[Complex disorders in children with sensorineural hearing loss - influence on the diagnosis of hearing pathology and

G Sh Tufatulin1,2, I V Koroleva1,3, S A Artyushkin2

  • 1City Center of Pediatric Audiology, St. Petersburg, Russia.

Vestnik Otorinolaringologii
|September 5, 2020
PubMed

Insights

Children with sensorineural hearing loss (SNHL) often have additional disabilities (AD), delaying diagnosis and hearing aid amplification. Early screening is crucial for these complex cases.

Area of Science:

  • Pediatrics
  • Audiology
  • Genetics

Background:

  • Sensorineural hearing loss (SNHL) in children can be associated with additional disabilities (AD).
  • The impact of these AD on the diagnosis and management of SNHL requires further investigation.

Purpose of the Study:

  • To investigate the prevalence of AD in children with SNHL.
  • To determine the influence of AD on the age of SNHL diagnosis and hearing aid amplification.

Main Methods:

  • Retrospective analysis of medical records of children diagnosed with SNHL.
  • Categorization and quantification of additional disabilities present in the study cohort.
  • Comparison of diagnosis and amplification timelines between children with and without AD.

Main Results:

  • 41% of children with SNHL presented with one or more AD, with 59% having 2-3 AD.
  • Central neural and motor system pathologies were the most frequent AD combinations.
  • Children with AD were diagnosed with hearing loss later and received amplification later compared to those with SNHL only.
  • Genetic factors were less frequently identified in children with SNHL and AD.

Conclusions:

  • Additional disabilities significantly impact the early diagnosis and timely amplification of sensorineural hearing loss in children.
  • Children with AD may miss universal newborn hearing screening due to NICU stays, and SNHL may arise later.
  • Audiologists' cautious approach and process difficulties may contribute to delayed amplification in children with AD.

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