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Author Spotlight: Optimizing EAS with Long Electrodes for Enhanced Cochlear Coverage and Hearing Preservation
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Outcome of Early Identification and Intervention on Infants with Hearing Loss Under Universal Hearing Screening

Watcharapol Poonual, Niramon Navacharoen, Jaran Kangsanarak

    Journal of the Medical Association of Thailand = Chotmaihet Thangphaet
    |June 20, 2018
    PubMed

    Insights

    Early identification and intervention for infant hearing loss significantly improve outcomes. Continuous monitoring and timely support are crucial for preventing developmental delays and enhancing language skills in children.

    Area of Science:

    • Pediatric Audiology
    • Neonatal Screening
    • Developmental Pediatrics

    Background:

    • Congenital hearing loss affects a significant number of neonates.
    • Early detection and intervention are critical for mitigating long-term effects.
    • Standard screening methods like TEOAE/ABR are widely used in neonatal units.

    Purpose of the Study:

    • To evaluate the effectiveness of early identification and intervention strategies for children with hearing loss.
    • To assess hearing and developmental outcomes in infants diagnosed and treated early.
    • To identify risk factors associated with congenital hearing loss in neonates.

    Main Methods:

    • An analytic prospective study involving hearing screening of 3,120 neonates using TEOAE/ABR.
    • Infants with abnormal results received early intervention at six months and were followed until 18 months.
    • Interventions included auditory training, counseling, and hearing aid fitting.

    Main Results:

    • 103 infants were diagnosed with congenital hearing loss; 89 showed normal hearing by 18 months.
    • Only 14 infants (0.4%) had permanent hearing loss requiring intervention.
    • Significant improvements in auditory, speech, and language development were observed post-intervention.

    Conclusions:

    • Ongoing hearing and developmental evaluation is vital for infants with abnormal screening results.
    • Early intervention effectively prevents acoustic deprivation and promotes better language development.
    • Risk factors such as craniofacial anomalies and hyperbilirubinemia are associated with hearing loss.
    Abstract

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