Hearing Screening in the Newborn Intensive Care Nursery: Comparison of Methods

• Mark C. Rhodes

  Northland ENT Associates Duluth Minneapolis

• Robert H. Margolis

  Department of Otolaryngology University of Minnesota Roseville Minnesota

• Judith E. Hirsch

  Western Illinois University McComb Illinois

• Ann P. Napp

  Audiology Associates Hearing Care, Ltd Roseville Minnesota

抄録

Patients in the neonatal intensive care unit were tested by hearing screening tests including auditory brain stem response (ABR), transient and distortion‐product otoacoustic emissions (TEOAEs and DPOAEs), and acoustic stapedius reflex (ASR), and by middle ear function tests including multifrequency tympanometry and pneumatic otoscopy. Pass rates on hearing tests were 75% to 89%. TEOAEs produced the lowest pass rate, and DPOAEs the highest. TEOAE, DPOAE, or ASR testing followed by ABR testing of initial failures produced pass rates of about 90%. The most efficient combination was DPOAEs followed by ABR. Pass rates tended to decrease with age. Of patients who failed 226‐Hz and 678‐Hz tympanometry, 30% to 67% passed hearing tests, suggesting a high false‐positive rate for these immittance tests. The 3 ears that failed the 1000‐Hz tympanogram failed all hearing tests. Many ears were abnormal by pneumatic otoscopy but passed hearing tests, suggesting that the usual ear examination criteria may not apply to infants.

収録刊行物

• Otolaryngology–Head and Neck Surgery

  Otolaryngology–Head and Neck Surgery 120 (6), 799-808, 1999-06

  Wiley

キーワード

• Otorhinolaryngology
• Surgery

詳細情報

• CRID: 1361418520614277888
• NII論文ID: 30017103340
• DOI: 10.1016/s0194-5998(99)70317-7
• ISSN: 10976817
• ISSN: 01945998
• Web Site: http://api.elsevier.com/content/article/PII:S0194599899703177?httpAccept=text/xml
• Web Site: https://onlinelibrary.wiley.com/doi/pdf/10.1016/S0194-5998%2899%2970317-7
• Web Site: http://api.elsevier.com/content/article/PII:S0194599899703177?httpAccept=text/plain
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