Does universal newborn hearing screening impact the timing of deafness treatment?

Faistauer, Marina; Silva, Alice Lang; Dominguez, Daniela de Oliveira Ruiz; Bohn, Renata; Félix, Têmis Maria; Costa, Sady Selaimen da; Rosito, Letícia Petersen Schmidt

doi:10.1016/j.jped.2021.04.008

Cited by 3 publications

(3 citation statements)

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“…Nevertheless, the children who had passed the UNHS but were later diagnosed with HL reached the first appointment with a specialist and started treatment older than those who had failed. 18 This finding leads to two other conclusions about the results of the present study: 1) failing the UNHS should impact the early referral for specialized assistance and it is not achieving its goal; and 2) passing the UNHS should not reduce the attention of the network of children's caregivers regarding language development milestones, given the risk of progressive HL or even the possibility of auditory neuropathy, especially in children with risk factors.…”

Section: Discussionmentioning

confidence: 51%

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Functional Language in Children from a Public Cochlear Implant Program in a Developing Country

Silva,

Roberto,

Ramos

et al. 2024

Int Arch Otorhinolaryngol

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Introduction The World Health Organization (WHO) estimates that ∼ 32 million children worldwide are affected by hearing loss (HL). Cochlear implant is the first-line treatment for severe to profound sensorineural HL. It is considered one of the most successful prostheses developed to date. Objective To evaluate the oral language development of pediatric patients with prelingual deafness implanted in a reference hospital for the treatment of HL in southern Brazil. Methods We conducted a retrospective cohort study with a review of medical records of patients undergoing cochlear implant surgery between January 2009 and December 2018. Language development was assessed by reviewing consultations with speech therapy professionals from the cochlear implant group. Results A total of 152 children were included in the study. The mean age at cochlear implant surgery was of 41 months (standard deviation [SD]: ± 15). The patients were divided into six groups considering the type of language most used in their daily lives. We found that 36% of children use oral language as their primary form of communication. In a subanalysis, we observed that patients with developed or developing oral language had undergone cochlear implant surgery earlier than patients using Brazilian Sign Language (Língua Brasileira de Sinais, LIBRAS, in Portuguese) or those without developed language. Conclusion The cochlear implant is a state-of-the-art technology that enables the re-establishment of the sense of hearing and the development of oral language. However, language development is a complex process known to present a critical period to properly occur. We still see many patients receiving late diagnosis and treatment, which implies a delay and, often, the impossibility of developing oral communication. Level of Evidence Level 3 (cohort study).

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Section: Discussionmentioning

confidence: 51%

“…In a previous study performed by our group, 18 we found that the mean age at the first consultation for children referred to our specialized pediatric HL outpatient clinic was of 1.4 years. Those who had undergone UNHS were younger than those who had not.…”

Section: Discussionmentioning

confidence: 68%

Functional Language in Children from a Public Cochlear Implant Program in a Developing Country

Silva,

Roberto,

Ramos

et al. 2024

Int Arch Otorhinolaryngol

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“…But we need to get to the last decades of the last century to have, on the one hand, the diffusion of "universal newborn hearing screening", the discovery of the genetic causes of over half of congenital deafness, and on the other hand, the cochlear implants that have allowed thousands of children born deaf the development of normal speech [3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Congenital Deafness and Deaf-Mutism: A Historical Perspective

Cozza,

Di Pasquale Fiasca,

Martini

2023

Children

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Hearing loss is the most common sensory deficit and one of the most common congenital abnormalities. The estimated prevalence of moderate and severe hearing loss in a normal newborn is 0.1–0.3%, while the prevalence is 2–4% in newborns admitted to the newborn intensive care unit. Therefore, early detection and prompt treatment are of utmost importance in preventing the unwanted sequel of hearing loss on normal language development. The problem of congenital deafness is today addressed on the one hand with hearing screening at birth, on the other with the early (at around 3 months of age) application of hearing aids or, in case of lack of benefit, by the cochlear implant. Molecular genetics, antibody tests for some viruses, and diagnostic imaging have largely contributed to an effective etiological classification. A correct diagnosis and timely fitting of hearing aids or cochlear implants is useful for deaf children. The association between congenital deafness and “mutism”, with all the consequences on/the consideration that deaf mutes have had since ancient times, not only from a social point of view but also from a legislative point of view, continued until the end of the nineteenth century, with the development on one side of new methods for the rehabilitation of language and on the other of sign language. But we need to get to the last decades of the last century to have, on the one hand, the diffusion of “universal newborn hearing screening”, the discovery of the genetic causes of over half of congenital deafness, and on the other hand the cochlear implants that have allowed thousands of children born deaf the development of normal speech. Below, we will analyze the evolution of the problem between deafness and deaf-mutism over the centuries, with particular attention to the nineteenth century.

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