Hearing Screening in Children with Suspected Hearing Loss at a Tertiary Care Centre of Eastern Uttar Pradesh

Vishwambhar Singh1, Deepak Kumar Gupta2, Mukesh Ranjan1

  • 1Department of Otorhinolaryngology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, UP India.

Insights

Distortion product otoacoustic emission (DPOAE) is an effective hearing screening tool for children with suspected hearing loss. This study found a significant number of children referred for testing did not pass, highlighting the need for early detection.

Area of Science:

  • Pediatrics
  • Audiology
  • Public Health

Background:

  • Hearing loss in children can significantly impact development.
  • Early detection and intervention are crucial for managing childhood hearing impairment.
  • Tertiary care centers play a vital role in diagnosing and managing complex pediatric cases.

Purpose of the Study:

  • To evaluate the utility of distortion product otoacoustic emission (DPOAE) for hearing screening in children with suspected hearing loss.
  • To understand the screening experience in a tertiary care setting in eastern Uttar Pradesh, India.
  • To assess the prevalence of hearing issues among referred pediatric patients.

Main Methods:

  • Prospective study involving 96 children referred for suspected hearing loss.
  • Utilized distortion product otoacoustic emission (DPOAE) testing as the primary screening modality.
  • Data collected from July 2021 to June 2022 at a tertiary care center.

Main Results:

  • Out of 96 children, only 26.04% (25) passed the DPOAE screening.
  • A significant majority, 57.29% (55), received a 'refer' result in both ears.
  • 16.67% (16) had a 'refer' result in one ear, indicating unilateral hearing concerns.

Conclusions:

  • DPOAE is a practical, cost-effective, and convenient tool for pediatric hearing screening.
  • The high 'refer' rate underscores the prevalence of hearing issues in the studied pediatric population.
  • Universal newborn hearing screening programs utilizing OAE technology are recommended for early identification and management.