Hearing Assessment in Infants and Children: Recommendations Beyond Neonatal Screening

Harlor, Allen D. “Buz”; Bower, Charles M.

doi:10.1542/peds.2009-1997

Cited by 167 publications

(121 citation statements)

References 18 publications

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“…Hearing loss is one of the most common birth defects-about 3 in 1000 babies are born with some degree of hearing impairment (Kemper and Downs 2000;Harlor and Bower 2009). Early detection of hearing loss accompanied by appropriate early intervention is important in order to avoid problems associated with language development that affect daily communication, educational achievement, psychosocial development and later employment opportunities (e.g.…”

Section: Introductionmentioning

confidence: 99%

Finite-Element Modelling of the Acoustic Input Admittance of the Newborn Ear Canal and Middle Ear

Motallebzadeh

Maftoon

Pitaro

et al. 2016

JARO

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Admittance measurement is a promising tool for evaluating the status of the middle ear in newborns. However, the newborn ear is anatomically very different from the adult one, and the acoustic input admittance is different than in adults. To aid in understanding the differences, a finite-element model of the newborn ear canal and middle ear was developed and its behaviour was studied for frequencies up to 2000 Hz. Material properties were taken from previous measurements and estimates. The simulation results were within the range of clinical admittance measurements made in newborns. Sensitivity analyses of the material properties show that in the canal model, the maximum admittance and the frequency at which that maximum admittance occurs are affected mainly by the stiffness parameter; in the middle-ear model, the damping is as important as the stiffness in influencing the maximum admittance magnitude but its effect on the corresponding frequency is negligible. Scaling up the geometries increases the admittance magnitude and shifts the resonances to lower frequencies. The results suggest that admittance measurements can provide more information about the condition of the middle ear when made at multiple frequencies around its resonance.

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Section: Introductionmentioning

confidence: 99%

Finite-Element Modelling of the Acoustic Input Admittance of the Newborn Ear Canal and Middle Ear

Motallebzadeh

Maftoon

Pitaro

et al. 2016

JARO

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“…1 Among the available audiometric screening tools, such as the pure tone test, otoacoustic emission test (OAE), auditory brainstem response (ABR), tympanometry, and questionnaires, the pure tone test has been considered the gold standard in hearing screening for children. [2][3][4][5][6][7][8] However, young preschool children may have difficulty in understanding the instructions of the pure-tone test and their attention spans may be too limited to complete the test. [9][10] We used a previously developed automated pure-tone hearing test system 11 composed of a tablet computer and a pair of noise-cancelling headphones that help to control the ambient noise levels common in schools.…”

Section: Introductionmentioning

confidence: 99%

Automated hearing screening for preschool children

Kam

Yeung

et al. 2014

J Med Screen

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Objectives: To establish the reliability and validity of an automated hearing screening test system for preschoolers and to investigate the risk factors for hearing loss. Methods: The study used a cross-sectional design in a comparative study of subjects. The automated hearing screening test was performed in 6231 preschoolers (3-7 years old) from 41 kindergartens in Shanghai, China. Sensitivity and specificity of the automated test were investigated with subjects who failed the screening test and a group of control subjects. Results: Six hundred and forty-seven children were referred for diagnostic audiological assessment after the automated puretone screening test. Using the conventional pure-tone audiometry as the ''gold standard,'' the sensitivity and specificity of the automated hearing screening test increased from 0.33 and 0.15 in the youngest age group to 0.95 and 1.00 in the oldest age group, respectively. There was no statistically significant gender effect, but there was an age effect ( 2 ¼ 22.96, p < 0.01). In the univariate analysis of 104 cases and 201 controls, significantly elevated odds ratios (OR) for hearing loss were correlated with universal newborn hearing screening test results (OR ¼ 28.15, p < 0.01), parental suspicion of hearing loss (OR ¼ 10.10, p < 0.05), and attendance at preschool before the age of five (OR ¼ 0.51, p < 0.05). Conclusions:The results suggest that the automated hearing screening test system can be used in screening programmes for preschoolers aged older than five years.

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“…Jika dibandingkan dengan pemeriksaan audiometri subjektif lainnya yang umum digunakan untuk pemeriksaan gangguan dengar pada anak adalah kuesioner, uji suara, uji garputala, ataupun behavioral observation audiometry (BOA), maka audiometer skrining medan bebas lebih baik oleh karena pemeriksaan pendengaran dengan mempergunakan kuesioner hanya dapat mengidentifikasi 50% anak dengan gangguan dengar, uji suara hanya mempunyai sensitivitas 40% dan spesifisitas 83%, serta uji garputala hanya mempunyai sensitivitas 30% dan spesifisitas 87%. 18,19 Tingkat reliabilitas pemeriksaan pendengaran audiometer skrining medan bebas memberikan kesesuaian cukup baik (moderate agreement). Secara statistik tidak terdapat perbedaan bermakna hasil pemeriksaan audiometer skrining medan bebas dengan hasil pemeriksaan audiometri nada murni untuk mendeteksi gangguan dengar pada anak sekolah dasar dengan otitis media (p=0,302).…”

Section: Pembahasanunclassified

Tingkat Ketepatan Audiometer Skrining Medan Bebas untuk Mendeteksi Gangguan Dengar Anak Sekolah Dasar dengan Otitis Media

Hartanto¹,

Boesoirie²,

Poerwana³

2013

mkb

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AbstrakSkrining pendengaran pada anak sekolah dapat mengetahui lebih dini gangguan dengar akibat otitis media sehingga hasil pengobatannya akan lebih baik. Audiometer skrining medan bebas merupakan alat skrining pendengaran yang sederhana, terjangkau, ringkas, mudah dan singkat, tetapi belum diukur tingkat ketepatannya untuk anak sekolah dasar. Penelitian ini bertujuan untuk menguji tingkat ketepatan audiometer skrining medan bebas untuk mendeteksi gangguan dengar pada anak sekolah dasar yang menderita otitis media. Penelitian uji diagnostik dengan rancangan penelitian potong silang dilakukan di Sekolah Dasar Sejahtera dan Poliklinik Departemen Ilmu Kesehatan Telinga Hidung Tenggorok-Bedah Kepala dan Leher RS Dr. Hasan Sadikin Bandung periode bulan Juni-Agustus 2011. Dari 479 anak sekolah dasar, didapatkan 86 subjek sesuai kriteria inklusi. Terdapat gangguan dengar pada 56 anak yang diperiksa audiometer skrining medan bebas dan 51 anak yang diperiksa audiometri nada murni. Hasil uji diagnostik audiometer skrining medan bebas didapatkan sensitivitas 90,2%; spesifisitas 71,4%; indeks Kappa 0,630. Perbandingan pemeriksaan pendengaran antara audiometri skrining medan bebas dan audiometri nada murni didapatkan p=0,302. Simpulan, tingkat ketepatan audiometer skrining medan bebas sama dengan audiometer nada murni untuk mendeteksi gangguan dengar anak sekolah dasar yang menderita otitis media. Accuracy of Portable Screening Audiometer for Detecting Hearing Loss in Elementary School Children with Otitis Media AbstractHearing skrining in school children can detect hearing loss due to otitis media earlier therefor treatment will give better outcome. Portable screening audiometer is a device which are simple, less expensive, brief, easy to use and has shorter examination time but has not been measured its accuracy for hearing screening in elementary school children. The objective of this study was to measure the accuracy of portable screening audiometry for detecting hearing loss in elementary school children with otitis media. A diagnostic test study with cross-sectional method was conducted at Sejahtera Elementary School and at Out-patient Clinic Otorhinolaryngology-Head and Neck Department Dr. Hasan Sadikin Hospital Bandung period June until August 20011. From 479 children, there were 86 children match with inclusion criteria. Hearing loss was found in 56 children examined using portable screening audiometer and in 51 children using pure tone audiometry. Diagnostic test result for portable screening audiometer were 90.2% sensitivity, 71.4% specificity, with Kappa index 0.630 and p value was 0.302 compared to pure tone audiometry. In conclusion, the accuracy of portable screening audiometer is as good as pure tone audiometry in order to detect hearing loss in elementary school children with otitis media. [MKB. 2013;45(1):62-68]

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Hearing Assessment in Infants and Children: Recommendations Beyond Neonatal Screening

Cited by 167 publications

References 18 publications

Finite-Element Modelling of the Acoustic Input Admittance of the Newborn Ear Canal and Middle Ear

Finite-Element Modelling of the Acoustic Input Admittance of the Newborn Ear Canal and Middle Ear

Automated hearing screening for preschool children

Tingkat Ketepatan Audiometer Skrining Medan Bebas untuk Mendeteksi Gangguan Dengar Anak Sekolah Dasar dengan Otitis Media

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