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

Claudia Talero-Gutiérrez; Irma Carvajalino-Monje; Blanca Samper de Samper; Milciades Ibañez-Pinilla

doi:10.1016/j.ijporl.2007.12.009

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

Título traducido de la contribución: Retraso en la maduración de la vía auditiva en el diagnóstico diferencial de la hipoacusia en niños pequeños

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

Producción científica: Contribución a revista › Artículo de Investigación › revisión exhaustiva

21 Citas (Scopus)

Resumen

Las deficiencias auditivas tienen profundas implicaciones para el desarrollo de las capacidades de comunicación, el intercambio social y las habilidades cognitivas. Aunque los avances en la instrumentación tecnológica han disminuido la edad a la que es posible detectar déficits auditivos, la ausencia de reacción electrofisiológica o conductual al sonido no siempre refleja hipoacusia. El objetivo de este estudio fue evaluar la evolución de la audición en un grupo de niños remitidos para terapia a la Fundación CINDA (Centro de Investigación e Información en Deficiencias Auditivas) en Bogotá, Colombia, con diagnóstico inicial de hipoacusia neurosensorial de severa a profunda. Se evaluaron 25 pacientes menores de 2,5 años con un protocolo que incluía potenciales evocados auditivos, respuestas conductuales (audiometría tonal-respuestas a la voz y sobresalto) y observación del lenguaje. Tras la evaluación, los niños iniciaron un programa de estimulación auditiva con seguimiento audiológico durante un periodo de 6 meses a 1 año. El seguimiento audiológico de los niños tras la estimulación auditiva mostró mejoras significativas en los índices electrofisiológicos y conductuales de sus niveles de audición (p < 0,001, prueba exacta de Wilcoxon de una cola). Encontramos un alto porcentaje de niños en estadios tempranos de maduración auditiva con un falso diagnóstico de hipoacusia (32%). La ausencia de respuesta puede deberse a un compromiso de la recepción o el procesamiento auditivo. Así pues, el retraso en la maduración de la vía auditiva debe tenerse en cuenta en el diagnóstico diferencial de los niños pequeños con pérdida de audición neurosensorial.

Título traducido de la contribución	Retraso en la maduración de la vía auditiva en el diagnóstico diferencial de la hipoacusia en niños pequeños
Idioma original	Inglés estadounidense
Páginas (desde-hasta)	519-527
Número de páginas	9
Publicación	International Journal of Pediatric Otorhinolaryngology
Volumen	72
N.º	4
DOI	https://doi.org/10.1016/j.ijporl.2007.12.009
Estado	Publicada - abr. 1 2008

ODS de las Naciones Unidas

Este resultado contribuye a los siguientes Objetivos de Desarrollo Sostenible

ODS 3: Salud y bienestar

Áreas temáticas de ASJC Scopus

Pediatría, perinaltología y salud infantil

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10.1016/j.ijporl.2007.12.009

https://reader.elsevier.com/reader/sd/pii/S0165587607006118?token=C6A8F5F65AFF55D1BB71964B222B3282221F31968259474A97EA578EC893CF91381E4B98ECCBB083E606F74A517AE2A7&originRegion=us-east-1&originCreation=20230502201801

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title = "Delayed auditory pathway maturation in the differential diagnosis of hypoacusis in young children",

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.",

author = "Claudia Talero-Guti{\'e}rrez and Irma Carvajalino-Monje and Samper, \{Blanca Samper de\} and Milciades Iba{\~n}ez-Pinilla",

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doi = "10.1016/j.ijporl.2007.12.009",

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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 et al.
En: International Journal of Pediatric Otorhinolaryngology, Vol. 72, N.º 4, 01.04.2008, p. 519-527.

Producción científica: Contribución a revista › Artículo de Investigación › revisión exhaustiva

TY - JOUR

T1 - Delayed auditory pathway maturation in the differential diagnosis of hypoacusis in young children

AU - Talero-Gutiérrez, Claudia

AU - Carvajalino-Monje, Irma

AU - Samper, Blanca Samper de

AU - Ibañez-Pinilla, Milciades

PY - 2008/4/1

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N2 - 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.

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.

U2 - 10.1016/j.ijporl.2007.12.009

DO - 10.1016/j.ijporl.2007.12.009

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JO - International Journal of Pediatric Otorhinolaryngology

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ER -

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

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