Delayed auditory pathway maturation in the differential diagnosis of hypoacusis in young children

Claudia Talero-Gutiérrez, Irma Carvajalino-Monje, Blanca Samper de Samper, Milciades Ibáñez-Pinilla

Resultado de la investigación: Contribución a RevistaArtículo

12 Citas (Scopus)

Resumen

Auditory deficiencies have profound implications for the development of communication abilities, social exchange, and cognitive skills. Although advances in technological instrumentation have decreased the age at which it is possible to detect auditory deficits, an absence of electrophysiological or behavioral reaction to sound does not always reflect hypoacusis. The objective of this study was to evaluate the evolution of audition in a group of children referred for therapy to the CINDA Foundation (Center for Research and Information in Auditory Deficiencies) in Bogota, Colombia, with an initial diagnosis of severe to profound sensorineural hearing loss. We evaluated 25 patients younger than 2.5 years of age with a protocol which included auditory evoked potentials, behavioral responses (tonal audiometry-responses to voice and startle) and language observation. After evaluation, the children began a program of auditory stimulation with audiological follow-up for a period of 6 months to 1 year. The audiological follow-up of the children after auditory stimulation showed significant improvements in both electrophysiological and behavioral indices of their hearing levels (p <.001, one-tailed Wilcoxon exact test). We found a high percentage of children in early stages of auditory maturation with a false diagnosis of hypoacusis (32%). The absence of response may result from compromised auditory reception or processing. Thus, delayed maturation of the auditory pathway should be considered in the differential diagnosis of young children with sensorineural hearing loss. © 2007 Elsevier Ireland Ltd. All rights reserved.
Idioma originalEnglish (US)
Páginas (desde-hasta)519-527
Número de páginas9
PublicaciónInternational Journal of Pediatric Otorhinolaryngology
DOI
EstadoPublished - abr 1 2008

Huella dactilar

Auditory Pathways
Hearing Loss
Differential Diagnosis
Acoustic Stimulation
Sensorineural Hearing Loss
Hearing
Information Centers
Audiometry
Auditory Evoked Potentials
Aptitude
Colombia
Language
Communication
Observation
Research

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abstract = "Auditory deficiencies have profound implications for the development of communication abilities, social exchange, and cognitive skills. Although advances in technological instrumentation have decreased the age at which it is possible to detect auditory deficits, an absence of electrophysiological or behavioral reaction to sound does not always reflect hypoacusis. The objective of this study was to evaluate the evolution of audition in a group of children referred for therapy to the CINDA Foundation (Center for Research and Information in Auditory Deficiencies) in Bogota, Colombia, with an initial diagnosis of severe to profound sensorineural hearing loss. We evaluated 25 patients younger than 2.5 years of age with a protocol which included auditory evoked potentials, behavioral responses (tonal audiometry-responses to voice and startle) and language observation. After evaluation, the children began a program of auditory stimulation with audiological follow-up for a period of 6 months to 1 year. The audiological follow-up of the children after auditory stimulation showed significant improvements in both electrophysiological and behavioral indices of their hearing levels (p <.001, one-tailed Wilcoxon exact test). We found a high percentage of children in early stages of auditory maturation with a false diagnosis of hypoacusis (32{\%}). The absence of response may result from compromised auditory reception or processing. Thus, delayed maturation of the auditory pathway should be considered in the differential diagnosis of young children with sensorineural hearing loss. {\circledC} 2007 Elsevier Ireland Ltd. All rights reserved.",
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Delayed auditory pathway maturation in the differential diagnosis of hypoacusis in young children. / Talero-Gutiérrez, Claudia; Carvajalino-Monje, Irma; Samper, Blanca Samper de; Ibáñez-Pinilla, Milciades.

En: International Journal of Pediatric Otorhinolaryngology, 01.04.2008, p. 519-527.

Resultado de la investigación: Contribución a RevistaArtículo

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AU - Talero-Gutiérrez, Claudia

AU - Carvajalino-Monje, Irma

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AB - Auditory deficiencies have profound implications for the development of communication abilities, social exchange, and cognitive skills. Although advances in technological instrumentation have decreased the age at which it is possible to detect auditory deficits, an absence of electrophysiological or behavioral reaction to sound does not always reflect hypoacusis. The objective of this study was to evaluate the evolution of audition in a group of children referred for therapy to the CINDA Foundation (Center for Research and Information in Auditory Deficiencies) in Bogota, Colombia, with an initial diagnosis of severe to profound sensorineural hearing loss. We evaluated 25 patients younger than 2.5 years of age with a protocol which included auditory evoked potentials, behavioral responses (tonal audiometry-responses to voice and startle) and language observation. After evaluation, the children began a program of auditory stimulation with audiological follow-up for a period of 6 months to 1 year. The audiological follow-up of the children after auditory stimulation showed significant improvements in both electrophysiological and behavioral indices of their hearing levels (p <.001, one-tailed Wilcoxon exact test). We found a high percentage of children in early stages of auditory maturation with a false diagnosis of hypoacusis (32%). The absence of response may result from compromised auditory reception or processing. Thus, delayed maturation of the auditory pathway should be considered in the differential diagnosis of young children with sensorineural hearing loss. © 2007 Elsevier Ireland Ltd. All rights reserved.

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