Aspects of referred infants to Niigata University Hospital after newborn hearing screening

  • Fujisaki Toshiyuki
    Department of Otolaryngology, Faculty of Medicine, Niigata University
  • Satoh Hitoshi
    Department of Otolaryngology, Faculty of Medicine, Niigata University
  • Wada Tadashi
    Department of Otolaryngology, Faculty of Medicine, Niigata University
  • Izumi Shuji
    Department of Otolaryngology, Faculty of Medicine, Niigata University
  • Kubota Yamato
    Department of Otolaryngology, Faculty of Medicine, Niigata University
  • Ohdaira Yoshinori
    Department of Otolaryngology, Faculty of Medicine, Niigata University
  • Takahashi Sugata
    Department of Otolaryngology, Faculty of Medicine, Niigata University

Bibliographic Information

Other Title
  • 新潟大学病院耳鼻咽喉科を受診した新生児聴覚スクリーニング検出児の検討

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Abstract

We investigated 64 infants referred to our clinic between 2000 to 2005 for further evaluation of hearing after newborn hearing screening. Thirty-two cases each had been screened by automated auditory brainstem response (AABR) and otoacoustic emission (OAE) studies. The results of examination combining conditioned orientation response audiometry (COR) and ABR revealed that 32 (50%) cases had hearing loss, including 20 (63%) cases who had been screened by AABR and 12 (38%) cases who had been screened by OAE. Bilateral hearing loss was detected in 9 (56%) of 16 infants referred for bilateral hearing loss. The false-positive rate was relatively small, therefore, the screening examinations appeared to have been adequately performed. Six of the 47 cases referred for unilateral hearing loss were diagnosed as having bilateral hearing loss. Progression of the hearing loss was confirmed in two cases, and a falsenegative result of screening was suspected in four cases. Strict follow-up of infants referred for unilateral hearing loss is needed, because they frequently progress to bilateral hearing loss. In our prefecture, since universal screening has not been introduced yet, referral of some infants from the obstetric clinic was delayed, resulting in delayed diagnosis. The designing of a universal screening system in the prefecture would be highly desirable.

Journal

  • AUDIOLOGY JAPAN

    AUDIOLOGY JAPAN 50 (2), 129-135, 2007

    Japan Audiological Society

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