Division of Ear, Nose and Throat Diseases, Department of Clinical Science, Intervention and Technology, Karolinska Institutet and Department of Otolaryngology Head and Neck & Audiology and Neurotology, Karolinska University Hospital, Stockholm, Sweden.
Department of Otolaryngology, Head and Neck Surgery, the Second Affiliated Hospital of Nanchang University, Nanchang, China.
Acta Otolaryngol. 2022 Jan;142(1):61-66. doi: 10.1080/00016489.2021.2017476. Epub 2021 Dec 31.
Universal newborn hearing screening (UNHS) contributes to the early diagnosis of hearing loss. However, not all permanent pediatric hearing impairments can be identified by UNHS.
AIMS/OBJECTIVE: To investigate children who have successfully passed the UNHS, but have later-onset hearing loss at an early stage.
UNHS of children, was reviewed retrospectively from databases at Karolinska University Hospital, Sweden. Gender, age, the reason for contact, the first contact and the most recent audiogram, the hearing diagnosis, the degree of hearing loss when they were enrolled in hearing rehabilitation, and the hearing aids they used were analysed.
63 children who had passed the UNHS at birth and were diagnosed with a hearing impairment at a later stage were included in the study. The average age was 3.3 and 3.9 years old when the children were diagnosed and were finally enrolled in the hearing habilitation, respectively. The reasons for diagnostic evaluation of a suspected hearing loss at present study are preschool hearing tests at the Child Health Care Centres, parents suspect, and/or delayed speech and language development.
Our findings suggest that a passed UNHS does not exclude a future delayed onset of hearing loss, particularly in children with risk factors.
新生儿普遍听力筛查（UNHS）有助于早期诊断听力损失。然而，并非所有永久性儿童听力障碍都能通过 UNHS 识别。
调查通过 UNHS 筛查但后来出现早期听力损失的儿童。
回顾性分析瑞典卡罗林斯卡大学医院的数据库中通过 UNHS 筛查的儿童。分析性别、年龄、就诊原因、首次就诊和最近的听力图、听力诊断、开始听力康复时的听力损失程度以及使用的助听器。
本研究纳入了 63 名在出生时通过 UNHS 筛查但后来被诊断为听力障碍的儿童。诊断时和最终开始听力康复时的平均年龄分别为 3.3 岁和 3.9 岁。目前研究中诊断疑似听力损失的评估原因是儿童保健中心的学龄前听力测试、父母怀疑和/或语言发育迟缓。
我们的研究结果表明，通过 UNHS 筛查并不能排除未来迟发性听力损失的可能性，特别是对于有风险因素的儿童。
