Hearing Screening Protocols of Babies with Hearing Loss Risk Factors in Turkey

Objectives: Undetected congenital hearing loss negatively affects the development of childʼs speech, language, social and cognitive skills. Children who are identified early as having hearing loss and receive intensive early intervention perform better. In our study the objective was to compare hearing screening protocols for infants who has risk factors for hearing loss. Materials and Methods: In this study, infants who have risk factors for hearing loss, hospitalized in Hacettepe University Newborn Intensive Care Unit, included regarding the criteria issued by Joint Committee on Infant Hearing Position Statement 2007. Control group was comprised infants born in Hacettepe University and not having those risk factors for hearing loss. A hundred infants in each group, totally 200 (400 ears) were screened by three different protocols. First protocol used Transient Evoked Otoacoustic Emission, second protocol used Automated Auditory Brainstem Response and the third protocol used two tools in combination. Tympanometric assessment was done by multi frequency tympanometry in each protocol. Results: Following the statistical comparison of protocols, it has been found that the 1st and 2nd protocols and also the 1st and 3rd protocols cannot be used in place of the other while the 2nd and 3rd protocols can be used in place of one another (p<0,05). Conclusion: It is more effective to use the 3rd protocol which consists of Transient Evoked Otoacoustic Emissions, Automated Auditory Brainstem Response in combination and tympanometric measurements.

[1]  Jane Sutherland,et al.  Parent and Professional Perspectives on the Western Australian Infant Hearing Screening Program. , 2008 .

[2]  L. Hunter,et al.  Otoacoustic Emissions and Tympanometry Screening Among 0–5 Year Olds , 2002, The Laryngoscope.

[3]  Evaluation of the Natus ALGO 3 Newborn Hearing Screener. , 2004, Journal of obstetric, gynecologic, and neonatal nursing : JOGNN.

[4]  E. Özek,et al.  Auditory neuropathy in hyperbilirubinemia: is there a correlation between serum bilirubin, neuron-specific enolase levels and auditory neuropathy? , 2004, International journal of audiology.

[5]  D. Walker,et al.  Congenital syphilis: a continuing but neglected problem. , 2007, Seminars in fetal & neonatal medicine.

[6]  M. Helfand,et al.  Universal newborn hearing screening: summary of evidence. , 2001, JAMA.

[7]  J. Jakubíková,et al.  Identification of hearing loss in newborns by transient otoacoustic emissions. , 2003, International journal of pediatric otorhinolaryngology.

[8]  A. M. Tharpe,et al.  Amplification Considerations for Children With Minimal or Mild Bilateral Hearing Loss and Unilateral Hearing Loss , 2008, Trends in amplification.

[9]  D. Hayes.  Screening methods: current status. , 2003, Mental retardation and developmental disabilities research reviews.

[10]  P. Gleadle,et al.  Tympanometry and otoacoustic emissions in a cohort of special care neonates. , 1996, British journal of audiology.

[11]  K. Evans,et al.  Outcome of Newborn Hearing Screening Programme delivered by health visitors. , 2008, Child: care, health and development.

[12]  Y. Sininger.  Audiologic assessment in infants , 2003, Current opinion in otolaryngology & head and neck surgery.

[13]  J. Attias,et al.  Auditory neuropathy: clinical characteristics and therapeutic approach. , 2007, American journal of otolaryngology.

[14]  D T Kemp,et al.  A Guide to the Effective Use of Otoacoustic Emissions , 1990, Ear and hearing.

[15]  K. White.  The current status of EHDI programs in the United States. , 2003, Mental retardation and developmental disabilities research reviews.

[16]  S. Lim,et al.  Auditory neuropathy/auditory dys-synchrony detected by universal newborn hearing screening. , 2006, International journal of pediatric otorhinolaryngology.

[17]  J. Guyot,et al.  Benefits and costs of universal hearing screening programme. , 2007, International journal of pediatric otorhinolaryngology.

[18]  K. Gracey.  CURRENT CONCEPTS IN UNIVERSAL NEWBORN HEARING SCREENING AND EARLY HEARING DETECTION AND INTERVENTION PROGRAMS , 2003, Advances in neonatal care : official journal of the National Association of Neonatal Nurses.

[19]  HLM Straaten,et al.  Automated auditory brainstem response in neonatal hearing screening , 1999 .

[20]  C. De Felice,et al.  Newborn hearing screening by transient evoked otoacoustic emissions: analysis of response as a function of risk factors. , 2003, Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale.

[21]  J. Kei,et al.  High-frequency (1000 Hz) tympanometry in normal neonates. , 2003, Journal of the American Academy of Audiology.

[22]  Gisele M L Lima,et al.  Hearing screening in a neonatal intensive care unit. , 2006, Jornal de pediatria.

[23]  B. Prieve,et al.  The New York State Universal Newborn Hearing Screening Demonstration Project: Introduction and Overview , 2000, Ear and hearing.

[24]  J. Hearing.  Year 2007 position statement: Principles and guidelines for early hearing detection and intervention programs. , 2000, Pediatrics.

[25]  G. Kırkım,et al.  The frequency of auditory neuropathy detected by universal newborn hearing screening program. , 2008, International journal of pediatric otorhinolaryngology.

[26]  J. Lieu,et al.  Hearing screening in the neonatal intensive care unit: follow-up of referrals. , 2006, American journal of audiology.