'Asymptomatic' South Auckland preschool children have significant hearing loss and middle ear disease.

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dc.contributor.author Dickinson, Louise J en
dc.contributor.author Nimmo, Moea en
dc.contributor.author Morton, Randall P en
dc.contributor.author Purdy, Suzanne en
dc.date.accessioned 2019-03-13T22:03:08Z en
dc.date.issued 2018-11 en
dc.identifier.issn 0165-5876 en
dc.identifier.uri http://hdl.handle.net/2292/46002 en
dc.description.abstract BACKGROUND:Seven hundred children were recalled for hearing screening at age 2-3 years due to a problem with their newborn hearing screen. They had all been well babies with no identified risk factors for hearing loss and hence were not scheduled for targeted follow-up to retest hearing. METHODS:There were 485 children (69%) that attended the recall. The average age was 36 months (SD 3.7). Family ethnicity was Pacific Island (36%), Asian (26%), NZ European (13%), and Māori (11%), and there was a high level of deprivation in the study population. Children were screened using distortion product otoacoustic emission (DPOAE) and a parent or caregiver completed a 14-item questionnaire about ear health. The children that did not pass screening were given appointments for audiology testing. Children with hearing loss and/or middle ear problems were referred for otolaryngology review and further hearing assessments. RESULTS:About one third (36%; n = 176) of children did not pass DPOAE screening; 82 (17%) had abnormal type B tympanograms and hearing loss; 29 underwent insertion of ventilation tubes, and one had a perforated tympanic membrane. There was a significant association between failed tympanometry and hearing loss (Chi-squared = 16.67, p < .001). Five children had permanent sensorineural hearing loss (SNHL), two of whom required cochlear implants for idiopathic hearing loss, with no specific risk factors. Overall 380 of 485 children screened were deemed to have normal hearing (i.e. 22% failed hearing). From the questionnaire, 15% of the caregivers with no suspicion of hearing problems did have children with significant hearing loss. Regression analysis showed that Pacific/Māori ethnicity was significantly associated with risk of hearing loss, together with questionnaire items identifying hearing problems and breathing problems. CONCLUSIONS:There is a high proportion of children in South Auckland with unsuspected hearing loss; a different approach to hearing screening is warranted for this population with high rates of middle ear disease at age 3. en
dc.format.medium Print-Electronic en
dc.language eng en
dc.relation.ispartofseries International journal of pediatric otorhinolaryngology en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.subject Humans en
dc.subject Hearing Loss, Sensorineural en
dc.subject Otitis Media en
dc.subject Tympanic Membrane Perforation en
dc.subject Hearing Tests en
dc.subject Acoustic Impedance Tests en
dc.subject Middle Ear Ventilation en
dc.subject Cross-Sectional Studies en
dc.subject Cochlear Implants en
dc.subject Otoacoustic Emissions, Spontaneous en
dc.subject Child, Preschool en
dc.subject Ethnic Groups en
dc.subject New Zealand en
dc.subject Female en
dc.subject Male en
dc.title 'Asymptomatic' South Auckland preschool children have significant hearing loss and middle ear disease. en
dc.type Journal Article en
dc.identifier.doi 10.1016/j.ijporl.2018.08.034 en
pubs.begin-page 106 en
pubs.volume 114 en
dc.rights.holder Copyright: The author en
pubs.end-page 110 en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Journal Article en
pubs.elements-id 753365 en
pubs.org-id Science en
pubs.org-id Psychology en
dc.identifier.eissn 1872-8464 en
pubs.record-created-at-source-date 2018-09-29 en
pubs.dimensions-id 30262346 en

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