores de risco

Pereira

Martins

Vieira

et al. 2007

Pró-Fono R. Atual. Cient.

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TEMA: perda auditiva em neonatos. OBJETIVOS: verificar a prevalência de alterações auditivas em neonatos do Hospital São Paulo, observando se há correlação com as variáveis: peso de nascimento, idade gestacional, relação peso e idade gestacional e fatores de risco para deficiência auditiva. MÉTODO: realizou-se uma análise retrospectiva dos prontuários de 1696 recém nascidos, sendo 648 nascidos pré-termo e 1048 a termo. Todas as crianças foram submetidas à avaliação audiológica constituída por pesquisa das emissões otoacústicas transientes e do reflexo cocleopalpebral e medidas de imitância acústica, estabelecendo-se o diagnóstico do tipo e grau de perda. RESULTADOS: a perda auditiva neurossensorial foi identificada em 0,82% das crianças nascidas a termo, e 3,1% das crianças pré-termo (com diferença estatisticamente significante). A perda auditiva condutiva foi a mais freqüente nas duas populações sendo observada em 14,6% das crianças nascidas a termo e 16,3% das crianças pré-termo. Houve suspeita de alterações do sistema auditivo central em 5,8% das crianças pré-termo e 3,3% das crianças a termo. Na população de crianças nascidas a termo, houve correlação significante entre falha na triagem auditiva e os riscos antecedente familiar e síndrome, sendo 37 vezes maior a chance de uma criança com síndrome falhar na triagem e sete vezes maior a chance de falhar na orelha direita quando esta tiver antecedente familiar de perda auditiva. Quanto menor a idade gestacional (< 30 semanas) e o peso ao nascimento (< 1500g), três vezes mais chance de falhar na triagem auditiva. CONCLUSÕES: houve maior ocorrência de perda auditiva nas crianças pré-termo de UTI neonatal. A idade gestacional e o peso de nascimento foram variáveis importantes relacionadas na probabilidade de falha na triagem auditiva. Houve correlação entre o fator de risco síndrome e a perda auditiva neurossensorial em crianças nascidas a termo.

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Section: Discussionmentioning

confidence: 99%

Programa de triagem auditiva neonatal: associação entre perda auditiva e fatores de risco

Pereira

Martins

Vieira

et al. 2007

Pró-Fono R. Atual. Cient.

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“…15 Objective middleear assessment can best be performed by tympanometry. Tympanometry measures relative changes in tympanic membrane movement as air pressure is varied in the external auditory canal.…”

Section: Tympanogramsmentioning

confidence: 99%

Hearing Assessment in Infants and Children: Recommendations Beyond Neonatal Screening

Harlor¹,

Bower²

2009

Pediatrics

167

111

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Congenital or acquired hearing loss in infants and children has been linked with lifelong deficits in speech and language acquisition, poor academic performance, personal-social maladjustments, and emotional difficulties. Identification of hearing loss through neonatal hearing screening, regular surveillance of developmental milestones, auditory skills, parental concerns, and middle-ear status and objective hearing screening of all infants and children at critical developmental stages can prevent or reduce many of these adverse consequences. This report promotes a proactive, consistent, and explicit process for the early identification of children with hearing loss in the medical home. An algorithm of the recommended approach has been developed to assist in the detection and documentation of, and intervention for, hearing loss.

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“…Newborns and infants with mild conductive hearing loss often refer hearing screenings resulting in higher false positive rates that lead to added expenses, decreased programme efficacy, and increased chances of anxiety for parents 1, 2. Even though significant efforts have been made to reduce the number of false positive results by comprehensive screening protocols, the question of compromised middle ear functioning due to otitis media with effusion, a transient middle ear effusion, or middle ear cavities containing mesenchyme and not fully pneumatized at birth, has not yet been addressed sufficiently 3 . Middle ear fluid or middle ear effusion is a common diagnosis among newborns and infants, with infants in neonatal intensive care units (NICUs) especially prone to the condition 4,5 . A recent study has pointed out that otitis media with effusion may contribute up to 67% of the false positive newborn hearing screens 5 .…”

Section: Introductionmentioning

confidence: 99%

“…Middle ear fluid or middle ear effusion is a common diagnosis among newborns and infants, with infants in neonatal intensive care units (NICUs) especially prone to the condition 4,5 . A recent study has pointed out that otitis media with effusion may contribute up to 67% of the false positive newborn hearing screens 5 . The presence of middle ear fluid severely diminishes and even obliterates otoacoustic emissions (OAEs) and, while auditory brainstem response (ABR) screening is more robust with fewer failures due to mild middle ear conduction pathologies, it may still lead to a refer result in more serious cases [6][7][8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

High frequency immittance for neonates: a normative study

Swanepoel

Werner

Hugo

et al. 2007

Acta Oto-Laryngologica

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Conclusion. High frequency immittance measurements demonstrate promise in clarifying middle ear status for neonates but age-and gender-specific norms should be consulted. Objective. To describe high frequency immittance measurements using a 1000 Hz probe tone for a sample of 278 neonatal ears (0-4 weeks of age) in order to compile normative tympanometric and acoustic reflex criteria. Subjects and methods. Assessment of neonatal ears included 1000 Hz probe tone immittance measurements (tympanograms and ipsilateral acoustic reflexes), and distortion product oto-acoustic emission (DPOAE) screening. Results were compared and normative values were compiled for immittance measures in ears controlled for normal middle ear functioning (n=250). Results. Comparison of immittance results to OAE screening outcome provides estimates of sensitivity and specificity for middle ear fluid with tympanometry of 57% and 95%, and 57% and 90% for acoustic reflex presence, and 58% and 87% for combined tympanogram and acoustic reflex results, respectively. Normative data indicate that static peak admittance values differ significantly across gender and age with the 5th percentile cut-off value for the entire sample at 1.4 mmho. The 90% range of tympanic peak pressure normative values increases with increasing age from 140 daPa for neonates 1 week of age to 210 daPa for neonates 2-4 weeks of age. Acoustic reflexes were elicited at 93±9 dB with a 90% normality range of 80-105 dB.

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Failed newborn hearing screens as presentation for otitis media with effusion in the newborn population

Cited by 74 publications

References 7 publications

Programa de triagem auditiva neonatal: associação entre perda auditiva e fatores de risco

Programa de triagem auditiva neonatal: associação entre perda auditiva e fatores de risco

Hearing Assessment in Infants and Children: Recommendations Beyond Neonatal Screening

High frequency immittance for neonates: a normative study

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