Newborn hearing screening results
Öz
Aim: Bilateral hearing loss is not a major cause of morbidity
for individuals when it is diagnosed early. Today, the expansion
of newborn hearing screening
protocols enabled more hearing loss diagnosis and early treatment. In this article we aim to offer
our hearing screening results of newborns between December 2013 and December 2015.
Material and methods: In our study
between December 2013
and December 2015, newborn hearing screening results of Kirikkale University Faculty of Medicine Hospital, Department of Otolaryngology, Audiology
Unit were analyzed ret- rospectively. In addition, risk factors that may cause hearing loss were investigated. Infants with risk factors was directly screened with
Auditory Brainstem Response (ABR).
Newborns without risk factors were screened with Transient
Evoked Otoacoustic Emissions (TEOAE).
Results:
A total of 2700 newborn
hearing screening was performed. The number of babies underwent ABR test directly was 762 (28.22%).
In 37 of these infants (4.85%) sensorineural hearing loss was detected. Among 1938 newborn without any risk
factors, 1107 (57.12%)
infants did not pass the first TEOAE and ABR test and 496 (25.29%) of them did not pass the second
TEOAE and ABR test. At the end of one month, all 1938 infants without risk factors passed the screening. Family history of hearing
loss was found to be the most common risk factors with a rate of 38.23%.
Conclusion: Screening program
should start with TEOAE within the first three days after birth.
Infants at risk
for
hearing
loss
must be determined
by history
and
are required
to
be subjected
to ABR
test
directly.
We believe
that it
is important
to inform
the
family
and
send
the
babies
who
do not
pass
the
test
to the
correct
centers.
Anahtar Kelimeler
Hearing loss hearing screening newborn otoacoustic emission auditory brain stem risk factor
Kaynakça
- 1. Hahn M, Lamprecht-Dinnesen A, Heinecke A, Hartmann S, Bülbül S, Schröder G, Steinhard J, Louwen F, Seifert E. Hearing screening in healthy newborns: feasibility of different methods with regard to test time. Int J Pediatr Otorhinolaryngol 1999;5:51:83-9. 2. Kennedy CR, McCann DC, Campbell MJ, Law CM, Mullee M, Petrou S, Watkin P, Worsfold S, Yuen HM, Stevenson J. Language ability after early detection of permanent childhood hearing impairment, N. Engl. J. Med. 2006;354(20):2131-41. 3. Thompson DC1, McPhillips H, Davis RL, Lieu TL, Homer CJ, Helfand M. Universal newborn hearing screening: summary of evidence. JAMA. 2001;286(16):2000-10. 4. Rosenfeld RM, Shin JJ, Schwartz SR, Coggins R, Gagnon L, Hackell JM, Hoelting D, Hunter LL, Kummer AW, Payne SC, Poe DS, Veling M, Vila PM, Walsh SA, Corrigan MD. Clinical Practice Guideline: Otitis Media with Effusion (Update). Otolaryngol Head Neck Surg. 2016 Feb;154(1 Suppl):S1-S41. doi: 10.1177/0194599815623467. 5. Niedzielski A, Humeniuk E, Błaziak P, Gwizda G. Intellectual efficiency of children with unilateral hearing loss. Int J Pediatr Otorhinolaryngol. 2006 Sep;70(9):1529-32. 6. Purcell PL, Shinn JR, Davis GE, Sie KC. Children with unilateral hearing loss may have lower intelligence quotient scores: A meta-analysis. Laryngoscope. 2016 Mar;126(3):746-54. doi: 10.1002/lary.25524. 7. Kennedy CR. Neonatal screening for hearing impairment. Arch Dis Child. 2000;83(5):377–82. 8. American Academy of Pediatrics. Joint Committee on infant hearing 1994 position statement. 9. Mehl AL, Thomson V. The Colorado newborn hearing screening project, 1992-1999: on the threshold of effective population-based universal newborn hearing screening. Pediatrics. 2002 Jan;109(1):E7. 10. Thompson DC1, McPhillips H, Davis RL, Lieu TL, Homer CJ, Helfand M. Universal newborn hearing screening: summary of evidence. JAMA. 2001;286(16):2000-10. 11. Doyle KJ, Burggraaff B, Fujikawa S, Kim J. Newborn hearing screening by otoacoustic emissions and automated auditory brainstem response. Int J Pediatr Otorhinolaryngol 1997;41:111-9. 12. Genç GA, Ertürk BB, Belgin E. Yenidoğan işitme taraması: başlangıçtan günümüze. Çocuk Sağlığı ve Hastalıkları Dergisi. 2005;48:109-18. 13. Türkiye Özürlüler Arastırması-2002. Devlet İstatistik Enstitüsü Matbaası. Ankara, 2004. (www.ozida.gov.tr) 14. Başbakanlık Özürlüler İdaresi Başk. Web – Ulusal İşitme Taraması. (www.ozida.gov.tr) 15. American Academy of Pediatrics. Task Force on Newborn and Infant Hearing. Newborn and Infant Hearing Loss: Detection and Intervention. Pediatrics 1999;103:527-530. 16. Alaee E, Sirati M, Taziki MH, Fouladinejad M. Risk Factors for Sensorineural Hearing Loss Among High-Risk Infants in Golestan Province, Iran in 2010 - 2011. Iran Red Crescent Med J. 2015;17(12):e20419. eCollection 2015. 17. Molini E, Calzolaro L, Lapenna R, Ricci G. Universal newborn hearing screening in Umbria region, Italy. Int J Pediatr Otorhinolaryngol. 2016;82:92-7. 18. Driscoll C, Beswick R, Doherty E, D'Silva R, Cross A. The validity of family history as a risk factor in pediatric hearing loss. Int J Pediatr Otorhinolaryngol. 2015;79(5):654-9. 19. Shahid R, Vigilante M, Deyro H, Reyes I, Gonzalez B, Kliethermes S. Risk Factors for Failed Newborn Otoacoustic Emissions Hearing Screen. Clin Pediatr (Phila). 2015. pii: 0009922815615826. [Epub ahead of print]. 20. Kemp DT. Otoacoustic emissions, their origin in cochlear function, and use. Br Med Bull. 2002;63:223–41. 21. Geal-Dor M, Adelman C, Levi H, Zentner G, Stein-Zamir C. Comparison of two hearing screening programs in the same population: oto-acoustic emissions (OAE) screening in newborns and behavioral screening when infants. Int J Pediatr Otorhinolaryngol. 2010;74(12):1351-1355. 22. Kennedy CR, Kimm L, Dees DC, Evans PI, Hunter M, Lenton S, Thornton RD. Otoacustic emissions and auditory brainstem response in the newborn. Arch Dis Child 1991;66(10):1124-1129.
Yenidoğan işitme taraması sonuçlarımız
Öz
Amaç: Bilateral işitme kaybı,
erken teşhis edildiğinde birey için önemli bir morbidite nedeni olmaktan çıkan
bir durumdur. Günümüzde yenidoğan işitme taraması protokollerinin
yaygınlaşması; daha çok işitme kaybı tanısının koyulmasına ve erken tedavi
uygulamalarına olanak sağlamıştır. Bu yazıda Aralık 2013 ile Aralık 2015
tarihleri arasındaki yenidoğan işitme taraması sonuçlarımızı sunmayı amaçladık.
Gereç ve Yöntemler: Çalışmamızda
Aralık 2013 ile Aralık 2015 tarihleri arasında Kırıkkale Üniversitesi Tıp Fa-
kültesi Hastanesi Kulak Burun Boğaz Anabilim Dalı Odyoloji Ünitesinde yenidoğan
işitme taraması sonuçları ret- rospektif olarak incelendi. Ek olarak işitme
kaybına neden olabilecek risk faktörleri araştırıldı. Risk faktörü olan
bebekler direk olarak işitsel beyin sapı cevabı (ABR) ile tarandı. Risk faktörü
bulunmayan yenidoğanlar geçici uyarılmış otoakustik emisyon (TEOAE) ile
tarandı.
Bulgular: Toplam 2700 yenidoğan
işitme taraması yapıldı. Direk ABR testi uygulanan bebek sayısı 762 (%28.22)
idi. Bu bebeklerin 37’sinde (%4.85) sensorinöral işitme kaybı tespit edildi.
Risk faktörü bulunmayan 1938 yenido- ğan arasından birinci TEOAE ve ABR
testinden 1107 (%57.12) bebek kalırken, ikinci TEOAE ve ABR testinden 496
(%25.59) bebek kaldı. Bir aylık süre sonunda risk faktörü bulunmayan 1938
bebeğin hepsi taramadan geçti. Ailede işitme kaybı öyküsü, %38.23 oran ile en
sık rastlanan risk faktörü olarak bulundu.
Sonuç: Doğumdan sonraki ilk üç
gün içinde TEOAE testi ile tarama programı başlamalıdır. İşitme kaybı açısından
riskli bebeklerin anamnez ile tespit edilip, direk ABR testine tabi tutulması
gereklidir. Bu konuda ailelerin bilgilen- dirilmesi ve testten kalan bebeklerin
doğru merkezlere yönlendirilmesinin önemli olduğunu düşünmekteyiz.
Anahtar Kelimeler
İşitme kaybı işime taraması yenidoğan otoakustik emisyon işitsel beyin sapı risk faktörü
Kaynakça
- 1. Hahn M, Lamprecht-Dinnesen A, Heinecke A, Hartmann S, Bülbül S, Schröder G, Steinhard J, Louwen F, Seifert E. Hearing screening in healthy newborns: feasibility of different methods with regard to test time. Int J Pediatr Otorhinolaryngol 1999;5:51:83-9. 2. Kennedy CR, McCann DC, Campbell MJ, Law CM, Mullee M, Petrou S, Watkin P, Worsfold S, Yuen HM, Stevenson J. Language ability after early detection of permanent childhood hearing impairment, N. Engl. J. Med. 2006;354(20):2131-41. 3. Thompson DC1, McPhillips H, Davis RL, Lieu TL, Homer CJ, Helfand M. Universal newborn hearing screening: summary of evidence. JAMA. 2001;286(16):2000-10. 4. Rosenfeld RM, Shin JJ, Schwartz SR, Coggins R, Gagnon L, Hackell JM, Hoelting D, Hunter LL, Kummer AW, Payne SC, Poe DS, Veling M, Vila PM, Walsh SA, Corrigan MD. Clinical Practice Guideline: Otitis Media with Effusion (Update). Otolaryngol Head Neck Surg. 2016 Feb;154(1 Suppl):S1-S41. doi: 10.1177/0194599815623467. 5. Niedzielski A, Humeniuk E, Błaziak P, Gwizda G. Intellectual efficiency of children with unilateral hearing loss. Int J Pediatr Otorhinolaryngol. 2006 Sep;70(9):1529-32. 6. Purcell PL, Shinn JR, Davis GE, Sie KC. Children with unilateral hearing loss may have lower intelligence quotient scores: A meta-analysis. Laryngoscope. 2016 Mar;126(3):746-54. doi: 10.1002/lary.25524. 7. Kennedy CR. Neonatal screening for hearing impairment. Arch Dis Child. 2000;83(5):377–82. 8. American Academy of Pediatrics. Joint Committee on infant hearing 1994 position statement. 9. Mehl AL, Thomson V. The Colorado newborn hearing screening project, 1992-1999: on the threshold of effective population-based universal newborn hearing screening. Pediatrics. 2002 Jan;109(1):E7. 10. Thompson DC1, McPhillips H, Davis RL, Lieu TL, Homer CJ, Helfand M. Universal newborn hearing screening: summary of evidence. JAMA. 2001;286(16):2000-10. 11. Doyle KJ, Burggraaff B, Fujikawa S, Kim J. Newborn hearing screening by otoacoustic emissions and automated auditory brainstem response. Int J Pediatr Otorhinolaryngol 1997;41:111-9. 12. Genç GA, Ertürk BB, Belgin E. Yenidoğan işitme taraması: başlangıçtan günümüze. Çocuk Sağlığı ve Hastalıkları Dergisi. 2005;48:109-18. 13. Türkiye Özürlüler Arastırması-2002. Devlet İstatistik Enstitüsü Matbaası. Ankara, 2004. (www.ozida.gov.tr) 14. Başbakanlık Özürlüler İdaresi Başk. Web – Ulusal İşitme Taraması. (www.ozida.gov.tr) 15. American Academy of Pediatrics. Task Force on Newborn and Infant Hearing. Newborn and Infant Hearing Loss: Detection and Intervention. Pediatrics 1999;103:527-530. 16. Alaee E, Sirati M, Taziki MH, Fouladinejad M. Risk Factors for Sensorineural Hearing Loss Among High-Risk Infants in Golestan Province, Iran in 2010 - 2011. Iran Red Crescent Med J. 2015;17(12):e20419. eCollection 2015. 17. Molini E, Calzolaro L, Lapenna R, Ricci G. Universal newborn hearing screening in Umbria region, Italy. Int J Pediatr Otorhinolaryngol. 2016;82:92-7. 18. Driscoll C, Beswick R, Doherty E, D'Silva R, Cross A. The validity of family history as a risk factor in pediatric hearing loss. Int J Pediatr Otorhinolaryngol. 2015;79(5):654-9. 19. Shahid R, Vigilante M, Deyro H, Reyes I, Gonzalez B, Kliethermes S. Risk Factors for Failed Newborn Otoacoustic Emissions Hearing Screen. Clin Pediatr (Phila). 2015. pii: 0009922815615826. [Epub ahead of print]. 20. Kemp DT. Otoacoustic emissions, their origin in cochlear function, and use. Br Med Bull. 2002;63:223–41. 21. Geal-Dor M, Adelman C, Levi H, Zentner G, Stein-Zamir C. Comparison of two hearing screening programs in the same population: oto-acoustic emissions (OAE) screening in newborns and behavioral screening when infants. Int J Pediatr Otorhinolaryngol. 2010;74(12):1351-1355. 22. Kennedy CR, Kimm L, Dees DC, Evans PI, Hunter M, Lenton S, Thornton RD. Otoacustic emissions and auditory brainstem response in the newborn. Arch Dis Child 1991;66(10):1124-1129.
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