Presented in part at the American Academy of Audiology Conference, Dallas, Texas, U.S.A., April 1–4, 2009.
Epidemiology of unilateral sensorineural hearing loss with universal newborn hearing screening
Version of Record online: 1 APR 2013
© 2013 The American Laryngological, Rhinological and Otological Society, Inc.
Volume 124, Issue 1, pages 295–300, January 2014
How to Cite
Ghogomu, N., Umansky, A. and Lieu, J. E. C. (2014), Epidemiology of unilateral sensorineural hearing loss with universal newborn hearing screening. The Laryngoscope, 124: 295–300. doi: 10.1002/lary.24059
Dr. Ghogomu and Dr. Umansky were supported through the Washington University Predoctoral Clinical Research Training Program (TL1RR024995), as part of the Washington University Clinical Translational Science Award (UL1RR024992). Dr. Lieu was supported by NIH grant K23 DC006638.
The authors have no other funding, financial relationships, or conflicts of interest to disclose.
- Issue online: 20 DEC 2013
- Version of Record online: 1 APR 2013
- Manuscript Accepted: 28 JAN 2013
- Manuscript Revised: 20 DEC 2012
- Manuscript Received: 8 JUN 2012
Compare the epidemiology of pediatric unilateral sensorineural hearing loss before and after implementation of universal newborn hearing screening in Missouri.
Charts of 134 children born between January 1, 1990 and December 31, 2007, diagnosed with unilateral sensorineural hearing loss at a single institution in Missouri were reviewed to determine the effects of universal newborn hearing screening on age of detection and etiology of hearing loss.
Mean age of detection declined from 4.4 (standard deviation [SD] 1.8) to 2.6 (SD 2.6) years of age, whereas the rate of detection by 6 months of age increased from 3% to 42%. The majority (58%) of cases had normal hearing at birth. The most common etiological category was unknown (41%) before screening and congenital (45%) after screening. The use of magnetic resonance imaging has increased by 21% (2-fold), whereas use of computed tomography has declined by 8% since 2002. Yields of connexin, Pendred, electrocardiogram, and syphilis testing were 0/48 and 2/31 before and after screening, respectively.
Implementation of universal newborn hearing screening in Missouri is associated with a decrease in age of detection of unilateral sensorineural hearing loss. The majority of cases are either not present or not detectable at birth. The combination of hearing status at birth and imaging findings suggests that the majority of cases are congenital rather than of unknown etiology.
Level of Evidence
2b. Laryngoscope, 124:295–300, 2014