Reis Cláudia, Monteiro Luísa, Monteiro Conceição, Pereira Joana, Teixeira Joana, Mendes João, Pereira Mariana, Barrocas Magda, Gomes Dionísia, Serrano Margarida
Polytechnic University of Coimbra, Rua da Misericórdia, Lagar dos Cortiços, S. Martinho do Bispo, 3045-093 Coimbra, Portugal.
Hospital Lusíadas, Rua João Freitas Branco, 1500-458 Lisboa, Portugal.
Audiol Res. 2025 Aug 11;15(4):104. doi: 10.3390/audiolres15040104.
: Preschool hearing screening is justified by the risk of late onset hearing loss, the high prevalence of otitis media with effusion in school-aged children, and the critical timing just before children begin formal reading and learn to write. This study describes the results of the annual preschool hearing screening program in Campo Maior from 2007 to 2025 (nineteen years) and correlates the audiological referral to the otoscopy findings by the otolaryngologists. : Retrospective study using clinical records from nineteen years of preschool hearing screening. : Screening identified 310 children (29% of 1068 screened) requiring referral to an ENT specialist. Of the 217 referred children evaluated by ENT, 198 (91.2%) had confirmed pathology or healthcare needs of medical intervention. A statistically significant positive association (r = 0.254, < 0.05) existed between abnormal otoscopy findings and Type B or C2 tympanograms (versus Type A or C1). Hearing loss occurring with Type A tympanograms (0.8% unilaterally, 0.3% bilaterally) may suggest sensorineural hearing loss. : This study reinforces the importance of universal preschool audiological screening for all children, particularly for children facing geographic barriers to healthcare. Community-based interventions facilitated by social solidarity associations can play a crucial role in mitigating healthcare access disparities across populations.
学龄前听力筛查是合理的，原因在于迟发性听力损失的风险、学龄儿童中耳积液的高患病率，以及儿童开始正式阅读和学习写作之前的关键时期。本研究描述了2007年至2025年（共19年）坎普马约尔年度学龄前听力筛查项目的结果，并将听力转诊与耳鼻喉科医生的耳镜检查结果相关联。：使用19年学龄前听力筛查临床记录的回顾性研究。：筛查发现310名儿童（占1068名接受筛查儿童的29%）需要转诊至耳鼻喉科专家处。在耳鼻喉科评估的217名转诊儿童中，198名（91.2%）有确诊的病理状况或需要医疗干预的健康需求。耳镜检查异常结果与B型或C2型鼓室图（相对于A型或C1型）之间存在统计学上显著的正相关（r = 0.254，<0.05）。A型鼓室图出现的听力损失（单侧0.8%，双侧0.3%）可能提示感音神经性听力损失。：本研究强化了对所有儿童进行普遍学龄前听力筛查的重要性，特别是对于面临医疗保健地理障碍的儿童。由社会团结协会推动的社区干预措施可以在减轻不同人群医疗保健获取差距方面发挥关键作用。
