Selma Aktaş, Ömer Necati Develioğlu, Fatma Çetinkaya, Seda Geylani Güleç, Leman Tuba Karakurt, Serpil Ece Aras Öztürk, Zehra Murat

Gaziosmanpaşa Taksim Eğitim Araştırma Hastanesi yenidoğan işitme tarama izlem sonuçları

Amaç: Bu çalışmayla hastanemizden yenidoğan işitme taraması sonucu ileri işitme merkezlerine sevk edilen yenidoğanların işitmekaybı tanı yaşı, işitme cihazı takılma süresi ve kohlear implantasyonzamanının Amerikan Pediatri Akademisi tanı ve tedavi hedefleri ileuyumunun araştırılması hedeflendi.Gereç ve Yöntemler: Bu çalışmaya Mart 2014-Haziran 2016 tarihleriarasında Gaziosmanpaşa Taksim Eğitim Araştırma Hastanesi’nde işitme taraması yapılan 7 502 bebek alındı. Bebeklerin işitme taramasında ilk iki basamakta uyarılmış otoakustik emisyon, üçüncü basamaktaişitsel beyin sapı yanıtı yapıldı. Risk etmeni olan yenidoğanlar sadeceişitsel beyin sapı yanıtı ile değerlendirildi, testten kalan hastalar referans merkeze sevk edildi. Sevk edilen hastaların sonuçları ailelerinetelefon edilerek öğrenildi.Bulgular: Çalışmaya katılan 7 502 hastanın 6 736’sı (%90) taramayıtamamladı. Çalışmada doğuştan işitme kaybı oranı %0,08 idi. İşitselbeyin sapı yanıt testinden kalan ve üst merkeze sevk edilen 62 hastanın altısı iki taraflı işitme kaybı tanısı aldı. Hastalardan birine aileisteği ile işitme cihazı takılmadığı, birinin tedaviye dirençli orta kulakiltihabı nedeniyle tedavi sürecinin devam ettiği ve henüz işitme cihazı takılamadığı ve kohlear implantasyon uygulanamadığı öğrenildi.Geriye kalan hastaların tümü üç ayın altında tanı aldı. Hastalardanikisine dördüncü ay, birine beşinci ay ve birine de sekizinci ayda işitme cihazı takıldı. Kohlear implantasyon yaşı iki hastada 12. ay ve ikihastada 14. ay olarak saptandı.Çıkarımlar: Hastaların %90’ının taramayı tamamladığı çalışmamızda,işitme kaybı tanı yaşı üç ayın altında ve işitme cihazı takılma yaşı birhasta dışında altı ayın altında olup Amerikan Pediatri Akademisi tanıve tedavi hedeflerine oldukça yakın olduğu görüldü.

The follow-up results of newborn hearing screening of Gaziosmanpasa Taksim Research and Training Hospital

Aim: This study aimed to present the results of newborns who were referred to advanced audiology centers after newborn hearing screening, and to determine concordance of our results with the American Academy of Pediatrics guidelines about the ages of hearing loss, aid fitting, and cochlear implantation. Materials and Methods: A total of 7502 newborns were screened in Gaziosmanpaşa Taksim Research and Training Hospital between March 2014 and June 2016 using the transient otoacustic emissions test as the first two steps and automated auditory brainstem response test for the third step. Newborns who had risk factors were screened using the automated auditory brainstem response only. Newborns who failed the screening tests were referred to advanced audiology centers. Results: Of the 7502 newborns, 6736 (90%) completed the screening. The ratio of hearing loss was 0.08%. Six of 62 newborns who failed auditory brainstem response test and were referred to advanced audiology centers had severe bilateral hearing loss. One of the patients was not fitted with a hearing aid because the family refused it. The other one was not fitted an aid and did not undergo cochlear implantation because of severe and treatment-resistant acute otitis media. The age of diagnosis for the rest was before three months, and except for one patient, hearing aid fitting was before six months. The age of cochlear implantation was 12 months for two patients and 14 months for two patients. Conclusion: Ninety percent of patients completed the screening, the age of diagnosis for hearing loss was before three months and aid fitting was before six months, except for one patient. The results of the study were compatible with the diagnosis and treatment guidelines of the American Academy of Pediatrics.

PDF

___

1. Gabbard SA, Northern JL, Yoshinaga-Itano C. Hearing screening in newborns under 24 hours of age. Semin Hear 1999; 20: 291-305. [CrossRef ]
2. Kemp DT, Ryan S, Bray P. A guide to effective use of otoacoustic emissions. Ear Hear 1990; 11: 93-105. [CrossRef ]
3. Ovalı F. Fetus ve yenidoğanda işitme: temel kavramlar ve perspektifler. Turkiye Klinikleri J Pediatr 2005; 14: 138- 49.
4. Cunningham M, Cox EO. Hearing assesment in infants and children: recommendations beyond neonatal screening. Pediatrics 2003; 111: 436-9. [CrossRef ]
5. White KR, Vohr BR, Behrens TR. Universal newborn hearing screening using transient evoked otoacoustic emissions: results of the Rhode Island hearing assessment Project. Semin Hear 1993; 14: 18-29.
6. Center for Disease Control and Prevention (CDC). Serious hearing impairment among children aged 3–10 years. Atlanta, Georgia, 1991–1993. MMWR Morb Mortal Wkly Rep 1997; 46: 1073-6.
7. Hahn M, Lamprecht-Dinnesen A, Heinecke A, et al. Hearing screening in healthy newborns: feasibility of different methods with regard to test time. Int J Pediatr Otorhinolaryngol 1999; 51: 83-9. [CrossRef ]
8. Thompson DC, McPhillips H, Davis RL, et al. Universal newborn hearing screening: summary of evidence. JAMA 2001; 286: 2000-10. [CrossRef ]
9. Nekahm D, Weichbold V, Welzl-Mueller K, et al. Improvement in early detection of congenital hearing impairment due to universal newborn hearing screening. Int J Pediatr Otorhinolaryngol 2001; 59: 23-8. [CrossRef ]
10. Doyle KJ, Burggraaff B, Fujikawa S, et al. Newborn hearing screening by otoacoustic emissions and automated auditory brainstem response. Int J Pediatr Otorhinolaryngol 1997; 41: 111-9. [CrossRef ]
11. Kennedy CR, Kimm L, Dees DC, et al. Otoacoustic emissions and auditory brainstem responses in the newborn. Arch Dis Child 1991; 66: 1124-9. [CrossRef ]
12. Joint Committee on Infant Hearing. Year 2000 position statement: principles and guidelines for early hearing detection and intervention programs. Pediatrics 2000; 106: 798-817. [CrossRef ]
13. White KR, Vohr BR, Behrens TR. Universal newborn hearing screening using transient evoked otoacoustic emissions: results of the Rhode Island hearing assessment project. Semin Hear 1993; 14: 18-29.
14. Thorton AR, Kimm L, Kennedy CR. Methodological factors involved in neonatal screening using transientevoked otoacoustic emissions and automated auditory brainstem response testing. Hear Res 2003; 182: 65-76. [CrossRef ]
15. Mehl AL, Thomson V. Newborn hearing screening: the great omission. Pediatrics 1998; 101: 1-6. [CrossRef ]
16. American Academy of Pediatrics. Task Force on Newborn and Infant Hearing. Newborn and infant hearing loss: detection and intervention. Pediatrics 1999; 103: 527- 30. [CrossRef ]
17. Bolat H, Genc GA. Türkiye ulusal yenidoğan işitme taraması programı: tarihçesi ve prensipleri. Türkiye Klinikleri J E.N.T.-Special Topics 2012; 5: 11-4.
18. Verhaert N, Willems M, Van Kerschaver E, et al. Impact of early hearing screening on language development and education level: evaluation of 6 years of universal hearing screening in Flanders-Belgium. Int J Pediatr Otorhinolaryngol 2008; 72: 599-608. [CrossRef ]
19. Chu K, Elimian A, Barbera J, et al. Antecedents of newborn hearing loss. Obstet Gynecol 2003; 101: 584-8. [CrossRef ]
20. Vohr BR, Oh W, Stewart EJ, et al. Comparison of cost and referral rates of three universal newborn hearing screening protocols. J Pediatr 2001; 139: 238-44. [CrossRef ]
21. Erenberg A, Lemons J, Sia C, et al. American Academy of Pediatrics task force on newborn and infant hearing. Newborn and infant hearing loss: detection and intervention. Pediatrics 1999; 103: 527-30. [CrossRef ]
22. Hatzopoulos S, Pelosi G, Petrucelli J, et al. Efficient otoacoustic emission protocols employed in a hospital-based neonatal screening program. Acta Otolaryngol 2001; 121: 269-73. [CrossRef ]
23. Genç GA, Başar F, Kayıkçı ME, et al. Hacettepe Üniversitesi yenidoğan işitme taraması bulguları. Çocuk Sağlığı ve Hastalıkları Dergisi 2005; 48: 119-24.
24. Yılmazer R, Yazıcı MZ, Erdim İ, et al. Follow-up results of newborns after hearing screening at a training and research hospital in Turkey. J Int Adv Otol 2016; 12: 55-60. [CrossRef ]
25. Çelik İH, Canpolat FE, Demirel G, et al. Zekai Tahir Burak Women’s Health Education and Research Hospital newborn hearing screening results and assessment of the patients . Turk Pediatri Arch 2014; 49: 138-41. [CrossRef ]
26. Bolat H, Bebitoglu FG, Ozbas S, et al. National newborn hearing screen-ing program in Turkey: struggles and implementations between 2004 and 2008. Int J Pediatr Otorhinolaryngol 2009; 73: 1621-3. [CrossRef ]
27. Renda L, Özer E, Renda R. Ankara Polatlı Devlet Hastanesi yenidoğan işitme taraması programı: 6 yıllık sonuçlar. Pam Tıp Derg 2012; 5: 123-7.
28. Ant A, Karamert R, Bayazıt YA. İşitme kayıplarının genetik yönü ve Türkiye’deki görünümü Türkiye Klinikleri J E.N.T.-Special Topics 2012; 5: 15-20.
29. Sajjad M, Khattak AA, Bunn JE, et al. Causes of childhood deafness in Pukhtoonkhwa Province of Pakistan and the role of consanguinity. J Laryngol Otol 2008; 122: 1057-63. [CrossRef ]
30. Zakzouk S. Consanguinity and hearing impairment in developing countries: a custom to be discouraged. J Laryngol Otol 2002; 116: 811-6. [CrossRef ]
31. Khabori MA, Patton MA. Consanguinity and deafness in Omani children. Int J Audiol 2008; 47: 30-3. [CrossRef ]
32. Dereköy FS. Etiology of deafness in Afyon school for the deaf in Turkey. Int J Pediatr Otorhinolaryngol 2000; 55: 125-31. [CrossRef ]
33. Joint Committee on Infant Hearing: Busa J, Harrison J, Chappell J, et al. Year 2007 position statement: principles and guidelines for early detecting and intervention programs. American Academy of Pediatrics 2007; 120: 898-921.
34. Ozcebe E, Sevinc S, Belgin E. The ages of suspicion, identification, amplification and intervention in children with hearing loss. Int J Pediatr Otorhinolaryngol 2005; 69: 1081-7. [CrossRef ]