Efficacy of Distortion Product Oto-Acoustic Emission (OAE)/Auditory Brainstem Evoked Response (ABR) Protocols in Universal Neonatal Hearing Screening and Detecting Hearing Loss in Children <2 Years of Age

  • Girish Mishra
  • Yojana Sharma
  • Kanishk Mehta
  • Gunjan Patel
Original Article

Abstract

Deafness is commonest curable childhood handicap. Most remedies and programmes don’t address this issue at childhood level leading to detrimental impact on development of newborns. Aims and objectives are (A) screen all newborns for deafness and detect prevalence of deafness in children less than 2 years of age. and (B) assess efficacy of multi-staged OAE/ABR protocol for hearing screening. Methodology: Non-randomized, prospective study from August 2008 to August 2011. All infants underwent a series of oto-acoustic emission (OAE) and final confirmatory auditory brainstem evoked response (ABR) audiometry. Finally, out of 1,101 children, 1,069 children passed the test while 12 children had impaired hearing after final testing, confirmed by ABR. Positive predictive value of OAE after multiple test increased to 100 %. OAE–ABR test series is effective in screening neonates and multiple tests reduce economic burden. High risk screening will miss nearly 50 % deaf children, thus universal screening is indispensable in picking early deafness.

Keywords

Neonatal hearing screening Oto-acoustic emission (OAE) Auditory brainstem evoked response (ABR) 

References

  1. 1.
    Tucci DL, Merson MH, Wilson BS (2010) A summary of the literature on global hearing impairment: current status and priorities for action. Otol Neurotol 31(1):31–41PubMedCrossRefGoogle Scholar
  2. 2.
    Roclev P, Mumdzhiev H, Spiridonova J, Dimov P (2004) Universal newborn hearing screening in Bulgaria. Int J Pediatr Otorhinolaryngol 3354:1–6Google Scholar
  3. 3.
    Nagapoornima P, Ramesh A, Srilakshmi, Rao S, Patricia PL, Gore M, Dominic M, Swarnarekha (2007) Universal hearing screening. Indian J Pediatr 74:545–549PubMedCrossRefGoogle Scholar
  4. 4.
    Report of collective study on prevention and etiology of hearing impairment (1983) ICMR and Department of Science, New DelhiGoogle Scholar
  5. 5.
    Kacker SK (1997) The scope of pediatric audiology in India. Otorhinolaryngology Research Society of AIIMS, New Delhi, p 20Google Scholar
  6. 6.
    Paul AK (2011) Early identification of hearing loss and centralized newborn hearing screening facility—the Cochin experience. Indian Pediatr 48:355–359PubMedCrossRefGoogle Scholar
  7. 7.
    Biswas A (2002) Clinical audio-vestibulometry for otologists and neurologists, Assessing the deaf child, 3rd edn. Bhalani Publishing House, Mumbai, p 97Google Scholar
  8. 8.
    Harvey C (2003) New born hearing screening. Aust Prescr 26(4):82Google Scholar
  9. 9.
    Mangla S, Kaushal R (2009) Importance of new born hearing screening. Indian J Otolaryngol Head Neck Surg 61:157–159CrossRefGoogle Scholar
  10. 10.
    Margaret AK (2003) Neonatal hearing screening. Pediatr Clin N Am 50:301–313CrossRefGoogle Scholar
  11. 11.
    Low WK, Pang KY (2005) Universal newborn hearing screening. Ann Acad Med Singap 34:301–306PubMedGoogle Scholar
  12. 12.
    Downs SM, Kemper A (2000) A cost-effectiveness analysis of new born hearing screening strategies. Arch Pediatr Adolesc Med 154:484–488PubMedGoogle Scholar
  13. 13.
    Joint committee on Infant Hearing (2000) Position statement; principles and guidelines for early hearing detection and intervention programmes. Pediatrics 106:798–817CrossRefGoogle Scholar
  14. 14.
    Chan KY, Lee F, Chow CB, Shek CC, Mak R (1998) Early screening and identification of deafness of high risk neonates. HK J Paediatr 3:131–135Google Scholar
  15. 15.
    Mehl AL, Thomson V (1998) Newborn hearing screening: the great omission. Pediatrics 101:1–6CrossRefGoogle Scholar
  16. 16.
    John M, Balraj A, Kurien M (2009) Neonatal screening for hearing loss: pilot study from a tertiary care centre. Indian J Otolaryngol Head Neck Surg 61:33–36CrossRefGoogle Scholar

Copyright information

© Association of Otolaryngologists of India 2012

Authors and Affiliations

  • Girish Mishra
    • 1
  • Yojana Sharma
    • 1
  • Kanishk Mehta
    • 2
  • Gunjan Patel
    • 2
  1. 1.Department of ORL & HNSShree Krishna Hospital & Pramukhswami Medical CollegeKaramsadIndia
  2. 2.Department of ENT & HNSShree Krishna Hospital & Pramukhswami Medical CollegeKaramsadIndia

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