Screening all newborns for hearing loss using transient evoked otoacoustic emissions

White, Karl R.; Vohr, Betty R.; Maxon, Antonia B.; Behrens, Thomas; McPherson, Merle; Mauk, Gary W.

doi:10.1016/0165-5876(94)90167-8

Cited by 110 publications

(75 citation statements)

References 19 publications

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“…White et al 23 encontraram prevalência de 5,95 para 1000 para perda auditiva neurossensorial e 20 para 1000 para perda auditiva condutiva. Watkin 24 confirmou perda auditiva numa proporção 2/1000; registrou 19 casos de perda auditiva que haviam falhado na triagem neonatal, uma proporção de 1,5/1000 crianças com perda auditiva.…”

Section: Discussionunclassified

“…Este dado é condizente com vários autores, que defendem a importância da triagem auditiva neonatal e que observaram número de falhas sempre inferior ao número de respostas presentes 10,21,15,17,18,23,24,26,27,28 .…”

Section: Discussionunclassified

“…Dado compatível com os achados de White et al 23 ; Watkin 24 ; Soares et al 26 ; Kanne et al 22 ; Vallejo et al 27 ; Cone-Wesson et al 28 ; Chapchap & Segre 6 . É importante ressaltar que o cuidado intensivo também foi observado em nossa amostra, principalmente nos componentes do grupo III.…”

Section: Discussionunclassified

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Emissão otoacústica evocada transitória: instrumento para detecção precoce de alterações auditivas em recém-nascidos a termo e pré-termo

Garcia

Isaac

Oliveira

2002

Rev. Bras. Otorrinolaringol.

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Introdução:O diagnóstico e a intervenção precoces nas alterações auditivas são de fundamental importância no desenvolvimento infantil. O registro das emissões otoacústicas tem sido largamente indicado, por ser um exame rápido, de fácil aplicação. Objetivo: Os objetivos do presente estudo foram avaliar a função auditiva periférica de recém-nascidos a termo e pré-termo adequados e pequenos para a idade gestacional, por meio da pesquisa das emissões otoacústicas transitórias, identificando a prevalência de alterações auditivas nesta população; verificar a influência das variáveis idade gestacional e peso ao nascimento, assim como de tipos de tratamento, ventilação mecânica, administração de medicamentos ototóxicos e permanência em incubadora e analisar os fatores que interferem nos programas de triagem auditiva neonatal. Forma de estudo: Clínico prospectivo. Material e método: Foram avaliadas 157 crianças, sendo 43 nascidas a termo, 79 pré-termo adequadas à idade gestacional e 35 pré-termo pequenas à idade gestacional. Resultado: Observou-se que recém-nascidos prematuros falham mais nas respostas das emissões otoacústicas. A prevalência de perda auditiva condutiva na população estudada foi de 29 orelhas para 1000 e para perda auditiva neurossensorial de 16 orelhas para 1000. As crianças de peso baixo ao nascimento foram as mais difíceis de serem avaliadas. As emissões otoacústicas transitórias foram observadas a partir de 27 semanas de idade gestacional. Os tipos de tratamentos utilizados foram fatores que influenciaram negativamente nas respostas das emissões otoacústicas nos grupos de prematuros. Conclusão: O trabalho de diagnóstico precoce da perda auditiva deve ser objetivo de equipe interdisciplinar -neonatologista, pediatra, otorrinolaringologista, fonoaudiólogo, enfermeiro e familiares -e deve ser seguido, imediatamente, por programas de intervenção precoce. There were appraised 157 children, whose 43 were born full term, 79 preterm adequate to gestacional age and 35 small preterm to gestacional age. It had been observed that premature neonates fail more in the answers from otoacoustic emissions. Cristiane Fregonesi Results:The prevalence of conductive hearing impairment in the population studied was from 29 ears to 1000 and for the sensory-neural hearing impairment from the 16 to 1000. The low weight children in the birth were the most difficult to be appraised. The transient otoacoustic emissions were observed from the beginning of 27 gestacional weeks old. The kinds of treatments used were factors that influenced negatively in the answers of the otoacoustic emissions in premature groups. Conclusion:The early diagnostic work of the hearing impairment must be objective of the interdisciplinary teamneonatologist, pediatrician, ear/nose and throat doctor, audiologist and speech-language pathologist, nurse and relatives -and must be followed, immediately, by the early interventions programs. ORIGINAL ARTICLE ARTIGO ORIGINALRev Bras Otorrinolaringol.

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Section: Discussionunclassified

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Emissão otoacústica evocada transitória: instrumento para detecção precoce de alterações auditivas em recém-nascidos a termo e pré-termo

Garcia

Isaac

Oliveira

2002

Rev. Bras. Otorrinolaringol.

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“…The stimulus stability, measured as percent pressure variation every 3 s and compared to the initial one, should be greater than 75% [15,19].…”

Section: Discussionmentioning

confidence: 99%

Transient evoked otoacoustic emissions (TEOAEs) in new-borns: normative data

Paludetti

Ottaviani

Fetoni

et al. 1999

International Journal of Pediatric Otorhinolaryngology

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Objecti6e: Early diagnosis and rehabilitation of congenital hearing loss are mandatory in order to achieve a satisfactory linguistic and cognitive development. A universal hearing screening in order to identify congenital hearing losses before 3 months of age is required. Methods: TEOAEs are an easy to perform, short lasting, not invasive and low-cost test with a high sensitivity. 320 at term new-borns (640 ears) without any risk factor for hearing loss underwent TEOAEs. The new-borns were screened 3 days after birth. Those who failed the first test were retested when possible before the discharge from the hospital. ABR was performed 3 months later in cases who failed TEOAE. Results: The median TEOAE sampling time was 98 s, the median test duration was 14 min. The mean stimulus amplitude was 80 dB peSPL in the left ear and 81 dB peSPL in the right ear, noise levels within the external meatus during sampling were 44 dB SPL on the right ear and 43 dB SPL on the left one, noise contained within the response (A-B difference) was 8.65 dB SPL in the left ear and 8.74 dB SPL in the right ear, mean TEOAEs amplitudes were 21.49 dB SPL and 21.78 dB SPL in the right and left ear respectively, the mean lower and upper limit of the spectrum being 678 and 5720 Hz. According to these criteria 494/640 ears (77.2%) passed the test at the first recording, while TEOAEs resulted to be absent in 146/640 ears (22.8%). A retest was performed successfully before the discharge from the Hospital in 30/640 ears (4.7%). An ABR recording within the third month of life was scheduled as out-patient in the 58 new-borns (116 ears, 18.2%) who failed the test. 18 of them (36 ears, 5.6%) did not complete the program, 19 new-borns (38 ears, 11.8%) showed a normal ABR, while two new-borns (four ears, 0.6%) failed ABR after 3 months. A second ABR performed after 6 months was normal. Conclusions: TEOAEs recording seems at now the test of choice for a universal hearing screening. However, a greater standardization of criteria both in performing the test and in evaluating the results is needed.

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“…Otoacoustic emissions have advantages of objectivity, noninvasiveness and specificity to record the mechanical activity of outer hair cells present in the organ of corti [2]. These characteristics have made OAE extremely useful in neonatal and school-age children screening programs [3].…”

Section: Introductionmentioning

confidence: 99%

Otoacoustic Emissions in Otitis Media with Effusion: Do They Carry any Clinical Significance?

Thakur

Chauhan

Mohindroo

et al. 2012

Indian J Otolaryngol Head Neck Surg

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Otoacoustic emissions have been advocated in the management of otitis media with effusion. However, otoacoustic emissions cannot differentiate different types of hearing loss. This study was conducted to find factor that can differentiate otitis media with effusion from other common causes of hearing loss in children. Children were enrolled in the study and divided in four groups consisting of 25 ears each after pure tone and impedance audiometry: (1) Otitis media with effusion group, (2) Normal ear group, (3) Sensory-neural hearing loss group, (4) Chronic suppurative otitis media group. Otoacoustic emissions were recorded and results were analyzed statistically. The normal hearing group had significant difference from other groups but total band reproducibility of transient evoked otoacoustic emissions did not show any statistical difference in the cases groups. In distortion product otoacoustic emissions, group 1 showed significant difference from group 3 and group 1 had significant difference from all other groups at 4 kHz. The study did not find any factor that differentiates otitis media with effusion from other diseases. Although, distortion product otoacoustic emissions can indicate otitis media with effusion but impedance audiometry should be the main tool in the management of otitis media with effusion.

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Screening all newborns for hearing loss using transient evoked otoacoustic emissions

Cited by 110 publications

References 19 publications

Emissão otoacústica evocada transitória: instrumento para detecção precoce de alterações auditivas em recém-nascidos a termo e pré-termo

Emissão otoacústica evocada transitória: instrumento para detecção precoce de alterações auditivas em recém-nascidos a termo e pré-termo

Transient evoked otoacoustic emissions (TEOAEs) in new-borns: normative data

Otoacoustic Emissions in Otitis Media with Effusion: Do They Carry any Clinical Significance?

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