Screening of hearing loss in neonates and infants: a hospital based prospective study

Rashmi P. Rajashekhar; Nayanna S. Karodpati; Prashant Rajashekar; Tejal Sonar

doi:10.18203/issn.2454-5929.ijohns20210968

Authors

Rashmi P. Rajashekhar Department of ENT, Dr. D. Y. Patil Medical College and Research Centre, Pimpri, Pune, Maharashtra, India
Nayanna S. Karodpati Department of ENT, Dr. D. Y. Patil Medical College and Research Centre, Pimpri, Pune, Maharashtra, India
Prashant Rajashekar Consultant Paediatrician, Chirayu Children’s Hospital, Datta Mandir Road, Wakad, Pune, Maharashtra, India
Tejal Sonar Department of ENT, Dr. D. Y. Patil Medical College and Research Centre, Pimpri, Pune, Maharashtra, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20210968

Keywords:

Oto acoustic emission, Hearing loss, High risk neonates

Abstract

Background: Approximately 12,000 new babies with hearing loss are identified every year, according to the National Institute on Deafness and other communication disorders. In addition, estimates are that another 4,000 to 6,000 infants and young children between birth and 3 years of age who passed the newborn screening test acquire late onset hearing loss. Therefore, 16,000 to 18,000 new babies and toddlers are identified with hearing loss per year making hearing loss the most common birth defect. Numerous studies over the decades have demonstrated that when hearing loss of any degree is not adequately diagnosed and treated, it can negatively affect the speech, language, academic, emotional and psychosocial development of young children. Hence, the most important aspect of managing a child with hearing loss is early identification.

Methods: The screening test was done on high risk neonates and neonates admitted in NICU for more than 48 hours from January 2018 to June 2019 for early detection of hearing loss if any.

Results: Our results showed that neonates with hyperbilirubinaemia, Low birth weight , birth asphyxia , meconium aspiration showed higher risk of hearing loss as the Oto Acoustic Emissions were absent in significant percentage of these high risk neonates and infants as compared to neonates without NICU admission.

Conclusions: Screening of high-risk neonates and infants is essential for early detection of hearing loss. Hence preventing the child from further developing profound hearing loss with loss of speech.

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Author Biography

Rashmi P. Rajashekhar, Department of ENT, Dr. D. Y. Patil Medical College and Research Centre, Pimpri, Pune, Maharashtra, India

Dept of otorhinolaryngology

Associate Professor

References

Pediatric Hearing Assessment. Anirban Biswas: Clinical Audiovestibulometry for Otologists and Neurologists. 5th ed. 2019: 200-243.

A. Fitzgeralg O’ Connor. Examination of the Ear. Scott – Brown’s Otolaryngology. 6th ed. 1997;3:1-29.

Uus K, Bamford J. Hearing loss in preschool children: Screening and Surveillance. Scott Brown’s Otorhinolaryngology and Head and Neck surgery. 7th ed. 2008;1:821-33.

Brookhouser PE, Auslander MC, Meskan ME. The pattern and stability of post meningitis Hearing loss in children. Laryngoscope. 1988;98(9):940-8.

Dodds A, Tyszkiewicz, Ramsden R. Cochlear implantation after bacterial meningitis: the dangers of delay. Archi of disease in childhood. 1997;76:139-40.

Pooya A, Rosin D. Hearing impairment after bacterial and aseptic meningitis in children. Journal of Paediatric Neurology. 2008; 6(1):31-5.

Richardson MP, Williamson TJ, Reid A, Tarlow MJ, Rudd PT. Otoacoustic Emissions as a screening test for hearing impairment in children recovering from acute bacterial meningitis. Pediatrics. 1998;102(6):1364-8.

Carol F, Jane R. Why hearing is important in children. Anirban Biswas: Clinical Audiovestibulometry for Otologists and Neurologists. 5th ed. 2019: 1-8.

Boskabad H, Zakerihamidi M, Moradi A, Bakhshaee M. Iran J Otorhinolaryngol. 2018;30(99):195-202.

Olusanya BO, Somefun AO. International Child Health. Annals of Tropical Paediatrics. 2009;29 :119-128.

Pawar R, Shivananda I, Sudhindrashayana FR. A study on prevalence of hearing impairment in newborns with birth asphyxia admitted to neonatal intensive care unit.2020.

Konkle DF, Knightly CA. Delayed-onset hearing loss in respiratory distress syndrome: case reports. J Am Acad Audiol 1993;4(6):351-4.

Keihani-Doust Z, Tabrizi A, Amini E, Sedaghat M, Ghahremani AA, Shariat M, Kavyani Z. Risk Factors for Hearing Loss and Its Prevalence in Neonates Older than 6 Months with History of Hospitalization in Intensive Care Unit. Iran J Child Neurol. Autumn. 2018;12(4):153-61.

Brookhouser PE, Auslander MC, Meskan ME. The pattern and stability of post meningitis Hearing loss in children. Laryngoscope. 1988;98(9):940-8.

Cross CP, Liao S, Urdang ZD, Srikanth P, Garinis AC, Steyger PS. Effect of sepsis and systemic inflammatory response syndrome on neonatal hearing screening outcomes following gentamicin exposure. Int J Pediatr Otorhinolaryngol. 2015;79(11):1915-9.