Early hearning screening by otoacoustic emissions and auditory brain stem response in nabeul

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Asma Bouaziz Abed
Hamida Saad
Rafiaa Mustpha
Mouna Chiha
Sana Ben Gamra

Abstract

Background: Hearing loss is the most common congenital abnormality with a reported prevalence of 1 to 3 ‰ live births. Early detection and intervention is critical to prevent the adverse consequences of a delayed diagnosis on speech language and cognitive development.
aim: study the frequency of deafness in the newborns and the infants under 6 months followed in Tlatli Hospital in Nabeul and to search for correlations with risk factors identified by the Joint Committee on Infant Screening.
methods : 397 children aged between 04 days and 5 months with deafness risks are tested on two-stage strategy of evoked otoacoustic emissions (EOAE) and auditory brain stem response (ABR).
results: EOAE test is positif in 9,32 % of cases (37 children) and the ABR test is positif at 7 of these ; that is 1,76 % of cases. Significant statistic correlations were found with the antecedent of bacterial meningitis (p=0,001) and trisomy 21 (p=0,018). Unfortunately 40 % of the children were lost to follow-up.
Conclusion: EOAE with ABR provide an excellent procosis screening technique of hearing loss. Such screening implies however the creation of networks to assure patient follow up.

Keywords:

Hearing loss, otoacoustic emissions, risk factors, new born.

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References

  1. Thompson DC, MC Phillips H, Davis Robert L, Lieu TA, Homer CJ, Helfand M. Universal Newborn Hearing Screening. Jama 2001 ; 286:2000- 10.
  2. JakubikoVa J, Kabatova Z, Pavlovcinovar G, Profant M. Newborn hearing screening and strategy for early detection of hearing loss in infants. Int J Pediatr Otorhinolaryngol 2009; 73: 607-12.
  3. De Capua B, Costantini D, Martufi C, Latini G, Gentile M, De Felice C. Universal neonatal heaaring screening : the siena (Italy) experience on 19700 newborns. Early hum Develop 2007 ; 83 : 601-6.
  4. Kemp DT. Otoacoustic emissions, their origin in cochlear function and use. British Med Bull 2002; 63 : 236-41.
  5. Ayache S, Kolski C, Stramandinoli E, Leke A, Krim G, Strunski V. Dépistage de la surdité néonatale par la technique des otoémissions acoustiques provoquées. Ann Otolaryngol Chir Cervicofac 2001 ; 118: 89- 94.
  6. Habib HS, Abdelghaffar H. Neonatal hearing screening with transient evoked otoacoustic emissions in western Saudi Arabia. Int Pediatr otorhinolaryngol 2005 ; 69 : 839-42.
  7. Nelson HD, Bougatsos C, Nygren P. Universal newborn hearing screening : systematic review to update the 2001 US preventive services task force. Pediatrics 2008;122 :e266-76.
  8. Johnson JL, White KR, Widen JE et al. A multisite study to examine the efficacy of the otoacoustic emission /automated autitory brainstem response newborn hearing screening protocol : introduction and overview of the study. Am J Audio 2005, 14 : S178-85.
  9. Johnson JL, White KR, Widen JE et al. A multicenter evaluation of how many infants with permanent hearing loss pass a two-stages otoacoustic emissions/automated auditory brainstem reponse newborn hearing screening protocol. Pediatrics 2005,116 : 663 - 72.
  10. Ohl C, Dornier L, Czajka, chobaut JC, Tevernier L. Newborn hearing screening on infants at risk. Int.J.Pediatr otorhinolaryngol 2009 ; 73 : 1691 - 5.
  11. Kirkim G, Serbetcioglu B, Erdag T.K, Ceryan K. The frequency of audiotory neuropathy detected by universal newborn hearing screening program. Int.J Pediatr otorhinolaryngol 2008 ; 72 : 1461-9.
  12. Roth DA, Hildesheimer M, Maayan - Mezger A et al.Low prevalence of hearing impairment among very low birth weight infants as detected by universal neonatal hearing screening. Arch Dis child 2006 ; 91 : F 257 - 2 .
  13. Biernath KR, Montero DP, Mehl A, Toomey K. Universal newborn hearing screening and beyond. Am Fam physician 2010 ; 81 : 124 - 6.
  14. Moulin A, Ferber -Viart C, Berland M, Dubrevil C, Duclaux R. Dépistage systématique de la surdité en maternité par oto-émissions accoustiques provoquées : aspects pratiques et attitudes parentales .Arch Pediatr 2001 ; 8 : 929 - 36.
  15. Mom T. Les otoémissions en pratique clinique et chirurgicale . Ann otolaryngol Chir cervicofac 2007 ; 124 : 80 - 9.
  16. Van Den Abbeele T, Noel - Petroff N, Viala P, Frachet B, Narcy P. L'implant cochléaire induit une maturation des voies auditives chez l'enfant sourd congénital. Ann otolaryngol chir cervicofac 2002 ; 119 : 105 - 6.
  17. US preventive services task force. Universal Screening for hearing loss in newborns: recommendation statement. Pediatrics 2008; 122 : 143-8.
  18. Agence nationale d'accréditation et d'évaluation en santé. Evaluation clinique et économique du dépistage néonatal de la surdité permanente par les otoémissions acoustiques. Rapport, 1999.
  19. Le Driant B, Vandrome L, Kolski C, Strunski V. Dépistage de la surdité néonatale permanente : quelles conséquences sur la mise en place des interactions précoces mère-bébé. Neuropsy Enf adol 2006 ; 54 : 315 -20.