Journal List > J Korean Med Assoc > v.47(12) > 1080339

Choi and Chung: Early Detection of Childhood Hearing Impairment

Abstract

Hearing loss in infants and children, despite its relatively high incidence and possible detrimental outcomes, is commonly overlooked. Currently, no program for newborn hearing screening has been established in Korea, although early detection and early intervention of hearing loss in infants will significantly influence the developmental course of speech and language skills. The Joint Committee on Infant Hearing recommends that all children should be screened for hearing impairment before age 3 months of age and medical or audiologic interventions be instituted before 6 months of age when indicated. Generally, a two-staged protocol employing automated auditory brainstem response(AABR) and otoacoustic emission(OAE) is recommended for newborn hearing screening, and its sensitivity reaches nearly 100%. Once hearing loss is diagnosed, further evaluation of the severity, nature, and the cause of hearing loss should follow, and interventions including amplification and rehabilitation should be started as soon as possible.

Figures and Tables

Table 1
jkma-47-1197-i001
Table 2
jkma-47-1197-i002

References

1. Denoyelle F, Marlin S, Weil D, Moatti L, Chauvin P, et al. Clinical features of the prevalent form of childhood deafness, DFNB1 due to connexin-26 gene defect : implications for genetic counseling. Lancet. 1999. 353:1298–1303.
crossref
2. Texas Department of Health : State Health Data. 1995. Austin, Texas:
3. Mehl AL, Thomson V. Newborn hearing screening : the great omission. Pediatrics. 1998. 101:1–6.
4. Early Identification of Hearing Impairment in Infants and Young Children : NIH Consensus Statement 1-3. 1993. 11:1–2.
5. Moore DR. Postnatal development of the mammalian central auditory system and the neural consequences of auditory deprivation. Acta Otolaryngol Suppl (Stockh). 1985. 421:19–30.
crossref
6. Brookhouser PE, Worthington DW, Kelly WJ. Unilateral hearing loss in children. Laryngoscope. 1990. 101:1264–1272.
crossref
7. Yoshinaga-Itano C. Efficacy of early identification and early intervention. Semin Hear. 1995. 16:115–123.
crossref
8. Joint Committee on Infant Hearing. Year 2000 position statement. 2000. Rockville, MD: ASHA.
9. Mauk GW, White KR, Mortensen LB. The effectiveness of screening programs based on high-risk characteristics in early identification of hearing impairment. Ear Hear. 1991. 12:312–319.
crossref
10. American Academy of Pediatrics Task Force on Newborn and Infant Hearing. Newborn and infant hearing loss : Detection and intervention. Pediatrics. 1999. 103:527–530.
11. Erenberg S. Automated auditory brainstem response testing for universal newborn hearing screening. Otolaryngol Clin North Am. 1999. 32:999–1007.
crossref
12. van Staatan HLM, Groote ME, Oudesluys-Murphy AM. Evaluation of an automated auditory brainstem response infant hearing screening method in at risk neonates. Eur J Pediatr. 1996. 155:702–705.
crossref
13. White KR. Practicality, validity, and cost-efficiency of universal newborn hearing screening using evoked otoacoustic emissions. 1993. In : Program and abstracts of the NIH Consensus Development Conference; Bethesda, Maryland. Bethesda, MD: National Institutes of Health;115–118.
14. American Speech-Language-Hearing Association. Guidelines for identification audiometry. 1985. Rockville, MD: ASHA;49–53.
15. Elden MS, William P, Potsic MD. Screening and prevention of hearing loss in children. Curr Opin Pediatr. 2002. 14:723–730.
crossref
16. Paradise JL, Dollaghan CA, Campbell TF, Feldman HM, Bernard BS, et al. Language, speech sound production, and cognition in three-year-old children in relation to otitis media with effusion in their first three years of life. Pediatrics. 2000. 105:1119–1130.
crossref
17. Waltzman SB, Cohen NL, Green J. Long-term effects of cochlear implants in children. Otolaryngol Head Neck Surg. 2002. 126:505–511.
crossref
18. Hassanzadeh S, Farhadi M, Daneshi A. The effects of age on auditory speech perception development in cochlear-implanted prelingually deaf children. Otolaryngol Head Neck Surg. 2002. 126:524–527.
crossref
TOOLS
Similar articles