A STUDY OF HEARING EVALUATION FOR NEONATES WITH HYPERBILIRUBINEMIA USING OTOACOUSTIC EMISSION AND BRAIN STEM AUDITORY EVOKED RESPONSE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 10
Abstract
Jaundice is one of the most common problems occurring in newborns. Although most of jaundiced patients are normal; because of the bilirubin toxicity, high serum levels can lead to kernicterus. It is important to identify and evaluate the jaundice early to prevent complications like bilirubin encephalopathy leading to hearing loss. Such early detection is possible only if some form of routine screening is used, one of which is otoacoustic emission. By detecting the hearing loss in time with screening methods we can ensure normal language development by appropriate intervention like hearing aids and infant stimulation. In this study otoacoustic emission will be followed by brain stem auditory evoked response and the results will be analyzed to look for the effectiveness of using otoacoustic emission for mass screening. [b]METHODOLOGY[/b]: after obtaining approval and clearance from the institutional ethics committee this study included 105 children which satisfied the inclusion criteria. A standard case record was maintained for each subject. The neonate was subjected to otoacoustic emission just before discharge from the hospital. Otoacoustic emission was followed by brain stem auditory evoked response and the results compiled. Result of brain stem auditory evoked response was taken as gold standard and the results were analyzed. [b]RESULTS:[/b] Abnormal OAE changes were seen in 6 and abnormal BERA was seen in 9 babies out of a total of 105 babies tested with hyperbilirubinemia. [b]CONCLUSION[/b]: use of otoacoustic emissions as initial screening test provides as easy, cost effective and quick method to detect infants with hearing loss. As it is less invasive and less time consuming than BERA, dpOAE can be used as initial screening method for hearing loss in infants with BERA being reserved for infants that fail dpOAE.
Authors and Affiliations
Poornima Shankar, Manjunath V. C
Keywords
Related Articles
- EP ID EP101002
- DOI 10.14260/jemds/2014/2151
- Views 79
- Downloads 0
PREVALENCE OF DEPRESSION AMONG NEWLY DIAGNOSED MDR TUBERCULOSIS PATIENTS AT THE TIME OF REGISTRATION- AN EXPERIENCE FROM DOTS PLUS CENTRE
BACKGROUND MDR tuberculosis remains a leading chronic infection of lung and responsible for significant morbidity and mortality throughout the world and in India also. Depression is also a disorder of major public health...
STRESS DISTRIBUTION IN THE NASOMAXILLARY COMPLEX FOLLOWING APPLICATION OF ORTHOPAEDIC HEADGEAR FORCES- A 3-DIMENSIONAL FEM STUDY
BACKGROUND Extraoral force has been in use in orthodontics since Cellier introduced it in early 1800s. Like many other treatment modalities, interest in headgears and the understanding of its probable effect has varied o...
PRIMARY LUMBAR HERNIA- A CASE REPORT
PRESENTATION OF CASE The patient is a 47-year-old, average built male patient presenting in the outpatient department with complaints of left-sided back swelling with vague pain for last 6 months. On further evaluation,...
PHENOTYPIC DETECTION OF EXTENDED-SPECTRUM BETA LACTAMASES (ESBLS) PRODUCING ORGANISMS AMONG ENTEROBACTERIACEAE AND THEIR ANTIBIOTIC RESISTANCE PATTERN IN URINARY TRACT INFECTION (UTI) AT KUMAUN REGION, UTTARAKHAND
BACKGROUND Urinary tract infection (UTI) is one of the major health problems affecting all age groups. Extended Spectrum β-Lactamases (ESBLs) producing Enterobacteriaceae exhibits a resistant mechanism, which challenges...
ISOLATION AND IDENTIFICATION OF CANDIDA SPECIES IN THE PATIENTS OF UTI
Fungal infections of the urinary tract especially those caused by Candida species are becoming increasingly common due to prolonged antibiotic use, indwelling urinary catheters, and increase in the number of im...