gms | German Medical Science

81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

12.05. - 16.05.2010, Wiesbaden

Otoacoustic emissions as a screening test of hearing loss in high-risk infants: northern Greece experience

Meeting Abstract

  • corresponding author Pantelis Chouridis - Ippokration General Hospital, Thessaloniki, Greece
  • Skouras Athanasios - Ippokration, Thessaloniki, Greece
  • Argyrioy Nektarios - Ippokration, Thessaloniki, Greece
  • Melpomeni Panagiotidoy - Ippokration, Thessaloniki, Greece
  • George Kontzoglou - Ippokration, Thessaloniki, Greece
  • Magganaris Argyrios - Ippokration, Thessaloniki, Greece
  • Mpoukla Anastasia - Ippokration, Thessaloniki, Greece
  • Tsakiropoulou Eyaggelia - Ippokration, Thessaloniki, Greece
  • Kioutsouki Aikaterini - Ippokration, Thessaloniki, Greece

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 81. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Wiesbaden, 12.-16.05.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. Doc10hnod267

DOI: 10.3205/10hnod267, URN: urn:nbn:de:0183-10hnod2673

Published: April 22, 2010

© 2010 Chouridis et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

Text

Introduction: Otoacoustic emissions (OEM) have been established as the easiest method to conduct screening test in newborns.

Methods: OEMs are been used as a screening test in all neonatal who being born in 3 major Obstretic Clinics in the capital of Northern Greece, Thessaloniki. High risk are neonatal with very high blood cholerythrin,use of ototoxic medicines, very low birth weight ( 1500 gm),requiring intensive care in the nursery longer of 5 days, prematurity and translocation of the 35 del G connexin 26 gene. Hearing loss with craniofacial syndromes is of common occurrence. Known are : Alport, Von Recklinghausen, Waardenburg, Usher, Nager, Pendred, long QT, Pierre – Robin, Treacher – Collins, Klippel – Feil, trisomy 13–15, trisomy 18, trisomy 21.

Results: In the year 2007–2008 were conducted 89 transiently evoked otoacoustic emissions (TEOAEs) (178 ears) in high risk neonates . A percentage of 48.31% (43 neonates) failed in the examination at least unilaterally. In general population the statistical failure to response at least in one ear, is 22%. These newborns were re-examined after a period of 1 month and success response had 20 neonates. In the remaining children were conducted auditory brainstem responses (ABRs) in which succeeded 15 . In the remaining 8, 4 had some kind of craniofacial syndromes and 4 were extremely premature babies. These were re-examined with ABRs and finally the ultimate failure was 2 neonates, 2.25 %, in which were applied cochlear implant.

Conclusions: Otolaryngologist must show extreme caution in the examination, and don’t hesitate to re-exam the newborn if there is a slightest suspicion of failure in the testing. The probability that the doctor is wrong it’s significant higher than in the general population