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<p>Children with hearing impairment often experience delayed development of speech and cognitive skills, which may result in slower learning and difficulty in progressing at school. The present study was undertaken to know the prevalence of hearing impairment in preterm children with and without jaundice. To Assess and compare the hearing status of preterm children with and without jaundice using Brainstem Evoked Response Audiometry. The present study was conducted in the Department of Otorhinolaryngology and Head and Neck Surgery, Jawaharlal Nehru Medical College and Medical Research Centre, Belagavi, between October 2022 to September 2023 on 50 preterm children with and without jaundice. All the children underwent otoscopic examination to note external and middle ear pathology. Hearing sensitivity was assessed by BERA. In this study male preponderance was seen. Mean age group of 13.30 ± 18.75&#xa0;months. Commonest presenting history was preterm birth, neonatal intensive care admission, delayed development of speech and inconsistent or no response to sound. Out of 50 samples, 19 were preterm with jaundice and 31 were preterm without jaundice. 30% presented with abnormal report in bilateral ear. 16 (32%) showed abnormal BERA report on the right ear. In right ear, among 16 samples with abnormal study 12 (38.72%) were preterm with jaundice and 5 (21.05%) were preterm without jaundice. Among the abnormal report wave V pattern mildly elevated and sensory pathology were reported. Among 16 (32%) abnormal BERA report, 9 (27%) of preterm with jaundice and 02 (10%) preterm without jaundice were reported with wave V elevation pattern and sensory pathology in the right ear. In left ear, among 19 (38%) abnormal report, 14 (45.14%) were preterm with jaundice and 5 (26.31%) were preterm without jaundice. Among the abnormal report, 09 (28%) preterm with jaundice and 05 (25%) preterm without jaundice were reported with wave V pattern elevation and sensory pathology. This study showed the high prevalence rate of hearing impairment among preterm children with jaundice compared to pereterm children without jaundice and have a major role to play for universal newborn screening.</p>

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Comparison of Hearing Status in Preterm Children with and Without Jaundice Using Brainstem Evoked Response Audiometry

  • 期刊论文

  • 发表日期：

    2025年10月28日

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  • Lavanya Arjunan,
  • Rajendra Basayya Metgudmath,
  • Mahesh Kamate

摘要

Children with hearing impairment often experience delayed development of speech and cognitive skills, which may result in slower learning and difficulty in progressing at school. The present study was undertaken to know the prevalence of hearing impairment in preterm children with and without jaundice. To Assess and compare the hearing status of preterm children with and without jaundice using Brainstem Evoked Response Audiometry. The present study was conducted in the Department of Otorhinolaryngology and Head and Neck Surgery, Jawaharlal Nehru Medical College and Medical Research Centre, Belagavi, between October 2022 to September 2023 on 50 preterm children with and without jaundice. All the children underwent otoscopic examination to note external and middle ear pathology. Hearing sensitivity was assessed by BERA. In this study male preponderance was seen. Mean age group of 13.30 ± 18.75 months. Commonest presenting history was preterm birth, neonatal intensive care admission, delayed development of speech and inconsistent or no response to sound. Out of 50 samples, 19 were preterm with jaundice and 31 were preterm without jaundice. 30% presented with abnormal report in bilateral ear. 16 (32%) showed abnormal BERA report on the right ear. In right ear, among 16 samples with abnormal study 12 (38.72%) were preterm with jaundice and 5 (21.05%) were preterm without jaundice. Among the abnormal report wave V pattern mildly elevated and sensory pathology were reported. Among 16 (32%) abnormal BERA report, 9 (27%) of preterm with jaundice and 02 (10%) preterm without jaundice were reported with wave V elevation pattern and sensory pathology in the right ear. In left ear, among 19 (38%) abnormal report, 14 (45.14%) were preterm with jaundice and 5 (26.31%) were preterm without jaundice. Among the abnormal report, 09 (28%) preterm with jaundice and 05 (25%) preterm without jaundice were reported with wave V pattern elevation and sensory pathology. This study showed the high prevalence rate of hearing impairment among preterm children with jaundice compared to pereterm children without jaundice and have a major role to play for universal newborn screening.