Neonatal hearing test results in the Çukurova region

Objective: In this article, we aimed to present the neonatal hearing screening protocol and test results in healthy neonates in Adana City Training and Research Hospital, Adana. Method: A total of 2022 healthy newborns were scanned between November 2018 and February 2019 in our hospital with a three-stage screening protocol. Initial transient evoked otoacoustic emissions (TEOAE), followed by a second stage transient evoked otoacoustic emission and third stage automated auditory brainstem response (A-ABR) were used. If there was a referral with these two methods, clinical BERA was used. High risk newborns were defined. Results: In total, of the 2022 infants included in the study, hearing loss was detected in 34 newborns and the frequency of congenital hearing loss was 1.7%. According to our results, hyperbilirubinemia was more common in infants with hearing loss. Conclusion: Performing hearing screening tests in all newborns, raising public awareness on this issue, and legal follow-up are very important.

Çukurova Bölgesindeki Yenidoğan İşitme Testi Sonuçları

Amaç: Çalışmamızın amacı Adana Şehir Eğitim ve Araştırma Hastanesinde yenidoğan bebeklerdeki işitme kaybı oranını araştırmaktır. Yöntemler: Hastanemizde Kasım 2018 ile Şubat 2019 arasında 2022 yenidoğan işitme tarama testi yapılmıştır. İlk test olarak transient evoked otoacoustic emission (TEOAE), geçemeyenlere 2. aşamada tekrar transient evoked otoacoustic emission, geçemeyene ise üçüncü aşamada otomatik işitsel beyin sapı yanıtı(A-ABR) testi yapılarak, 3 aşamalı tarama protokolü uygulanmıştır. Bu iki testi geçemeyenlere ise klinik BERA testi uygulanmıştır. Risk faktörü olan bebekler belirlenmiştir. Bulgular: 2022 yenidoğanın 34’ünde işitme kaybı mevcuttur ve konjenital işitme kaybı oranımız %1,7’dir. Hiperbilüribinemi işitme kaybının daha sık saptanmasına neden olmaktadır. Sonuç: İşitme tarama testlerinin tüm yeni doğanlarda yapılması gerekir. Bu konuda toplumun bilinçlendirilmesi ve yasal takip oldukça önemlidir.

PDF

___

1. Ohl C, Dornier L, Czajka C, et all. Newborn hearing screening on infants at risk. Int J Pediatr Otorhinolaryngol 2009; 73: 1691-5.
2. Thompson DC, McPhillips H, Davis RL,et all. Universal newborn hearing screening: summary of evidence. JAMA 2001; 286: 2000-10.
3. Mazurek B, Winter E, Fuchs J, Haupt H, Gross J. Susceptibility of the hair cells of the newborn rat cochlea to hypoxia and ischemia. Hear Res 2003; 182: 2-8.
4. Genç GA, Başar F, Kayıkçı ME, ve ark. Hacettepe Üniversitesi yenidoğan işitme taraması bulguları. Çocuk Sağlığı ve Hastalıkları Dergisi 2005; 48: 119- 24.
5. Vohr B, Jodoin-Krauzyk J, Tucker R, et all. Early language outcomes of early identified infants with permanent hearing loss at 12 to 16 months of age. Pediatrics 2008; 122: 535-44.
6. American Academy of Pediatrics, Joint Committee on Infant Hearing. Year 2007 position statement: principles and guidelines for early hearing detection and intervention programs. Pediatrics 2007; 120:898-921.
7. Kennedy CR. Neonatal screening for hearing impairment. Arch Dis Child 2000; 83:377-82.
8. Collet L, Veuillet E, Berger-Vachon C, Morgon A. Evoked otoacoustic emissions: relative importance of age, sex and sensorineural hearing loss using a mathematical model of the audiogram. Int J Neurosci 1992; 62: 113-22.
9. Joint Committee on Infant Hearing. 1994 Position Statement. Otolaryngol Head Neck Surg 1995; 113:191-6.
10. Sennaroğlu G, Akmese PP. Risk Factors for Hearing Loss and Results of Newborn Hearing Screening in Rural Area. Int Adv Otol 2011;7: 343-50.
11. Geal-Dor M, Adelman C, Levi H et all. Comparison of two hearing screening programs in the same population: oto-acoustic emissions (OAE) screening in newborns and behavioral screening when infants. Int J Pediatr Otorhinolaryngol 2010; 74:1351-5.
12. Doyle KJ, Burgraff B,Fujikava S, Kim J. Newborn hearing screening by otoacoustic emissions and automated auditory brain stem response. Int J Pediatr Otorhinolaryngol2001; 59: 23-8.
13. Hacettepe Üniversitesi Yenidoğan İşitme Taraması ve Erken Tanı Uygulama ve Araştırma Merkezi. http://www.yitmer.hacettepe.edu.tr/tarihce.shtml
14. Özbay İ, Kucur C, Oğhan F, et all. Newborn hearing results in an inner part of Aegean region. J Med Updates 2014; 4: 105-9.
15. Harlor AD Jr, Bower C. Hearing assessment in infants and children: recommendations beyond neonatal screening. Pediatrics 2009; 124: 1252-63.
16. Gökçay G, Kılıç A, Devecioğlu E. Taramalar, işitmenin değerlendirilmesi. İçinde: Devecioğlu Ö, Çıtak A (ed). Pediyatride Rutinler (3. Baskı). İstanbul: İstanbul Tıp Kitabevi, 2014: 127-8.
17. Vohr B, Simon P, McDermott C, et all. Early hearing screening, detection and intervention (EHDI) in Rhode Island. Med Health RI 2002; 85: 369-72.
18. Jakubikova J, Kabatova Z, Zavodna M. Identification of hearing loss in newborns by transient otoacoustic emissions. Int J Pediatr Otorhinolaryngol 2003 ; 67:15–8.
19. Eryılmaz A, İleri Ö, Çakın M, Saraydaroğlu G, Hızalan İ, Onart S. Uludağ Üniversitesi Yenidoğan İşitme Taraması Sonuçları. Uludağ Üniversitesi Tıp Fakültesi Dergisi2009; 35: 27-9.
20. Martin WH, Schwegler JW, Gleeson AL, Shi YB. New techniques of hearing assessment. Otolaryngol Clin North Am 1994;27:487–510.
21. American Academy of Pediatrics. Task Force on Newborn and Infant Hearing. Newborn and infant hearing loss: detection and intervention. Pediatrics 1999;103:527–30.
22. Bielecki I, Horbulewicz A, Wolan T. Risk factors associated with hearing loss in infants:an analysis of 5282 referred neonates. Int J Pediatr Otorhinolaryngol 2011; 75: 925-30.
23. Karaca ÇT, Toros SZ, Naiboğlu B, Verim A, Çelebi Ş. Yenidoğan İşitme Taraması Sonuçlarımız. Van Tıp Dergisi 2014;21:67-71.