Shave Samantha, Botti Christina, Kwong Kelvin
Department of Otolaryngology-Head & Neck Surgery, Division of Pediatric Otolaryngology, Rutgers Robert Wood Johnson Medical School, 10 Plum Street, 8th Floor, New Brunswick, NJ 08901, USA.
Department of Pediatrics, Division of Medical Genetics, Rutgers Robert Wood Johnson Medical School, 10 Plum Street, 8th Floor, New Brunswick, NJ 08901, USA.
Pediatr Clin North Am. 2022 Apr;69(2):221-234. doi: 10.1016/j.pcl.2021.12.006.
Congenital sensorineural hearing loss is highly prevalent in our population, with a wide variety of causes. The key to clinical management is early detection and intervention, to promote language and cognitive development. With expanding genetic knowledge about congenital sensorineural hearing loss, the indiscriminate approach in workup is no longer recommended. Comprehensive genetic evaluation and cytomegalovirus testing are key to identify the underlying cause of the hearing loss. Treatment and prognosis depend on age of hearing loss onset and detection; management plans will typically include audiology consultation, speech therapy, and various hearing amplification devices and technologies when applicable.
先天性感音神经性听力损失在我们的人群中非常普遍，病因多种多样。临床管理的关键是早期发现和干预，以促进语言和认知发展。随着对先天性感音神经性听力损失的遗传学知识不断扩展，不再推荐在检查中采用不加区分的方法。全面的基因评估和巨细胞病毒检测是确定听力损失潜在原因的关键。治疗和预后取决于听力损失开始和发现的年龄；管理计划通常将包括听力咨询、言语治疗以及在适用时使用各种听力放大设备和技术。
