Newborn hearing screening results in an inner part of Aegean region

Abstract

Objective: To investigate hearing loss ratio of babies screened at our university hospital which is reference hospital in Kütahya, Turkey. Methods: A total number of 6881 newborns were screened for hearing between February 2010 and December 2013 in our hospital. Screening was done before newborns discharged. The parents of the newborns discharged during holidays were asked to come within 15 days. A three-stage screening protocol was implemented consisting of an initial screening with transient evoked otoacoustic emissions (TEOAE) followed by a second-stage screening also with TEOAE and screening auditory brainstem response (ABR). Babies who had unilateral or bilateral referrals with TEOAE and screening ABR were referred to other clinics which have clinical ABR. Babies were divided into 2 groups by means of having risk factors and not having risk factors. Results: Out of 6881 newborns, 33 (0.47%) of them had hearing loss consisting of 21 (0.3%) patients had bilateral hearing loss and 12 (0.17%) patients had unilateral hearing loss. Conclusion: Newborn hearing screening tests should be done throughout the country and the babies with hearing loss should be identified before permanent damages occur so that these patients can be productive people for society.

Keywords

• Hearing loss, otoacoustic emission, auditory brainstem response, newborn

İç Ege Bölgesi'ndeki yenidoğan işitme tarama testi sonuçları

Öz

Amaç: Çalışmamızın amacı Türkiye'nin Kütahya ilinde referans hastanesi olan üniversite hastanemizde bebeklerdeki işitme kaybı oranını araştırmaktır. Yöntem: Hastanemizde Şubat 2010 ile Aralık 2013 tarihleri arasında 6881 yenidoğan, tarama testlerinden geçirilmiştir. Tarama testleri bebekler taburcu edilmeden yapılmış ve 15 gün içinde bebeklerin yeniden getirilmeleri söylenmiştir. Bebekler tatilde iken taburcu edilmişlerse 15 gün içinde getirilmeleri söylenmiştir. Başlangıçta geçici olarak uyarılmış otoakustik emisyonlar (TEOAE) daha sonra ikinci evrede TEOAE ile işitsel beyinsapı yanıt (ABR) testlerinden ibaret üç aşamalı bir tarama protokolü uygulanmıştır. TEOAE ve ABR tarama tesleriyle tek veya çift taraflı işitme kayıpları olan bebekler klinik ABR olanağı bulunan başka kliniklere yollanmıştır. Bebekler risk faktörleri olanlar ve olmayanlar olmak üzere iki gruba ayrılmıştır. Bulgular: Toplam 6681 yenidoğanın 33'ünde (%0.47) işitme kaybı mevcuttu. İşitme kayıpları çift (n=12; %0.3) veya tek (n=12; %0.17) taraflı idi. Sonuç: Yenidoğanlarda işitme tarama testleri yurt çapında yapılmalı, bu hastaların toplum için üretken olabilmeleri amacıyla kalıcı hasarlar oluşmadan önce saptanmalıdır.

Anahtar Kelimeler

• İşitme kaybı, otoakustik emisyon, işitsel beyinsapı yanıtı, yenidoğan

Kaynakça

1. Korres S, Balatsouras DG, Vlachou S, Kastanioudakis IG, Ziavra NV, Ferekidis E. Overcoming difficulties in implementing a uni- versal newborn hearing screening program Turk J Pediatr 2005; 47:203–12.
2. Walch C, Anderhuber W, Köle W, Berghold A. Bilateral sen- sorineural hearing disorders in children: etiology of deafness and evaluation of hearing tests, Int J Pediatr Otorhinolaryngol 2000; 53:31–8.
3. Calderon R, Naidu S. Further support of the benefits of early identification and intervention with children with hearing loss. Volta Rev 2000;100:53–84.
4. Moeller MP. Early intervention and language development in children who are deaf and hard of hearing, Pediatrics 2000;106: 1–9.
5. Hess M, Finckh-Krämer U, Bartsch M, Kewitz G, Versmold H, Gross M. Hearing screening in at-risk neonatecohort. Int J Pediatr Otorhinolaryngol 1998;46:81–9.
6. Kemp DT, Ryan S, Bray P. A guide to effective use of otoacoustic emissions. Ear Hear 1990;11:93–105.
7. White KR, Vohr BR, Behren TR. Universal newborn hearing screening using transient evoked otoacoustic emissions: results of Rhode Island Hearing Assessment Project. Semin Hear 1993;14: 18–29.
8. Kountakis SE, Psifidis A, Chang CJ, Stiernberg CM. Risk factors associated with hearing loss in neonates. Am J Otolaryngol 1997: 18;90–3.

9. Yoon PJ, Price M, Gallagher K, Fleisher BE, Messner AH. The need for long-term audiologic follow-up of neonatal intensive care unit (NICU) graduates. Int J Pediatr Otorhinolaryngol 2003:67; 353–7.
10. Kountakis SE, Skoulas I, Phillips D, Chang CY. Risk factors for hearing loss in neonates: a prospective study. Am J Otolaryngol 2002;23:133–7.
11. American Academy of Pediatrics. Task Force on Newborn and Infant Hearing. Newborn and infant hearing loss: detection and intervention. Pediatrics 1999;103:527–30.
12. Thornton AR, Kimm L, Kennedy CR. Methodological factors involved in neonatal screening using transientevoked otoacoustic emissions and automated auditory brainstem response testing. Hear Res 2003;182:65–76.
13. Lin CY, Huang CY, Lin CY, Lin YH, Wu JL. Community based newborn hearing screening program in Taiwan. Int J Pediatr Otorhinolaryngol 2004;68:185–9.
14. Paludetti G, Ottaviani F, Fetoni AR, Zuppa AA, Tortorolo G. Transient evoked otoacoustic emissions (TEOAEs) in newborns: normative data. Int J Pediatr Otorhinolaryngol 1999;47:235–41.
15. Kemp DT, Ryan S, Bray P. A guide to effective use of otoacoustic emissions. Ear Hear 1990;11:93–105.
16. Hahn M, Lamprecht-Dinnesen A, Heinecke A, et al. Hearing screening in healthy newborns: feasibility of different methods with regard to test time. Int J Pediatr Otorhinolaryngol 1999;51: 83–9.
17. Kennedy CR, Kimm L, Dees DC, et al. Otoacoustic emissions and auditory brainstem responses in the newborn. Arch Dis Child 1991;66:1124–9.
18. Hatzopoulos S, Pelosi G, Petruccelli J, et al. Efficient otoacoustic emission protocols employed in a hospitalbased neonatal screen- ing program. Acta Otolaryngol 2001;121:269–73.
19. Jakubikova J, Kabatova Z, Zavodna M. Identification of hearing loss in newborns by transient otoacoustic emissions. Int J Pediatr Otorhinolaryngol 2003;67:15–8.
20. Cox LC, Toro MR. Evolution of a universal infant hearing screening program in an inner city hospital. Int J Pediatr Otorhinolaryngol 2001;59:99–104.
21. Szyfter W, Wróbel M, Radziszewska-Konopka M, Szyfter-Harris J, Karlik M. Polish universal neonatal hearing screening program- 4-year experience (2003–2006). Int J Pediatr Otorhinolaryngol 2008;72:1783–7.
22. Kayıran SM, Genç E, Erdil A, Gürakan BA. Results of American Hospital newborn hearing screening program. [Article in Turkish] Türk Pediatri Arflivi 2009;44:135–7.
23. Genç GA, Baflar F, Kayıkçı ME, et al. Newborn hearing screening outcomes in Hacettepe University. [Article in Turkish] Çocuk Sa¤lı¤ı ve Hastalıkları Dergisi 2005;48:119–24.
24. Tatli MM, Serbetcioglu MB, Duman N, et al. Feasibility of neonatal hearing screening program with two-stage transient otoacoustic emissions in Turkey. Pediatr Int 2007;49:161–6.
25. Kucur C, Kınıfl V, Özdem Ş, Kucur SK. Newborn hearing screen- ing results at Zeynep Kamil Women and Children Diseases Education and Research Hospital. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2012;22:38–42.
26. Martin WH, Schwegler JW, Gleeson AL, Shi YB. New tech- niques of hearing assessment. Otolaryngol Clin North Am 1994; 27:487–510.
27. Center for disease control and prevention (CDC). Serious hearing impairment among children aged 3–10 years. Atlanta, Georgia, 1991–1993. MMWR Morb Mortal Wkly Rep 1997;46:1073–6.
28. Yoshinaga-Itano C, Sedey AL, Coulter DK, Mehl AL. Language of early- and later-identified children with hearing loss. Pediatrics 1998;102:1161–71.
29. This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported (CC BY
30. NC-ND0) Licence (http://creativecommons.org/licenses/by-nc-nd/3.0/) which permits unrestricted noncommercial use, distribution, and reproduc
31. tion in any medium, provided the original work is properly cited.
32. Please cite this article as: Özbay ‹, Kucur C, O¤han F, Aksoy S, Erdo¤an O, Karakufl YT. Newborn hearing screening results in an inner part of Aegean
33. region. J Med Updates 2014;4(3):105–109.