Prevalence of Childhood Permanent Hearing Loss after Early Complex Cardiac Surgery

Bork, Karin T.; To, Beatrice P.; Leonard, Norma; Douglas, Charlotte M.; Dinon, Diana A.; Leonard, Elizabeth E.; Valeriote, Hope; Usher, Laurie; Robertson, Charlene M.T.

doi:10.1016/j.jpeds.2018.02.037

Cited by 6 publications

(10 citation statements)

References 18 publications

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“…This review suggested that children with CHD, especially those with single‐ventricle CHD, were at greater risk of language impairment than peers, especially expressive language. Part of the language impairment may be attributed to hearing loss, which is known to have a higher prevalence in children with complex CHD 139,140. The data indicated that speech disorders, such as apraxia or abnormalities of volitional oral movements, emerged during preschool age and persisted in primary school age.…”

Section: Discussionmentioning

confidence: 99%

“…Part of the language impairment may be attributed to hearing loss, which is known to have a higher prevalence in children with complex CHD. 139,140 The data indicated that speech disorders, such as apraxia or abnormalities of volitional oral movements, emerged during preschool age and persisted in primary school age. Whether children with CHD outgrow these impairments was not clear, as language and speech were not assessed specifically in adolescence.…”

Section: Additional Developmental Outcomesmentioning

confidence: 98%

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Developmental outcomes after early surgery for complex congenital heart disease: a systematic review and meta‐analysis

Huisenga

Gemert

Bergen

et al. 2020

Develop Med Child Neuro

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Aim (1) To systematically review the literature on developmental outcomes from infancy to adolescence of children with complex congenital heart disease (CHD) who underwent early surgery; (2) to run a meta‐regression analysis on the Bayley Scales of Infant Development, Second Edition Mental Developmental Index and Psychomotor Developmental Index (PDI) of infants up to 24 months and IQs of preschool‐aged children to adolescents; (3) to assess associations between perioperative risk factors and outcomes. Method We searched pertinent literature (January 1990 to January 2019) in PubMed, Embase, CINAHL, and PsycINFO. Selection criteria included infants with complex CHD who had primary surgery within the first 9 weeks of life. Methodological quality, including risk of bias and internal validity, were assessed. Results In total, 185 papers met the inclusion criteria; the 100 with high to moderate methodological quality were analysed in detail. Substantial heterogeneity in the group with CHD and in methodology existed. The outcome of infants with single‐ventricle CHD was inferior to those with two‐ventricle CHD (respectively: average scores for PDI 77 and 88; intelligence scores 92 and 98). Perioperative risk factors were inconsistently associated with developmental outcomes. Interpretation The literature on children undergoing surgery in early infancy suggests that infants with a single ventricle are at highest risk of adverse developmental outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Additional Developmental Outcomesmentioning

confidence: 98%

Developmental outcomes after early surgery for complex congenital heart disease: a systematic review and meta‐analysis

Huisenga

Gemert

Bergen

et al. 2020

Develop Med Child Neuro

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“…study looking at hearing loss after open‐heart surgery, eight individuals had high‐frequency hearing loss 26 . Bork found that in 20/29 bilateral hearing loss cases there were hearing deficits at higher frequencies 22 . In the El Ganzoury et al .…”

Section: Resultsmentioning

confidence: 99%

“…26 Bork found that in 20/29 bilateral hearing loss cases there were hearing deficits at higher frequencies. 22 In the El Ganzoury et al study, there was no objective hearing loss found in paediatric patients undergoing cardiac surgery on audiometry. 24 In this study, it was noted that DPOAEs, and also later TEOAEs, of the hypothermic group showed a statistically significant reduction of amplitude at high frequencies.…”

Section: High Versus Low Frequencymentioning

confidence: 90%

“…20 In the paediatric populations, there were seven cohort studies looking at hearing loss outcomes post early cardiac surgery. [21][22][23][24][25][26][27] There were multiple variables across these studies, including follow-up times, presence of genetic abnormalities, and type of cardiac surgery, with a far more significant proportion of patients undergoing surgery for congenital cardiac surgery such as the Norwood procedure for Hypoplastic left heart syndrome. Overall, the incidence of hearing loss across all papers was 97 out of 1342 (65.6 per 1000 operations).…”

Section: Post-operative Sensorineural Hearing Loss Incidencementioning

confidence: 99%

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Sensorineural hearing loss after cardiac surgery: a systematic review

Daniel,

Glynatsis,

Kovoor

et al. 2023

ANZ Journal of Surgery

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BackgroundSensorineural hearing loss (SNHL) may occur following cardiac surgery. Although preventing post‐operative complications is vitally important in cardiac surgery, there are few guidelines regarding this issue. This review aimed to characterize SNHL after cardiac surgery.MethodThis systematic review was registered on PROSPERO and conducted in accordance with PRISMA guidelines. A systematic search of the PubMed, Embase and Cochrane Library were conducted from inception. Eligibility determination, data extraction and methodological quality analysis were conducted in duplicate.ResultsThere were 23 studies included in the review. In the adult population, there were six cohort studies, which included 36 cases of hearing loss in a total of 7135 patients (5.05 cases per 1000 operations). In seven cohort studies including paediatric patients, there were 88 cases of hearing loss in a total of 1342 operations. The majority of cases of hearing loss were mild in the adult population (56.6%). In the paediatric population 59.2% of hearing loss cases had moderate or worse hearing loss. The hearing loss most often affected the higher frequencies, over 6000 Hz. There have been studies indicating an association between hearing loss and extracorporeal circulation, but cases have also occurred without this intervention.ConclusionSNHL is a rare but potentially serious complication after cardiac surgery. This hearing loss affects both paediatric and adult populations and may have significant long‐term impacts. Further research is required, particularly with respect to the consideration of screening for SNHL in children after cardiac surgery.

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Co‐Occurrence of Sensorineural Hearing Loss and Congenital Heart Disease: Etiologies and Management

Yang

Fan

et al. 2023

The Laryngoscope

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Objectives/HypothesisThe co‐occurrence of sensorineural hearing loss (SNHL) and congenital heart disease (CHD) is a rare condition with complex etiologies. The purpose of this study is to assess the etiologies, clinical features, and outcomes of cochlear implant (CI) in this patient population.Study DesignCase series and literature review.MethodsClinical data of children who were diagnosed with SNHL and CHD and received CIs at a tertiary hospital from 2016 to 2021 were retrospectively analyzed. A literature review was performed to identify patients with SNHL and CHD.FindingsOf the 382 children who underwent cochlear implantation at our center, eight (2.1%) were diagnosed with SNHL and CHD. A literature review identified 1525 patients from 254 studies; the database therefore consisted of 1533 patients. The most common genetic etiologies of co‐occurring SNHL and CHD were CHARGE syndrome (36.3%), Turner syndrome (8.4%), 22q11.2 deletion (3.0%), Noonan syndrome (2.9%), and Down syndrome (2.5%), whereas the most common non‐genetic etiologies were congenital rubella syndrome (22.9%) and SNHL after early cardiac surgery (5.5%). Most of the patients presented with congenital, bilateral, severe‐profound SNHL requiring early rehabilitation. Of the 126 children who received CIs at a median age of 2.5 years, half showed delayed speech development at last follow‐up.ConclusionsCo‐occurring SNHL and CHD is a rare condition with complex etiologies. Timely hearing intervention with long‐term follow‐up and proper timing of heart surgery is essential for these children.Level of Evidence4, case series Laryngoscope, 2023

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Prevalence of Childhood Permanent Hearing Loss after Early Complex Cardiac Surgery

Cited by 6 publications

References 18 publications

Developmental outcomes after early surgery for complex congenital heart disease: a systematic review and meta‐analysis

Developmental outcomes after early surgery for complex congenital heart disease: a systematic review and meta‐analysis

Sensorineural hearing loss after cardiac surgery: a systematic review

Co‐Occurrence of Sensorineural Hearing Loss and Congenital Heart Disease: Etiologies and Management

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