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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
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Transient evoked otoacoustic emissions in hearing screening programs: protocol for developing countries.

Sandeep Bansal1, Ashok Gupta, Anu Nagarkar

  • 1Department of Otolaryngology and Head & Neck Surgery, PGIMER, Sector 12, Chandigarh, India. drsandeepb@rediffmail.com

International Journal of Pediatric Otorhinolaryngology
|May 16, 2008
PubMed
Summary
This summary is machine-generated.

Delayed infant hearing screening at three months significantly reduces false positives in developing countries. This approach, integrated with immunization programs, offers a practical, resource-efficient national deafness screening strategy.

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Area of Science:

  • Audiology
  • Public Health
  • Pediatrics

Background:

  • Neonatal hearing screening is crucial for early detection of hearing loss.
  • Universal screening within 48 hours is often impractical in developing countries due to resource limitations.

Purpose of the Study:

  • To develop a feasible infant hearing screening protocol for developing nations.
  • To create a sensitive and specific screening tool for early identification of hearing loss.

Main Methods:

  • Transient evoked otoacoustic emission (TEOAE) screening was performed on 2122 infants aged 0-3 months.
  • Infants who failed the initial screening were re-tested after one month.
  • Those failing the second screening underwent Brainstem Evoked Response Audiometry (BERA).

Main Results:

  • Pass rates for TEOAE screening increased with age, from 77.5% at 0-1 month to 92.8% at 2-3 months.
  • A significant increase in pass percentages was observed on follow-up testing for infants who initially failed.
  • Infants with persistent hearing issues after the second screening were referred for BERA.

Conclusions:

  • Delayed hearing screening at three months minimizes false positives and conserves resources.
  • Integrating hearing screening with the third dose of the universal immunization program presents a viable strategy.
  • This approach can be effectively incorporated into national deafness screening programs in developing countries.