Paul Antoine, Bense Fanny, Boithias Guerot Claire, De La Rubia Sofia, Lebeaux Cécile, Papon Jean-François
Otolaryngology Department-Cochlear Implant Center, Hôpital Bicêtre, Assistance Publique-Hôpitaux de Paris, Paris-Saclay University, 94270 Kremlin-Bicêtre, France.
Neonatal Intensive Care Unit Department, Hôpital Bicêtre, Assistance Publique-Hôpitaux de Paris, Paris-Saclay University, 94270 Kremlin-Bicêtre, France.
Int J Neonatal Screen. 2024 Jan 30;10(1):11. doi: 10.3390/ijns10010011.
It has been demonstrated that universal hearing neonatal screening (UHNS) is efficient at providing early diagnosis and rehabilitation for deafness. The risk factors of deafness in children have been identified, but less specifically in those diagnosed after UHNS. In this study, we aim to study these factors in infants who were referred after screening and to compare our experience to recent data. We studied infants referred to our department for diagnosis after screening between January 2018 and December 2021. Their medical history and neonatal hearing risk factors were assessed. Associations between factors were also analyzed. Sixty-six infants were included. A family history of deafness (47%), syndromic deafness (41%), intrauterine growth retardation or prematurity (19.7%), and prolonged NICU admission (18%) were the most observed factors. When analyzing according to these associations, family history of deafness and syndromic cases remained the most prevalent factors (74%), while only five cases (7.8%) presented with other neonatal risk factors only. The majority of congenital hearing loss cases are observed in infants with suspected genetic deafness. Parental counseling, the diagnostic pathway, as well as the healthcare system should be adapted according to these risk factors.
已经证明，新生儿听力普遍筛查（UHNS）在为耳聋提供早期诊断和康复方面是有效的。儿童耳聋的危险因素已被确定，但在UHNS后诊断出的儿童中，具体情况了解较少。在本研究中，我们旨在研究筛查后转诊的婴儿中的这些因素，并将我们的经验与近期数据进行比较。我们研究了2018年1月至2021年12月期间转诊至我科进行筛查后诊断的婴儿。评估了他们的病史和新生儿听力危险因素。还分析了各因素之间的关联。纳入了66名婴儿。耳聋家族史（47%）、综合征性耳聋（41%）、宫内生长迟缓或早产（19.7%）以及新生儿重症监护病房（NICU）住院时间延长（18%）是最常观察到的因素。根据这些关联进行分析时，耳聋家族史和综合征性病例仍然是最普遍的因素（74%），而只有5例（7.8%）仅出现其他新生儿危险因素。大多数先天性听力损失病例见于疑似遗传性耳聋的婴儿。应根据这些危险因素调整家长咨询、诊断途径以及医疗保健系统。
