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Conductive impairment in newborn who failed the newborn hearing screening
Priscila Karla Santana Pereira1, Marisa Frasson de Azevedo, José Ricardo Testa
1Sao Paulo Federal University/UNIFESP/Paulista Medical School/EPM, Brazil.
Insights
Newborns who failed hearing screenings due to conductive hearing loss experienced more ear infections in their first year. Early identification and otolaryngologist intervention are crucial for managing infant hearing and middle ear health.
Area of Science:
- Pediatrics
- Audiology
- Otolaryngology
Background:
- Newborn hearing screening often overlooks middle ear changes.
- Infants with neonatal secretory otitis face increased risk of otitis media within the first year.
Purpose of the Study:
- To investigate if neonatal hearing screening failures for conductive hearing loss correlate with increased conductive hearing impairment episodes in early childhood.
Main Methods:
- A prospective and retrospective study compared 62 infants who failed screening for conductive impairment against 221 who passed.
- Both groups received audiological and otolaryngological assessments.
- Statistical analysis included Fisher's Exact test and logistic regression models.
Main Results:
- Infants failing the screening for conductive disorder had a statistically significant higher incidence of otitis media in the first year compared to the control group.
Conclusions:
- Neonatal conductive hearing alterations identified via screening predict a higher likelihood of otitis in the first year of life.
- The high incidence necessitates collaborative strategies between pediatricians and otolaryngologists for timely diagnosis and management of middle ear conditions.
Unlabelled:
In newborn hearing screening little importance is attributed to changes in the middle ear. Children with secretory otitis in the neonatal period are at risk for developing otitis media in the first year of life.
Aim:
To determine if children who failed the hearing screening because of conductive hearing loss have more episodes of conductive hearing impairment during their first years of life.
Materials And Methods:
The study group comprised 62 children who failed the screening for conductive impairment. The control was made up of 221 who passed. Both had audiologic and otolaryngological assistance and were compared regarding the occurrence of conductive disorder. Were used the Fisher's Exact test for statistical analysis and logistic regression models. The study was prospective and retrospective.
Results:
Children who failed the screening by conductive disorder had more episodes of otitis media during the first year of life than those who did not fail, with statistically significant difference.
Conclusion:
Infants who failed the screening in the first month of life for conductive alteration are more likely to experience otitis in the first year of life. The high incidence of otitis indicates the need for joint action with otolaryngologist for diagnosis of such changes.
