Daemers K, Drickx J D, Van Driessche K, Somers T, Offeciers F E, Govaerts P J
E.N.T. Department, Sint-Augustinus Medical Institute (U.I.A.), Antwerp, Belgium.
Acta Otorhinolaryngol Belg. 1996;50(3):203-9.
For several years now, it is possible to test the cochlear function immediately after birth in an easy way by means of click evoked otoacoustic emissions. Thanks to this early detection, hearing aid fitting and appropriate hearing rehabilitation can now be started at a very young age, which significantly enhances the possibility of integration of the congenitally hard of hearing in society. An international consensus is growing to endorse a universal neonatal hearing screening in western societies. Setting up screening programs necessitates good preparation, continuous quality control and regular analysis of procedures and results. The present paper evaluates the procedure as organised from January 1993 till December 1994 in the University ENT-Department of the Sint-Augustinus Hospital. Of the 907 included neonates who were considered not to be at risk for hearing loss, 81% passed the test immediately, and 93% passed after maximum 3 tests. Some changes in the initial procedure increased the prevalence of emissions from 69% to 84%. The practical problems of the screening program and especially the importance of a stringent follow-up procedure in case of failure, are discussed.
几年来，通过瞬态诱发耳声发射能够以一种简便的方式在出生后立即检测耳蜗功能。由于这种早期检测，现在可以在非常小的年龄就开始进行助听器适配和适当的听力康复，这显著提高了先天性听力障碍者融入社会的可能性。在西方社会，支持普遍进行新生儿听力筛查的国际共识正在形成。建立筛查项目需要做好充分准备、持续进行质量控制以及定期对程序和结果进行分析。本文评估了1993年1月至1994年12月在圣奥古斯丁医院大学耳鼻喉科所组织的该程序。在907名被认为无听力损失风险的纳入新生儿中，81%立即通过了测试，93%在最多3次测试后通过。初始程序中的一些改变使耳声发射的发生率从69%提高到了84%。讨论了筛查项目的实际问题，尤其是在测试失败情况下严格后续程序的重要性。
