[Pedaudiological diagnostics in the first year of life : Clinical follow-up, risk factors, and middle ear function].

Rumstadt JW, Am Zehnhoff-Dinnesen A, Knief A, Deuster D, Matulat P, Rosslau K, Schmidt CM

Research article (journal) | Peer reviewed

Abstract

The universal neonatal hearing screening (UNHS) program demands detection of hearing loss within the first 3 months of life. Practicability and different screening methods should be evaluated. Thus, 617 patients (329 m., 288 w.) were analyzed; 246 children were referred in the UNHS, 389 with risk factors. In 459 children (74%), automated auditory brainstem response (ABR) screening in our department excluded hearing loss, thereof 129 (21%) underwent diagnostic auditory brainstem-evoked audiometry responses: 20 (16%) showed normal and 109 (84%) elevated ABR thresholds. A total of 91 children (83%) received hearing aids and 11 children (10%) treatment of middle ear effusion. Hearing loss was diagnosed in 18% of all children, 24% with UNHS referral and 34% with both referral and risk factors. Craniofacial anomalies, premature birth < 32 weeks of pregnancy, and syndromes were the most frequent risk factors. Reevaluation by ABR showed an improvement to normal hearing in 3 (of 14) children. The 226 Hz compared to 1,000 Hz-tympanometry showed different specificity (95.5 vs. 85.5%) and sensitivity (32.5 vs. 57.1%). Diagnosis within 3 months is possible, but very challenging in children with risk factors.

Details about the publication

JournalHNO
Volume60
Issue10
Page range919-26
StatusPublished
Release year2012 (31/10/2012)
Language in which the publication is writtenGerman
DOI10.1007/s00106-012-2570-6
Link to the full texthttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84867226184&origin=inward
KeywordsHörstörung; Neugeborene; Universelles Neugeborenenenhörscreening; Mittelohr; Hirnstammaudiometrie

Authors from the University of Münster

Deuster, Dirk
Department of Phoniatrics and Paedaudiology
Knief, Arne
Department of Phoniatrics and Paedaudiology
Matulat, Peter
Department of Phoniatrics and Paedaudiology
Schmidt, Claus-Michael
Department of Phoniatrics and Paedaudiology
Zehnhoff-Dinnesen, Antoinette
Department of Phoniatrics and Paedaudiology