Neonatal Middle Ear Effusion Predicts Chronic Otitis Media with Effusion

Doyle, Karen Jo; Kong, Ying; Strobel, Karen; Dallaire, Patricia; R, Ray

doi:10.1097/00129492-200405000-00020

Cited by 54 publications

(44 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Priner et al (2003) correlated the fail in the hearing screening for TOAE to the reduction of the mobility of the tympanic membrane caused by the fluid presence in the middle ear, occurring, this way, a temporary conductive hearing loss. Doyle et al (2004) told that fails in the screening for TOAE also can be attributed to the alterations of middle ear (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.…”

Section: Discussionmentioning

confidence: 99%

“…Garcia et al (2002) found a prevalence of conductive hearing loss in a population of 157 newborn of 29 ears out of 1000. 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%

See 1 more Smart Citation

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

Pereira

Martins

Vieira

et al. 2007

Pró-Fono R. Atual. Cient.

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 99%

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.

View full text Add to dashboard Cite

show abstract

“…It must be noted that although 35 subjects were found to have normal outcomes, 13 subjects had MEE requiring several tertiary hospital level follow-up appointments. Therefore, although not the primary target population, the research project was preventative in identifying and treating MEE that could potentially have led to chronic otitis media with effusion and consequently a hearing loss later in life [40]. Once data analysis was completed it became evident that the subject with bilateral mixed hearing loss was diagnosed with bilateral permanent sensorineural hearing loss once the recurrent MEE dissipated.…”

Section: Diagnostic Outcome Of Subjectsmentioning

confidence: 99%

Efficacy of a community-based infant hearing screening program utilizing existing clinic personnel in Western Cape, South Africa

Friderichs

Swanepoel

Hall

2012

International Journal of Pediatric Otorhinolaryngology

View full text Add to dashboard Cite

Objective: Screening programs at primary health care immunization clinics have been proposed as an alternative to hospital-based programs in South Africa. The objective of this study was to evaluate the first systematic community-based infant hearing screening program in a developing South African community in the Western Cape.Methods: A community-based universal infant hearing screening program initiated at eight primary health care clinics in the Cape Metropolitan area was evaluated over a 19-month research period. During this time 6227 infants that were candidates for screening attended their 6, 10 or 14-week immunization visit at the relevant clinic. Clinic nurses were trained as screening personnel. A two-stage distortion product otoacoustic emissions screening protocol was utilized.The target disorder was uni-or bilateral hearing loss and infants referring the first screen were scheduled for a 4-week follow-up visit at the clinic. Diagnostic audiological and medical evaluations were scheduled at referral hospitals when indicated. The study evaluated the 3 efficacy of the program based on coverage, referral and follow-up rates and diagnostic outcomes according to guidelines specified by the Health Professions Council of South Africa 2007 Position Statement.Results: Overall coverage rate across the eight clinics was 32.4% with 2018 infants (aged 0-14 weeks) screened. The mean age of the sample at first stage screen was 3.9 weeks of age and 13.5 weeks of age for first hospital visit. Overall first stage screen referral rate was 9.5% with 62 subjects (3%) referred for diagnostic services at hospital level after a follow-up screen. The average follow-up rate for rescreens at clinic level was 85.1% and for initial diagnostic assessments at hospital level it was 91.8%. Prevalence rates were 4.5/1000 with significant hearing loss, including sensorineural (1.5/1000) and conductive (3/1000) losses, and 12.9/1000 for subjects with middle ear effusion. Conclusions:The community-based infant hearing screening program was valuable in attaining high follow-up return rates but reaching sufficient coverage may require dedicated screening personnel as opposed to existing nursing personnel.

show abstract

“…Despite the possibility of capturing TOAEs already after 24 hours of life, it is also known that middle ear effusion is also very common in the first 48 hours of life 16 . Moreover, factors such as an excess of environment noise or routine procedures which make the child There was a statistically significant association between hearing disorders and the risk indicators: family history of hearing loss, craniofacial malformation, use of mechanical ventilation, use of ototoxic drugs, periintraventricular hemorrhage, ICU stay for more than 48 hours and very low birth weight.…”

Section: Hearing Loss Index According To Demographic Variables and Rimentioning

confidence: 99%

Triagem auditiva neonatal: ocorrência de falhas, perdas auditivas e indicadores de riscos

Onoda¹,

Azevedo²,

Santos³

2011

Braz. j. otorhinolaryngol. (Impr.)

View full text Add to dashboard Cite

To check the rate of failure, hearing loss and its association with demographic variables and risk indicators for hearing loss in newborns submitted to the Newborn Hearing Screening in a secondary hospital. Materials and Methods:Cross-sectional and retrospective study, involving 1,570 newborns submitted to the different stages of the Newborn Hearing Screening Program. Initially, we carried out otoacoustic emission tests (ILO Echocheck) and the cochlear-eyelid reflex. Afterwards, we analyzed the demographic and clinical characteristics of the newborns, screening rate of failure, hearing loss and its association with demographic variables and risk indicators.Results: Twenty-six newborns had failures in the first stages of the Program (1.7%), who were then referred to diagnostic evaluation. Of these, 16 (61.5%) did not come, two (7.7%) had normal results and eight (30.8%) were diagnosed with hearing disorders. The screening failure rate was 1.7% and the frequency of hearing disorders was 0.5%. Conclusions:Pre-term newborns of very low birth weights had higher rates of screening failures and a greater occurrence of hearing changes. The factors associated with screening failure and hearing changes were similar to the ones described in the literature. Braz J Otorhinolaryngol. 2011;77(6):775-83. BJORL ORIGINAL ARTICLE

show abstract

Neonatal Middle Ear Effusion Predicts Chronic Otitis Media with Effusion

Cited by 54 publications

References 13 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

Efficacy of a community-based infant hearing screening program utilizing existing clinic personnel in Western Cape, South Africa

Triagem auditiva neonatal: ocorrência de falhas, perdas auditivas e indicadores de riscos

Contact Info

Product

Resources

About