Identification of hearing impairment

2019 ◽  
Author(s):  
David Elliman
Keyword(s):  
Hearing Impairment ◽  
Hearing Aids ◽  
Surgical Intervention ◽  
Otitis Media With Effusion ◽  
Cost Effective ◽  
School Entry ◽  
Life Chances ◽  
Universal Newborn Hearing Screening ◽  
Newborn Hearing ◽  
Congenital Hearing Impairment

Universal newborn hearing screening has meant that babies with significant congenital hearing impairment can be identified soon after birth and management instituted to ameliorate resultant problems, that is, minimize disability and handicap and optimize life chances. Evidence for the value of school entry screening is lacking and there is some evidence it is neither effective nor cost-effective. Further research is needed on this. Otitis media with effusion can cause significant long-lasting effects and may need surgical intervention or the provision of hearing aids. Parents and professionals should be aware of the symptoms that are indicative of possible hearing loss. Parents’ concerns should always be taken seriously.

scholarly journals Screening for GJB2-R143W-Associated Hearing Impairment: Implications for Health Policy and Practice in Ghana

2020 ◽  
pp. 1-6
Author(s):  
Samuel M. Adadey ◽  
Osbourne Quaye ◽  
Geoffrey K. Amedofu ◽  
Gordon A. Awandare ◽  
Ambroise Wonkam
Keyword(s):  
Genetic Testing ◽  
Hearing Impairment ◽  
Speech Therapy ◽  
Cost Effective ◽  
Policy And Practice ◽  
Universal Newborn Hearing Screening ◽  
Newborn Hearing ◽  
Health Policy And Practice ◽  
High Carrier ◽  
Number Of Individuals

Genetic factors significantly contribute to the burden of hearing impairment (HI) in Ghana as there is a high carrier frequency (1.5%) of the connexin 26 gene founder variant <i>GJB2</i>-R143W in the healthy Ghanaian population. <i>GJB2</i>-R143W mutation accounts for nearly 26% of causes in families segregating congenital non-syndromic HI. With HI associated with high genetic fitness, this indicates that Ghana will likely sustain an increase in the number of individuals living with inheritable HI. There is a universal newborn hearing screening (UNHS) program in Ghana. However, this program does not include genetic testing. Adding genetic testing of <i>GJB2</i>-R143W mutation for the population, prenatal and neonatal stages may lead to guiding genetic counseling for individual and couples, early detection of HI for at-risk infants, and improvement of medical management, including speech therapy and audiologic intervention, as well as provision of the needed social service to enhance parenting and education for children with HI. Based on published research on the genetics of HI in Ghana, we recommend that the UNHS program should include genetic screening for the <i>GJB2</i>-R143W gene variant for newborns who did not pass the initial UNHS tests. This will require an upgrade and resourcing of public health infrastructures to implement the rapid and cost-effective <i>GJB2</i>-R143W testing, followed by appropriate genetic and anticipatory guidance for medical care.

scholarly journals Newborn hearing screening coverage and detection rates of hearing impairment across China from 2008-2016

2020 ◽  
Author(s):  
Xuelian Yuan ◽  
Kui Deng ◽  
Jun Zhu ◽  
Liangcheng Xiang ◽  
Yongna Yao ◽  
...  
Keyword(s):  
Hearing Impairment ◽  
Detection Rate ◽  
Accurate Estimate ◽  
Hearing Screening ◽  
Newborn Hearing Screening ◽  
Detection Rates ◽  
Live Births ◽  
Universal Newborn Hearing Screening ◽  
Secondary Screening ◽  
Newborn Hearing

Abstract Background: Newborn hearing screening (NHS) can reduce the economic and social burden of hearing impairment. To track the progress of the goal set by the National Program of Action for Child Development (NPACD) and to estimate the detection rates of hearing impairment, the present study examined NHS coverage in 2008-2010 and 2016 and the detection of hearing impairment across China in 2016. Methods: Licensed medical institutions across China were surveyed in 2012 and 2018 by the National Center for Birth Defects Monitoring of China to collect data for the 2008-2010 period and for 2016 on live births, initial screening rates (total and failed), secondary screening rates (total and failed), and rates of hearing impairment diagnosis among infants who failed secondary screening. To calculate universal newborn hearing screening (UNHS) coverage, the number of newborns who received NHS within four weeks after birth was divided by the number of live births. The detection rate of hearing impairment was calculated by combining failure rates on primary and secondary screening with the rate of diagnosis. Results: National UNHS coverage increased from 29.9% in 2008 to 86.5% in 2016, with different regions showing different increases. During this period, the number of provinces with UNHS coverage over 90.0% increased from 2 to 17, with UNHS coverage in 2016 being substantially higher in eastern provinces (93.1%) than in western provinces (79.4%). In 2016, the detection rate of hearing impairment across the country was 0.23% (95% CI 0.15-0.25%), and it varied from 0.17% in western provinces to 0.22% in central provinces and 0.28% in eastern provinces. The lowest rate was 0.02% in Heilongjiang Province and the highest rate was 0.63% in Hainan Province. Conclusions: National UNHS coverage increased substantially from 2008 to 2016, although provinces and regions still showed differences. The detection rate of infant hearing impairment in China is comparable to that in other countries. A national individual-level information system is urgently needed in China to facilitate the integration of screening, diagnosis and treatment of infant hearing impairment, which may also lead to a more accurate estimate of the detection rate.

scholarly journals Using a Bone-Conduction Headset to Improve Speech Discrimination in Children With Otitis Media With Effusion

2019 ◽  
Vol 23 ◽  
pp. 233121651985830 ◽  
Author(s):  
Tamsin Holland Brown ◽  
Marina Salorio-Corbetto ◽  
Roger Gray ◽  
Alexandra James Best ◽  
Josephine E. Marriage
Keyword(s):  
Hearing Loss ◽  
Otitis Media ◽  
Hearing Aids ◽  
Otitis Media With Effusion ◽  
Bone Conduction ◽  
Cost Effective ◽  
Speech Discrimination ◽  
Listening Skills ◽  
Outcomes Of Education ◽  
Word Discrimination

The recommended management for children with otitis media with effusion (OME) is ‘watchful waiting’ before considering grommet surgery. During this time speech and language, listening skills, quality of life, social skills, and outcomes of education can be jeopardized. Air-conduction (AC) hearing aids are problematic due to fluctuating AC hearing loss. Bone-conduction (BC) hearing is stable, but BC hearing aids can be uncomfortable. Both types of hearing aids are costly. Given the high prevalence of OME and the transitory nature of the accompanying hearing loss, cost-effective solutions are needed. The leisure industry has developed relatively inexpensive, comfortable, high-quality BC headsets for transmission of speech or music. This study assessed whether these headsets, paired with a remote microphone, improve speech discrimination for children with OME. Nineteen children aged 3 to 6 years receiving recommended management in the United Kingdom for children with OME participated. Word-discrimination thresholds were measured in a sound-treated room in quiet and with 65 dB(A) speech-shaped noise, with and without a headset. The median threshold in quiet ( N = 17) was 39 dB(A) (range: 23–59) without a headset and 23 dB(A) (range: 9–35) with a headset ( Z = −3.519, p < .001). The median threshold in noise ( N = 19) was 59 dB(A) (range: 50–63) without a headset and 45 dB(A) (range: 32–50) with a headset (Z = −3.825, p < .001). Thus, the use of a BC headset paired with a remote microphone significantly improved speech discrimination in quiet and in noise for children with OME.

scholarly journals Cost-effectiveness of audiometric screening of first-year preparatory pupils in Dhofar region, Oman

2004 ◽  
Vol 10 (3) ◽  
pp. 303-308
Author(s):  
T. Aasham ◽  
R. Khand ekar ◽  
M. Khabori ◽  
S. A. Helmi
Keyword(s):  
Hearing Loss ◽  
Cost Effectiveness ◽  
Hearing Impairment ◽  
Otitis Media ◽  
School Children ◽  
Otitis Media With Effusion ◽  
Cost Effective ◽  
First Year ◽  
Preparatory School ◽  
Suppurative Otitis Media

Audiometric screening was conducted in Dhofar region to study the magnitude of ear problems and cost-effectiveness of screening first-year preparatory-school children in Oman. None of the 1894 pupils had otitis media with effusion or sensory neuronal hearing loss. Six children [0.32%] had impacted wax, 4 [0.21%] chronic suppurative otitis media and 2 [0.11%] dry perforation of eardrum. In all, 14 children [0.74%] with suspected hearing impairment were referred to a specialist but only 2 attended. Physicians and nurses spent 8-10 minutes for ear examination per child for a yield of less than 1%. The screening expenditure was US$ 5 per pupil. As the prevalence of serious ear conditions was low, we conclude that exp and ing the audiometric screening of schoolchildren to first-year preparatory pupils is not cost-effective

scholarly journals Musical Training in Congenital Hearing Impairment. Effects on Cognitive and Motor Skill in Three Children Using Hearing Aids: Pilot Test Data

2018 ◽  
Vol 9 ◽  
Author(s):  
Sara Ghiselli ◽  
Elena Ciciriello ◽  
Giovanni Maniago ◽  
Enrico Muzzi ◽  
Sandra Pellizzoni ◽  
...  
Keyword(s):  
Hearing Impairment ◽  
Test Data ◽  
Hearing Aids ◽  
Motor Skill ◽  
Musical Training ◽  
Pilot Test ◽  
Congenital Hearing Impairment
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