Pediatric Hearing Loss: Referral, Visiting and Treating – REVISIT RANU (Universal Neonatal Auditory Screening)
DOI:
https://doi.org/10.34631/sporl.1072Keywords:
Pediatric, Audiometry, Hearing, Evoked Response, Intensive Care, Neonatal, Extracorporeal Membrane Oxygenation, Zika virusAbstract
Introduction: New risk and suspicion factors for childhood deafness were recently introduced in the literature, justifying the suggestion to review the algorithm associated with Portuguese Universal Neonatal Hearing Screening (UNHS).
Goals: Develop an algorithm that allows screening, early diagnosis, referral and rapid intervention in child deafness.
Material and methods: Algorithm creation based on literature review and existing clinical guidelines.
Results: Newborns after intrauterine Zika infection, admitted to a neonatal intensive care unit for more than 5 days or submitted to ExtraCorporal Membrane Oxygenation and children submitted to ventriculoperitoneal shunt were included in the UNHS risk group. In some cases, it is suggested to extend the audiological assessment until school age. Alarm signals were proposed at stages of development that should motivate referral for audiological examination.
Conclusions: The developed algorithm extends the scope of referral of auditory screening to other pediatric ages and suggests updates to the UNHS.
References
le Clercq CMP, van Ingen G, Ruytjens L, Goedegebure A, Moll HA, Raat H. et al. Prevalence of hearing loss among Children 9 to 11 years old: the generation R Study. JAMA Otolaryngol Head Neck Surg. 2017 Sep 1;143(9):928-934. doi: 10.1001/jamaoto.2017.1068.
Grupo de Rastreio e Intervenção da Surdez Infantil. Recomendações para o Rastreio Auditivo Neonatal Universal (RANU). Acta Pediatr Port [Internet] 2007:38(5):209-14. Disponível em: https://pjp.spp.pt/article/view/4698/3521
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 Oct;120(4):898-921. doi: 10.1542/peds.2007-2333
Grindle CR. Pediatric hearing loss. Pediatr Rev. 2014 Nov;35(11):456-63; quiz 464. doi: 10.1542/pir.35-11-456.
EUscreen Study. Manual for implementation or modification of child vision and hearing screening programmes. [online] 2021 Jun. 158 p. . Disponível em: https://www.euscreen.org/manual-strategy-implementation-table-contents/.
The Joint Committee on Infant Hearing. National Center for Hearing Assessment and Management. Year 2019 Position Statement: Principles and Guidelines for Early Hearing Detection and Intervention Programs. J Early Hear Detect Interv. [Internet] 2019;4(2):1-44. . Disponível em: https://digitalcommons.usu.edu/cgi/viewcontent.cgi?article=1104&context=jehdi.
Ching TYC, Dillon H, Button L, Seeto M, Van Buynder P, Marnane V. et al. Age at intervention for permanent hearing loss and 5-year language outcomes. Pediatrics. 2017 Sep;140(3):e20164274. doi: 10.1542/peds.2016-4274.
Yoshinaga-Itano C, Sedey AL, Coulter DK, Mehl AL. Language of early- and later-identified children with hearing loss. Pediatrics. 1998 Nov;102(5):1161-71. doi: 10.1542/peds.102.5.1161.
Norton SJ, Gorga MP, Widen JE, Folsom RC, Sininger Y, Cone-Wesson B. et al. Identification of neonatal hearing impairment: evaluation of transient evoked otoacoustic emission, distortion product otoacoustic emission, and auditory brain stem response test performance. Ear Hear. 2000 Oct;21(5):508-28. doi: 10.1097/00003446-200010000-00013.
Raghuwanshi SK, Gargava A, Kulkarani V, Kumar A. Role of otoacoustic emission test in neonatal screening at tertiary center. Indian J Otolaryngol Head Neck Surg. 2019 Nov;71(Suppl 2):1535-1537. doi: 10.1007/s12070-019-01606-0.
De Capua B, De Felice C, Costantini D, Bagnoli F, Passali D. Newborn hearing screening by transient evoked otoacoustic emissions: analysis of response as a function of risk factors. Acta Otorhinolaryngol Ital. [Internet] 2003 Feb;23(1):16-20. . Disponível em: https://www.actaitalica.it/issues/2003/1_03/03.%20De%20Capua.pdf.
George Francisco. Programa Nacional de Saúde Infantil e Juvenil. Norma 010/2013. 31/05/2013. Direção Geral da Saúde. Disponível em: https://www.dgs.pt/directrizes-da-dgs/normas-e-circulares-normativas/norma-n-0102013-de-31052013-jpg.aspx.
Groupe de Travail de la Société Française de Pédiatrie. Depistage des troubles de l’audition chez l’enfant [Internet]. Paris: Ministère de la Santé et la Prévention; 2009. 17 p. . Disponível em: https://solidarites-sante.gouv.fr/IMG/pdf/Depistage_des_troubles_de_l_audition_chez_l_enfant.pdf
Murray M, Nield T, Larson-Tuttle C, Seri I, Friedlich P. Sensorineural hearing loss at 9-13 years of age in children with a history of neonatal extracorporeal membrane oxygenation. Arch Dis Child Fetal Neonatal Ed. 2011 Mar;96(2):F128-32. doi: 10.1136/adc.2010.186395.
Lanzieri TM, Chung W, Flores M, Blum P, Caviness AC, Bialek SR. et al. Hearing loss in children with asymptomatic congenital cytomegalovirus infection. Pediatrics. 2017 Mar;139(3):e20162610. doi: 10.1542/peds.2016-2610.
Bener A, Eihakeem AA, Abdulhadi K. Is there any association between consanguinity and hearing loss. Int J Pediatr Otorhinolaryngol. 2005 Mar;69(3):327-33. doi: 10.1016/j.ijporl.2004.10.004.
Almazroua AM, Alsughayer L, Ababtain R, Al-Shawi Y, Hagr AA. The association between consanguineous marriage and offspring with congenital hearing loss. Ann Saudi Med. 2020 Nov-Dec;40(6):456-461. doi: 10.5144/0256-4947.2020.456.
Durante AS, Ibidi SM, Lotufo JP, Carvallo RM. Maternal smoking during pregnancy: Impact on otoacoustic emissions in neonates. Int J Pediatr Otorhinolaryngol. 2011 Sep;75(9):1093-8. doi: 10.1016/j.ijporl.2011.05.023.
Korres S, Riga M, Balatsouras D, Papadakis C, Kanellos P, Ferekidis E. Influence of smoking on developing cochlea. Does smoking during pregnancy affect the amplitudes of transient evoked otoacoustic emissions in newborns? Int J Pediatr Otorhinolaryngol. 2007 May;71(5):781-6. doi: 10.1016/j.ijporl.2007.01.015.
Wilunda C, Yoshida S, Tanaka S, Kanazawa Y, Kimura T, Kawakami K. Exposure to tobacco smoke prenatally and during infancy and risk of hearing impairment among children in Japan: A retrospective cohort study. Paediatr Perinat Epidemiol. 2018 Sep;32(5):430-438. doi: 10.1111/ppe.12477.
Weitzman M, Govil N, Liu YH, Lalwani AK. Maternal Prenatal Smoking and Hearing Loss Among Adolescents. JAMA Otolaryngol Head Neck Surg. 2013 Jul;139(7):669-77. doi: 10.1001/jamaoto.2013.3294.
Singer LT, Arendt R, Minnes S, Salvator A, Siegel AC, Lewis BA.Developing Language Skills of Cocaine-Exposed Infants. Pediatrics. 2001 May;107(5):1057-64. doi: 10.1542/peds.107.5.1057.
Church MW, Crossland WJ, Holmes PA, Overbeck GW, Tilak JP. Effects of prenatal cocaine on hearing, vision, growth, and behavior. Ann N Y Acad Sci. 1998 Jun 21;846:12-28.
Tan-Laxa MA, Sison-Switala C, Rintelman W, Ostrea EM Jr. Abnormal Auditory Brainstem Response Among Infants With Prenatal Cocaine Exposure. Pediatrics. 2004 Feb;113(2):357-60. doi: 10.1542/peds.113.2.357.
Lester BM, Lagasse L, Seifer R, Tronick EZ, Bauer CR, Shankaran S. et al. The Maternal lifestyle study (MLS): effects of prenatal cocaine and/or opiate exposure on auditory brain response at one month. J Pediatr. 2003 Mar;142(3):279-85. doi: 10.1067/mpd.2003.112.
Cone-Wesson B, Spingarn A. Effects of Maternal Cocaine Abuse on Neonatal Auditory Brainstem Responses. Am J Audiol. 1993 Nov 1;2(3):48-54. doi: 10.1044/1059-0889.0203.48.
Robertson CM, Howarth TM, Bork DL, Dinu IA. Permanent bilateral sensory and neural hearing loss of children after neonatal intensive care because of extreme prematurity: a thirty-year study. Pediatrics. 2009 May;123(5):e797-807. doi: 10.1542/peds.2008-2531.
Frezza S, Catenazzi P, Gallus R, Gallini F, Fioretti M, Anzivino R. et al. Hearing loss in very preterm infants: should we wait or treat? Acta Otorhinolaryngol Ital. 2019 Aug;39(4):257-262. doi: 10.14639/0392-100X-2116.
Marlow ES, Hunt LP, Marlow N. Sensorineural hearing loss and prematurity. Arch Dis Child Fetal Neonatal Ed. 2000 Mar;82(2):F141-4. doi: 10.1136/fn.82.2.f141.
Church MW, Gerkin KP. Hearing disorders in children with fetal alcohol syndrome: findings from case reports. Pediatrics. 1988 Aug;82(2):147-54.
Rossig C, Wasser St, Oppermann P. Audiologic manifestations in fetal alcohol syndrome assessed by brainstem auditory-evoked potentials. Neuropediatrics. 1994 Oct;25(5):245-9. doi: 10.1055/s-2008-1073029.
McLaughlin SA, Thorne JC, Jirikowic T, Waddington T, Lee AKC, Astley Hemingway SJ. Listening difficulties in children with fetal alcohol spectrum disorders: more than a problem of audibility. J Speech Lang Hear Res. 2019 May 21;62(5):1532-1548. doi: 10.1044/2018_JSLHR-H-18-0359.
Lim HW, Shim BS, Yang CJ, Kim JH, Cho YH, Cho YS. et al. Hearing loss following ventriculoperitoneal shunt in communicating hydrocephalus patients: A pilot study. Laryngoscope. 2014 Aug;124(8):1923-7. doi: 10.1002/lary.24553.
Verma M, Singh J, Singh I, Kakkar V, Yadav SPS, George JS. To evaluate the pre and post shunt sensorineural hearing loss in hydrocephalus patients. Indian J Otolaryngol Head Neck Surg. 2019 Nov;71(Suppl 2):1314-1319. doi: 10.1007/s12070-018-1372-x.
Bamford J, Fortnum H, Bristow K, Smith J, Vamvakas G, Davies L. et al. Current practice, accuracy, effectiveness and cost-effectiveness of the school entry hearing screen. Health Technol Assess. 2007 Aug;11(32):1-168, iii-iv. doi: 10.3310/hta11320.
Yong M, Liang J, Ballreich J, Lea J, Westerberg BD, Emmett SD. Cost-effectiveness of School Hearing Screening Programs: A Scoping Review. Otolaryngol Head Neck Surg. 2020 Jun;162(6):826-838. doi: 10.1177/0194599820913507.
Junior LP, Luz K, Parreira R, Ferrinho P. Vírus Zika: revisão para clínicos. Acta Med Port. [Internet] 2015. Nov-Dez; 98(6): 760-5. Available from: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/6929/4566
Gabinete de Estratégia e Estudos. População Estrangeira Residente Em Portugal – Brasil [Internet] [Portugal]: SEF; INE; 2021. Disponível em: https://www.gee.gov.pt/pt/docs/doc-o-gee-2/estatisticas-de-imigrantes-em-portugal-por-nacionalidade/paises/brasil-1/4017-populacao-estrangeira-com-estatuto-legal-de-residente-em-portugal-brasil/file
Noise: a hazard for the fetus and newborn. American Academy of Pediatrics. Committee on Environmental Health. Pediatrics [Internet] 1997 Oct;100(4):724-7. Disponível em: https://doi.org/10.1542/peds.100.4.724.
Williams AL, van Drongelen W, Lasky RE. Noise in contemporary neonatal intensive care. J Acoust Soc Am. 2007 May;121(5 Pt1):2681-90. doi: 10.1121/1.2717500.
Lasky RE, Williams AL. Noise and Light Exposures for Extremely Low Birth Weight Newborns During Their Stay in the Neonatal Intensive Care Unit. Pediatrics. 2009 Feb;123(2):540-6. doi: 10.1542/peds.2007-3418.
Beken S, Onal E, Gunduz B, Çakir U, Karagoz İ, Kemaloglu YK. Negative effects of noise on NICU graduates’ cochlear functions. Fetal Pediatr Pathol. 2021 Aug;40(4):295-304. doi: 10.1080/15513815.2019.1710788.
Rodenburg-Vlot MB, Ruytjens L, Oostenbrink R, Goedegebure A, van der Schroeff MP. Systematic review: incidence and course of hearing loss caused by bacterial meningitis: in search of an optimal timed audiological follow-up. Otol Neurotol. 2016 Jan;37(1):1-8. doi: 10.1097/MAO.0000000000000922.
Gabriel T, Martins E, Carvalho G, Fontes N, Ramos MJ, Peres M. et al. Rastreio auditivo neonatal em 17 732 recém-nascidos. Acta Pediátrica Portuguesa [Internet] 2017; 48(1): 14-18. . Disponível em: https://doi.org/10.25754/pjp.2017.9804
Casanova MJ, Costa JR, Sampaio L, Coutinho MB, Magalhães A, Almeida e Sousa C. Rastreio auditivo neonatal universal: Resultados de 2019 no Centro Hospitalar Universitário do Porto. Port J ORL [Internet]. 2021 Mar; 59(1):13-7. Disponível em: https://journalsporl.com/index.php/sporl/article/view/829
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery
![Creative Commons License](http://i.creativecommons.org/l/by-sa/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.