Early Detection of Hearing Loss in Children With Cleft Palates by Brain-Stem Auditory Response

Hélias, J; Chobaut, J.-C.; Mourot, Michel; Lafon, Jean-Claude

doi:10.1001/archotol.1988.01860140052020

Cited by 14 publications

(6 citation statements)

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“…32 The percentage of infants with CL/P who did not pass the UNHS is comparable with other studies. [33][34][35] The percentage of infants with hearing loss was at the lower end of reported ranges in other studies (20% to 60%). [7][8][9][10][11]20 There are several possible reasons that could explain this.…”

Section: Diagnosis Of Hearing Lossmentioning

confidence: 65%

Hearing Loss in Newborns with Cleft Lip and/or Palate

Tan

Hee

Yeoh

et al. 2014

Ann Acad Med Singap

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Introduction: This study aims to review the results of hearing screens in newborns with cleft deformities. Materials and Methods: A retrospective audit of 123 newborns with cleft deformities, born between 1 April 2002 and 1 December 2008, was conducted. Data on the results of universal newborn hearing screens (UNHS) and high-risk hearing screens, age at diagnosis, severity/type of hearing loss and mode of intervention were obtained from a prospectively maintained hearing database. Results: Thirty-one of 123 newborns (25.2%) failed the first automated auditory brainstem response (AABR). Seventy percent of infants (56 out of 80) who passed the UNHS failed the high-risk hearing screens which was conducted at 3 to 6 months of age. Otolaryngology referral rate was 67.5% (83/123); 90.3% of 31 newborns who failed the first AABR eventually required otolaryngology referrals. Incidence of hearing loss was 24.4% (30/123; 25 conductive, 2 mixed and 3 sensorineural), significantly higher than the hospital incidence of 0.3% (OR: 124.9, 95% CI, 81.1 to 192.4, P <0.01). In terms of severity, 8 were mild, 15 moderate, 5 severe, 2 profound. Eighteen out of 30 infants (60%) were detected from the high-risk hearing screens after passing the first AABR. Conclusion: These newborns had a higher risk of failing the UNHS and high-risk hearing screen. There was a higher incidence of hearing loss which was mainly conductive. Failure of the first AABR was an accurate predictor of an eventual otolaryngology referral, suggesting that a second AABR may be unnecessary. High-risk hearing screens helped to identify hearing loss which might have been missed out early on in life or which might have evolved later in infancy. Key words: Malformation, Screening

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Section: Diagnosis Of Hearing Lossmentioning

confidence: 65%

Hearing Loss in Newborns with Cleft Lip and/or Palate

Tan

Hee

Yeoh

et al. 2014

Ann Acad Med Singap

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“…Typically, utilization of auditory brainstem response (ABR) has predominantly been reported in this population since it is a reliable assessment tool to evaluate the peripheral auditory status of children. ABR has been used on children with CL/P before 12 months of age, and it was found most children with CL/P showed mild to moderate conductive hearing loss at an early age (Hélias et al, 1988). Moreover, a UK study indicated more than 80% of infants with cleft palate (CP) had abnormal ABR responses, and most noted hearing loss was conductive, mild and bilateral (Viswanathan, Vidler & Richard, 2008).…”

Section: Introductionmentioning

confidence: 99%

Electrophysiological assessment of auditory processing disorder in children with non-syndromic cleft lip and/or palate

McPherson

2016

PeerJ

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ObjectivesCleft lip and/or palate is a common congenital craniofacial malformation found worldwide. A frequently associated disorder is conductive hearing loss, and this disorder has been thoroughly investigated in children with non-syndromic cleft lip and/or palate (NSCL/P). However, analysis of auditory processing function is rarely reported for this population, although this issue should not be ignored since abnormal auditory cortical structures have been found in populations with cleft disorders. The present study utilized electrophysiological tests to assess the auditory status of a large group of children with NSCL/P, and investigated whether this group had less robust central auditory processing abilities compared to craniofacially normal children.Methods146 children with NSCL/P who had normal peripheral hearing thresholds, and 60 craniofacially normal children aged from 6 to 15 years, were recruited. Electrophysiological tests, including auditory brainstem response (ABR), P1-N1-P2 complex, and P300 component recording, were conducted.ResultsABR and N1 wave latencies were significantly prolonged in children with NSCL/P. An atypical developmental trend was found for long latency potentials in children with cleft compared to control group children. Children with unilateral cleft lip and palate showed a greater level of abnormal results compared with other cleft subgroups, whereas the cleft lip subgroup had the most robust responses for all tests.ConclusionChildren with NSCL/P may have slower than normal neural transmission times between the peripheral auditory nerve and brainstem. Possible delayed development of myelination and synaptogenesis may also influence auditory processing function in this population. Present research outcomes were consistent with previous, smaller sample size, electrophysiological studies on infants and children with cleft lip/palate disorders. In view of the these findings, and reports of educational disadvantage associated with cleft disorders, further research that focuses on the auditory processing abilities of children with cleft lip/palate disorder is warranted.

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“…realizou timpanometria em crianças com fissura de lábio e palato desde o nascimento. Verificou que todas elas tinham aeração normal da orelha média por ocasião do nascimento e as complicações começaram a aparecer com 17 semanas de vida.Enfatizou que o fechamento do palato aos 4 meses de idade ou antes, poderia evitar essas complicações e, a partir do momento em que se observasse fluído na orelha média, deveria ser indicada a inserção de tubos de ventilação juntamente com a cirurgia do palato Helias et al (1988). estudaram 23 crianças entre zero e 14 meses de idade, com fissura palatina.…”

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Timpanometria em lactentes com fissura labiopalatina utilizando sonda de multifrequência

Macedo¹

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Aos meus queridos pais, Marco e Ivone, exemplos de amor, dedicação e honestidade, pelos ensinamentos de vida e incentivo constante nos estudos, mostrando-me que a perseverança e os esforços são necessários para a conquista dos ideais. Ao meu Luiz Carlos, que me mostrou o verdadeiro significado da palavra amor e companheirismo; por todos os momentos de apoio e incentivo, pelas horas ao meu lado e principalmente por tornar minha vida mais feliz. Ao meu querido irmão Lucas, por estar sempre presente em minha vida, como um grande amigo e incentivador. De coração, dedico este trabalho.

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Early Detection of Hearing Loss in Children With Cleft Palates by Brain-Stem Auditory Response

Cited by 14 publications

References 9 publications

Hearing Loss in Newborns with Cleft Lip and/or Palate

Hearing Loss in Newborns with Cleft Lip and/or Palate

Electrophysiological assessment of auditory processing disorder in children with non-syndromic cleft lip and/or palate

Timpanometria em lactentes com fissura labiopalatina utilizando sonda de multifrequência

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