Sao Paulo Federal University/UNIFESP/Paulista Medical School/EPM, Brazil.
Braz J Otorhinolaryngol. 2010 May-Jun;76(3):347-54. doi: 10.1590/S1808-86942010000300013.
In newborn hearing screening little importance is attributed to changes in the middle ear. Children with secretory otitis in the neonatal period are at risk for developing otitis media in the first year of life.
To determine if children who failed the hearing screening because of conductive hearing loss have more episodes of conductive hearing impairment during their first years of life.
The study group comprised 62 children who failed the screening for conductive impairment. The control was made up of 221 who passed. Both had audiologic and otolaryngological assistance and were compared regarding the occurrence of conductive disorder. Were used the Fisher's Exact test for statistical analysis and logistic regression models. The study was prospective and retrospective.
Children who failed the screening by conductive disorder had more episodes of otitis media during the first year of life than those who did not fail, with statistically significant difference.
Infants who failed the screening in the first month of life for conductive alteration are more likely to experience otitis in the first year of life. The high incidence of otitis indicates the need for joint action with otolaryngologist for diagnosis of such changes.
新生儿听力筛查中，中耳变化往往得不到重视。新生儿期分泌性中耳炎患儿有发生婴幼儿期中耳炎的风险。
确定因传导性听力损失而未通过听力筛查的儿童在其生命的最初几年中是否有更多次传导性听力障碍发作。
研究组包括 62 名因传导性听力障碍而未通过筛查的儿童。对照组由 221 名通过的儿童组成。两组均接受了听力学和耳鼻喉科的辅助，并比较了传导性障碍的发生情况。统计分析采用 Fisher 确切检验和逻辑回归模型。该研究为前瞻性和回顾性研究。
因传导性障碍而未通过筛查的儿童在生命的第一年中更频繁地发生中耳炎，与未未通过筛查的儿童相比，差异具有统计学意义。
在生命的第一个月因传导性改变而未通过筛查的婴儿更有可能在生命的第一年中发生中耳炎。中耳炎的高发病率表明需要与耳鼻喉科医生联合诊断此类变化。
