Monitoring of the auditory pathway maturation after early intervention during the first year of life in infants with sensorineural hearing loss
| Autor: | S Haumann, Farnaz Matin, W Roßberg, Thomas Lenarz, D Mitovska, Anke Lesinski-Schiedat |
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| Rok vydání: | 2020 |
| Předmět: |
Hearing aid
medicine.medical_specialty Auditory Pathways Hearing loss Hearing Loss Sensorineural medicine.medical_treatment Otology Audiology Early Therapy 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Evoked Potentials Auditory Brain Stem otorhinolaryngologic diseases Humans Medicine 030223 otorhinolaryngology Absolute threshold of hearing Auditory pathway maturation business.industry Follow-up Infant Auditory Threshold Auditory brainstem response General Medicine medicine.disease Otorhinolaryngology Sensorineural hearing loss sense organs Neurosurgery medicine.symptom business |
| Zdroj: | European Archives of Oto-Rhino-Laryngology |
| ISSN: | 1434-4726 0937-4477 |
| Popis: | Purpose The objective of this study was to investigate the auditory pathway maturation monitored by auditory brainstem responses (ABR) in infants with hearing loss during the first year of life. ABR were used to estimate hearing thresholds and the effect of early intervention strategies using hearing aids (HA). Methods Click-evoked ABRs were measured in 102 infants aged from 0 to 12 months to determine their individual auditory threshold. Early therapy intervention was recommended before 12 months of age and analyzed. To evaluate the effect of hearing amplification on auditory maturation, different subgroups of infants with moderate hearing loss were analyzed and the auditory pathway maturation was determined based on IPL I–V shortening. Results Overall, 110 ears (54.0% of 204 ears) with mild to profound HL showed threshold changes of 10 dB up to 60 dB in the follow-up ABR testing. HA were prescribed at the age of 3.8 ± 3.9 months. Cochlear implantation (CI) was performed in cases of repeated profound HL at the age of 9.9 months ± 4.5 months. A significant shortening of IPL I–V in all subgroups of infants (with and without risk factors) who received HA was shown and assumed auditory pathway maturation. Conclusion An early intervention using optimally fitted HA influenced auditory pathway maturation and may lead to improvements of hearing thresholds during the first year of life in infants. This study underscores the importance of not only providing HAs to infants, but also controlling for hearing threshold changes ensuring that HAs provide the optimal level of intervention or CI is indicated. |
| Databáze: | OpenAIRE |
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