Auditory evoked potential for differential diagnosis in a pediatric population with and without risk for hearing loss
DOI:
https://doi.org/10.33448/rsd-v14i6.48932Keywords:
Deafness, Children, Hearing loss, Auditory brainstem response.Abstract
Neonatal hearing screening indicate during the perinatal period, consists of conducting tests and retests using physiological and electrophysiological measures of hearing in infants. The aim of this study was to analyze the results of Auditory Brainstem Responses (ABR) from 149 children age average of 31 months, with or without risks for hearing loss evaluated at a University Hospital between 2022 and 2024. The identification data, complaints/referrals, and the results of the ABR were checks. The sample was divided into seven groups according to the recommendation of the Joint Committee on Infant Hearing and spontaneous demand: 1) with risk indicator form hearing impairment, 2) with failure on the newborn hearing screening, 3) with a complaint of hearing loss, 4) Down’s Syndrome, 5) with neuropsychonmotor developmental delay, 6) Autism Spectrum Disorder, and 7) needing diagnostic confirmation. Fourteen children showed results the confirmed involvement of middle and inner ear and auditory nerve. It was possible to conclude the audiological diagnosis of the entire sample, which revealed a 10,0% incidence of hearing impairment. This fact emphasized the importance of the need for intervention to minimize the negative impact of deafness on overall development of the pediatric population. The results imply that there is a failure in the procedures of neonatal hearing screening in the auditory health care service in the state.
Downloads
References
Akamine, C.T. & Yamamoto, R.K. (2009). Estudo dirigido: Estatística descritiva. (3ed). Editora Érika.
Aldoseri, R., Salem, I., Isa, F., Almansoori, H., Almansoori, S., Binsanad, N., Faisal, A., Nasser, M., & Alshehabi, M. (2024). Incidence of Hearing Loss in Preschoolers Presenting With Delayed Speech. Cureus, 16(12). https://doi.org/10.7759/cureus.75958
Basonbul, R. A., Ronner, E. A., Rong, A., Rong, G., & Cohen, M. S. (2020). Audiologic testing in children with Down syndrome: Are current guidelines optimal? International Journal of Pediatric Otorhinolaryngology, 134, 110017. https://doi.org/10.1016/j.ijporl.2020.110017
Bonino, A. Y., & Mood, D. (2023). Identifying reduced hearing in children who have developmental disabilities: Insights for inclusive research practices with electronic health records. Frontiers in Psychology, 14. https://doi.org/10.3389/fpsyg.2023.1134034
Botasso, K. de C., Lima, M. C. P. M., & Correa, C. R. S. (2021). Association between failure in otoacoustic emissions and risk indicator for hearing loss. Revista CEFAC, 23(1). https://doi.org/10.1590/1982-0216/202123110620
Božanić Urbančič, N., Battelino, S., Tesovnik, T., & Trebušak Podkrajšek, K. (2020). The importance of early genetic diagnostics of hearing loss in children. Medicina, 56(9), 471. https://doi.org/10.3390/medicina56090471
Brasil. (2010, 3 de agosto). Lei nº 12.303, de 2 de agosto de 2010. Dispõe sobre a obrigatoriedade de realização do exame denominado Emissões Otoacústicas Evocadas. Diário Oficial da União, Seção 1, p. 1.
Domingues, A. B., Escorcio, R., & Mendes, B. C. A. (2023). Avaliação do desenvolvimento motor de bebês com deficiência auditiva. Revista Da Faculdade de Ciências Médicas de Sorocaba, 23(2), 53–58. https://doi.org/10.23925/1984-4840.2021v23i2a5
Duarte, J. L., Silva, K. da., Carlino, F. C., Souza, M. V. dos A., Vieira, G. da S. P., Carregosa, A. M., & Santos, S. C. das C. (2024). Panorama da Saúde Auditiva infantil no Sistema Único de Saúde no estado de Sergipe. Codas, 36(1), e20210197. https://doi.org/10.1590/2317-1782/20232021197pt
Esaki, T., Yoshida, T., Kobayashi, M., Morimoto, K., Shibata, C., & Sone, M. (2024). Factors Influencing Auditory Brainstem Response Changes in Infants. International Journal of Pediatric Otorhinolaryngology, 185, 112094–112094. https://doi.org/10.1016/j.ijporl.2024.112094
Fonsêca, R. O., Dutra, M. R. P., Cavalcanti, H. G., Telles, M. W. P., & Ferreira, M. Â. F. (2023). Tendência temporal de procedimentos audiológicos no Sistema Único de Saúde. CEFAC - Saúde e Educação, 25(1)
Galvão, M. B., Fichino, S. N., & Lewis, D. R. (2021). Processo do diagnóstico audiológico de bebês após a falha na triagem auditiva neonatal. Distúrbios da Comunicação, 33(3), 416-427. https://doi.org/10.23925/2176-2724.2021v33i3p416-427
Gouveia, F. N., Jacob-Corteletti, L. C. B., Silva, B. C. S., Araújo, E. S., Amantini, R. C. B., Oliveira, E. B., & Alvarenga, K. de F. (2020). Perda auditiva unilateral e assimétrica na infância. CoDAS, 32(1), e20180280. https://doi.org/10.1590/2317-1782/20192018280
Gomes, M. A. S. M. (2020). Avaliação da implantação do Programa de Triagem Auditiva Neonatal em maternidades públicas brasileiras [Dissertação de mestrado, Fundação Oswaldo Cruz]. FIOCRUZ Repositório Institucional.
IBGE. (2022). Deficiência no Brasil: características e distribuição. Instituto Brasileiro de Geografia e Estatística. Disponível em https://agenciadenoticias.ibge.gov.br/media/com_mediaibge/arquivos/0a9afaed04d79830f73a16136dba23b9.pdf
Instituto Brasileiro de Geografia e Estatística. (2010). Censo demográfico 2010: Resultados gerais. Recuperado de https://cidades.ibge.gov.br/brasil/se/pesquisa/23/23612
JCIH: Joint Committee on Infant Hearing. Joint Committee on Infant Hearing 2019 Position Statement. Principles and guidelines for early hearing detection and intervention programs. J Early Hear Detect Interv. 2019;4(2):1-44.
Kamita, M. K., Silva, L. A. F., Magliaro, F. C. L., Kawai, R. Y. C., Fernandes, F. D. M., & Matas, C. G. (2020). Brainstem auditory evoked potentials in children with autism spectrum disorder. Jornal de Pediatria (Rio de Janeiro), 96(3), 386–392. https://doi.org/10.1016/j.jped.2018.12.010
Kazan, H. M., Samelli, A. G., Neves-Lobo, I. F., Magliaro, F. C. L., Limongi, S. C. O., & Matas, C. G. (2016). Caracterização eletrofisiológica da audição em indivíduos com Síndrome de Down. CoDAS, 28(6), 717–723. https://doi.org/10.1590/2317-1782/20162015266
Kreicicki, T., Zalesska-Krecicka, M., & Kubiak-Gawron, W. (2005). Brain auditory evoked potential in children with Down syndrome. International Journal of Pediatric Otorhinolaryngology, 69, 615–620. https://doi.org/10.1016/j.ijporl.2004.11.025
Lima, M. C. M. P., Rossi, T. R. F., Françozo, M. F. C., Marba, S. T., Lima, G. M. L., & Santos, M. F. C. (2010). Detecção de perdas auditivas em neonatos de um hospital público. Revista da Sociedade Brasileira de Fonoaudiologia, 15(1), 1–6.
Liu, Y., Liu, Z., Diao, T., Song, P., Hu, Q., & Jiang, N. (2024). Exploring the Relationship Between Auditory Brainstem Response Testing and Disease Progression in Pediatric Autism Spectrum Disorder. Alternative therapies in health and medicine, 30(3), 51–55.
Mansour, Y., Burchell, A., & Kulesza, R. J. (2021). Central Auditory and Vestibular Dysfunction Are Key Features of Autism Spectrum Disorder. Frontiers in Integrative Neuroscience, 15. https://doi.org/10.3389/fnint.2021.743561
Northern, J. L., & Downs, M. P. (2005). Audição na infância (5ª ed.). Rio de Janeiro: Guanabara Koogan.
Pereira, A.S. (2018). Metodologia da pesquisa científica. [free-e-book. Ed. UAB/NTE/UFSM.
Ribeiro, F. G. S. M., Barbosa, T. A., & Chapchap, M. J. (2022). Eletrofisiologia aplicada ao diagnóstico precoce da surdez. In C. C. A. C. Levy (Org.), Manual de audiologia pediátrica (pp. 95–104). São Paulo: Manole.
Shitsuka et al. (2014). Matemática fundamental para a tecnologia. São Paulo; Editora Érika.
Taxa de Natalidade. (2018). Pa.gov.br. https://www.fapespa.pa.gov.br/sistemas/pcn2023/tabelas/4-saude/4-taxa-de-natalidade-2018-2022.htm
Toassi, R.F.C. & Petry,P.C. (2021) Metodologia científica aplicada ã área da saúde (2ed) Editora UFRGS.
Vernier, L. S., Castelli, C. T. R., Rothermel, S. S., Paniz, T. C., Zanini, C., & Levandowski, D. C. (2019). Triagem auditiva neonatal em hospital da Rede Cegonha. Revista Brasileira em Promoção da Saúde, 32, 8965. https://doi.org/10.5020/18061230.2019.8965
Vernier, L. S., Cazella, S. C., & Levandowski, D. C. (2022). Triagem auditiva neonatal: Protocolos, obstáculos e perspectivas de fonoaudiólogos no Brasil – 10 anos da Lei Federal Brasileira 12.303/2010. CoDAS, 34(2), e20200331. https://doi.org/10.1590/2317-1782/20212020331
Wen, C., Zhao, X., Li, Y., & Zhang, T. (2022). A systematic review of newborn and childhood hearing screening around the world: Comparison and quality assessment of guidelines. BMC Pediatrics, 22(1), 160. https://doi.org/10.1186/s12887-022-03234-0
Zimmerman, M. C., Morgan, D. E., & Dubno, J. R. (1987). Auditory Brain Stem Evoked Response Characteristics in Developing Infants. Annals of Otology Rhinology & Laryngology, 96(3), 291–299. https://doi.org/10.1177/000348948709600311
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Carlos Kazuo Taguchi; Camila Emily de Jesus do Nascimento; Luiz Carlos Oliveira Sena Junior; Ranielly Santana dos Santos; Regina Santos Nascimento; Emeline Ramos Prata Figueiredo
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
