Your browser does not support the NLM PubReader view.

Go to this page to see a list of supporting browsers.

Early Detection of Childhood Hearing Impairment

Article information

J Korean Med Assoc. 2004;47(12):1197-1202
Publication date (electronic) : 2004 December 31
doi : https://doi.org/10.5124/jkma.2004.47.12.1197
Jae Young Choi, M.D., Myung-Hyun Chung, M.D.
Department of Otolaryngology-Head & Neck Surgery, Yonsei University College of Medicine, Severance Hospital, Korea. jychoi@yumc.yonsei.ac.kr, mhchung@yumc.yonsei.ac.kr

Abstract

Hearing loss in infants and children, despite its relatively high incidence and possible detrimental outcomes, is commonly overlooked. Currently, no program for newborn hearing screening has been established in Korea, although early detection and early intervention of hearing loss in infants will significantly influence the developmental course of speech and language skills. The Joint Committee on Infant Hearing recommends that all children should be screened for hearing impairment before age 3 months of age and medical or audiologic interventions be instituted before 6 months of age when indicated. Generally, a two-staged protocol employing automated auditory brainstem response(AABR) and otoacoustic emission(OAE) is recommended for newborn hearing screening, and its sensitivity reaches nearly 100%. Once hearing loss is diagnosed, further evaluation of the severity, nature, and the cause of hearing loss should follow, and interventions including amplification and rehabilitation should be started as soon as possible.

Keywords: Hearing impairment; Screening test; Cochlear implant; Rehabilitation

References

1. Denoyelle F, Marlin S, Weil D, Moatti L, Chauvin P, et al. Clinical features of the prevalent form of childhood deafness, DFNB1 due to connexin-26 gene defect : implications for genetic counseling. Lancet 1999. 3531298–1303.
2. Texas Department of Health : State Health Data 1995. Austin, Texas:
3. Mehl AL, Thomson V. Newborn hearing screening : the great omission. Pediatrics 1998. 1011–6.
4. Early Identification of Hearing Impairment in Infants and Young Children : NIH Consensus Statement 1-3 1993. 111–2.
5. Moore DR. Postnatal development of the mammalian central auditory system and the neural consequences of auditory deprivation. Acta Otolaryngol Suppl (Stockh) 1985. 42119–30.
6. Brookhouser PE, Worthington DW, Kelly WJ. Unilateral hearing loss in children. Laryngoscope 1990. 1011264–1272.
7. Yoshinaga-Itano C. Efficacy of early identification and early intervention. Semin Hear 1995. 16115–123.
8. Joint Committee on Infant Hearing. Year 2000 position statement 2000. Rockville, MD: ASHA;
9. Mauk GW, White KR, Mortensen LB. The effectiveness of screening programs based on high-risk characteristics in early identification of hearing impairment. Ear Hear 1991. 12312–319.
10. American Academy of Pediatrics Task Force on Newborn and Infant Hearing. Newborn and infant hearing loss : Detection and intervention. Pediatrics 1999. 103527–530.
11. Erenberg S. Automated auditory brainstem response testing for universal newborn hearing screening. Otolaryngol Clin North Am 1999. 32999–1007.
12. van Staatan HLM, Groote ME, Oudesluys-Murphy AM. Evaluation of an automated auditory brainstem response infant hearing screening method in at risk neonates. Eur J Pediatr 1996. 155702–705.
13. White KR. Practicality, validity, and cost-efficiency of universal newborn hearing screening using evoked otoacoustic emissions 1993. In : Program and abstracts of the NIH Consensus Development Conference. Bethesda, Maryland. Bethesda, MD: National Institutes of Health; 115–118.
14. American Speech-Language-Hearing Association. Guidelines for identification audiometry 1985. Rockville, MD: ASHA; 49–53.
15. Elden MS, William P, Potsic MD. Screening and prevention of hearing loss in children. Curr Opin Pediatr 2002. 14723–730.
16. Paradise JL, Dollaghan CA, Campbell TF, Feldman HM, Bernard BS, et al. Language, speech sound production, and cognition in three-year-old children in relation to otitis media with effusion in their first three years of life. Pediatrics 2000. 1051119–1130.
17. Waltzman SB, Cohen NL, Green J. Long-term effects of cochlear implants in children. Otolaryngol Head Neck Surg 2002. 126505–511.
18. Hassanzadeh S, Farhadi M, Daneshi A. The effects of age on auditory speech perception development in cochlear-implanted prelingually deaf children. Otolaryngol Head Neck Surg 2002. 126524–527.

Article information Continued

Copyright © 2004 Korean Medical Association

Table 1

Table 1

Table 2

Table 2