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A003 Effectiveness of otoacoustic emission and pure tone audiometry in determining hearing status in cronic renal failure children
International Journal of Pediatric Otorhinolaryngology 75 (2011) S1, 1–9
Contents lists available at ScienceDirect
International Journal of Pediatric Otorhinolaryngology journal homepage: www.elsevier.com/locate/ijporl
A – Basic Research A001 The importance of a periodic and long term audiological evaluation and ENT assessment in all the children affected by Kawasaki disease. Description of a case of progressive sensorineural hearing loss in a child with Kawasaki Disease (KD) 1
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M.A. Claver´ıa , P. Claros ´ , J. Lacima , J. Anton , J. Gambettola , 6 A. De Muller ¨ , Y. Torres7 . 1 ENT. “Sant Joan de D´eu Universitary Hospital”. Barcelona, Spain; 2 Chairman of ENT Department. “Sant Joan de D´eu Universitary Hospital”. Barcelona, Spain; Co-Director Clar´ os Clinic. Barcelona, Spain; 3 ENT. “Sant Joan de D´eu Universitary Hospital”. Barcelona, Spain; 4 Pediatrician. “Sant Joan de D´eu Universitary Hospital”. Barcelona, Spain; 5 Audioprothesist. “Sant Joan de D´eu Universitary Hospital”. Barcelona, Spain; 6 Audiologist. “Sant Joan de D´eu Universitary Hospital”. Barcelona, Spain; 7 Audioprothesist. “Sant Joan de D´eu Universitary Hospital”. Barcelona, Spain Material and Methods: We report a case of a KD in a 4 years old boy whose only complication after a sintomatology remission has been a profound bilateral progressive sensorineural hearing loss, currently a candidate for a cochlear implant. Results: Progressive sensorineural hearing loss in KD is not a frequent complication in the long term. Due to its unknown ethiology is necessary to conduct an exhaustive and early radiologic examination of both ears in case of a sensorineural hearing loss complication. Conclusions: We recommend that children affected by KD should be controlled by an ENT Specialist and together with a Pediatrician, with the aim of detecting an early sensorineural hearing loss complication and treat it conveniently. A002 Allergy or foreign body reaction in cochlear implant. How to save the implant P. Claros ´ 1 , M.A. Claver´ıa2 , C. Pujol3 , M. Sunol ˜ 4 , A. Cardesa5 . 1 Chairman of ORL Department. Sant Joan de D´eu Universitary Hospital. Barcelona, Spain; Co-Director Clar´ os Clinic. Barcelona, Spain; 2 ENT Department Sant Joan de D´eu Universitary Hospital. Barcelona, Spain; 3 Cochlear Implant Centre. Clar´ os Clinic. Barcelona, Spain; 4 Pathology Department Sant Joan de D´eu Univesitary Hospital. Barcelona, Spain; 5 Professor of Pathology. Barcelona University, Spain Material and Methods: Over 1000 cochlear implant cases implanted in our Cochlear Implant Centre in Barcelona, we only have 2 cases which developed a reaction to intolerance to the device. One of them, the device was removed, and one year later it was reimplanted. The allergy test was taken in the last case with negative results and the anatomo pathology study proofs a reaction to a foreign body. Results: In the second case, with an appropriate surgical technique, we attained to save the implant. Therefore, in this presentation, we will distinguish the histologic difference between allergic or foreign body reaction to the cochlear implant device. We show the way that we performed the surgical revision. 0165-5876/$ – see front matter © 2011 Elsevier Ireland Ltd. All rights reserved.
Conclusions: The intolerance of a cochlear implant can be caused by an allergic reaction or a reaction to a foreign body and with an appropriate technique, we can save the cochlear implant. A003 Effectiveness of otoacoustic emission and pure tone audiometry in determining hearing status in cronic renal failure children V. Fidan. Area Education and Research Hospital, Erzurum, Turkey Aim: To evaluate hearing status of children with chronic renal failure. Material and Methods: 57 patients of ages 7–17 year old tested with conventional pure tone audiometry and evoked otoacoustic emission. Outcomes were compared with a matced control group of 30 healthy subjects. 27 patients were treated by peritoneal dialysis and 30 by hemodialysis. Results: Sensorineural hearing loss was more in CRF patients treated by HD than in those treated by PD (29.6%–15.3%), but the difference was not statistically significiant. TEOAE was more sensitive than PTA in detecting SNHL (30.5%–21.8). However there were no significiant statistical differences in the CRF subgroups and the controls. Conclusions: Hearing acuity was found to be impaired in CRF patients whether treated HD or PD. TEOAE is more sensitive than the PTA. Although the parameters of TEOAE seem to be better in PD than HD patients, there was no statistical significance. A004 Results of national newborn hearing screening program in Erzurum between 2007–2010 V. Fidan1 , T. Fidan2 . 1 Erzurum Area Education and Training Hosp Ear, Nose and Throat Dept, Turkey; 2 Ataturk Univ Faculty of Medicine Child and Adolescent Psychiatry Dept, Turkey Objective: The National Neonatal Hearing Screening Program (NNHSP), evaluate the results of screening within the last 4 years in Eastern Anatolia. Materials and Methods: This is a retrospective study. We evaluated the transient otoacoustic emissions and auditory brainstem response tests of newborns in Erzurum between 2007–2010. Conclusion: Totally 26178 newborns were screened. We have detected hearing loss in 47 newborns and referred to the third step center. Risk factors for hearing loss has been found in 24 of them (51.1%). 27 patients were diagnosed in the first 3 months, 12 of them were diagnosed between 3–6 months of age, 8 patients were diagnosed between 6–12 months. Conclusion: The results of NNHSP in our region were similar with international studies. These patients should be identified before 6-months because of fluent language development and communication skills. There is lack of cochlear implantation and rehabilitation centers in Erzurum, certification of our clinic should be completed as soon as possible.
Contents lists available at ScienceDirect
International Journal of Pediatric Otorhinolaryngology journal homepage: www.elsevier.com/locate/ijporl
A – Basic Research A001 The importance of a periodic and long term audiological evaluation and ENT assessment in all the children affected by Kawasaki disease. Description of a case of progressive sensorineural hearing loss in a child with Kawasaki Disease (KD) 1
2
3
4
5
M.A. Claver´ıa , P. Claros ´ , J. Lacima , J. Anton , J. Gambettola , 6 A. De Muller ¨ , Y. Torres7 . 1 ENT. “Sant Joan de D´eu Universitary Hospital”. Barcelona, Spain; 2 Chairman of ENT Department. “Sant Joan de D´eu Universitary Hospital”. Barcelona, Spain; Co-Director Clar´ os Clinic. Barcelona, Spain; 3 ENT. “Sant Joan de D´eu Universitary Hospital”. Barcelona, Spain; 4 Pediatrician. “Sant Joan de D´eu Universitary Hospital”. Barcelona, Spain; 5 Audioprothesist. “Sant Joan de D´eu Universitary Hospital”. Barcelona, Spain; 6 Audiologist. “Sant Joan de D´eu Universitary Hospital”. Barcelona, Spain; 7 Audioprothesist. “Sant Joan de D´eu Universitary Hospital”. Barcelona, Spain Material and Methods: We report a case of a KD in a 4 years old boy whose only complication after a sintomatology remission has been a profound bilateral progressive sensorineural hearing loss, currently a candidate for a cochlear implant. Results: Progressive sensorineural hearing loss in KD is not a frequent complication in the long term. Due to its unknown ethiology is necessary to conduct an exhaustive and early radiologic examination of both ears in case of a sensorineural hearing loss complication. Conclusions: We recommend that children affected by KD should be controlled by an ENT Specialist and together with a Pediatrician, with the aim of detecting an early sensorineural hearing loss complication and treat it conveniently. A002 Allergy or foreign body reaction in cochlear implant. How to save the implant P. Claros ´ 1 , M.A. Claver´ıa2 , C. Pujol3 , M. Sunol ˜ 4 , A. Cardesa5 . 1 Chairman of ORL Department. Sant Joan de D´eu Universitary Hospital. Barcelona, Spain; Co-Director Clar´ os Clinic. Barcelona, Spain; 2 ENT Department Sant Joan de D´eu Universitary Hospital. Barcelona, Spain; 3 Cochlear Implant Centre. Clar´ os Clinic. Barcelona, Spain; 4 Pathology Department Sant Joan de D´eu Univesitary Hospital. Barcelona, Spain; 5 Professor of Pathology. Barcelona University, Spain Material and Methods: Over 1000 cochlear implant cases implanted in our Cochlear Implant Centre in Barcelona, we only have 2 cases which developed a reaction to intolerance to the device. One of them, the device was removed, and one year later it was reimplanted. The allergy test was taken in the last case with negative results and the anatomo pathology study proofs a reaction to a foreign body. Results: In the second case, with an appropriate surgical technique, we attained to save the implant. Therefore, in this presentation, we will distinguish the histologic difference between allergic or foreign body reaction to the cochlear implant device. We show the way that we performed the surgical revision. 0165-5876/$ – see front matter © 2011 Elsevier Ireland Ltd. All rights reserved.
Conclusions: The intolerance of a cochlear implant can be caused by an allergic reaction or a reaction to a foreign body and with an appropriate technique, we can save the cochlear implant. A003 Effectiveness of otoacoustic emission and pure tone audiometry in determining hearing status in cronic renal failure children V. Fidan. Area Education and Research Hospital, Erzurum, Turkey Aim: To evaluate hearing status of children with chronic renal failure. Material and Methods: 57 patients of ages 7–17 year old tested with conventional pure tone audiometry and evoked otoacoustic emission. Outcomes were compared with a matced control group of 30 healthy subjects. 27 patients were treated by peritoneal dialysis and 30 by hemodialysis. Results: Sensorineural hearing loss was more in CRF patients treated by HD than in those treated by PD (29.6%–15.3%), but the difference was not statistically significiant. TEOAE was more sensitive than PTA in detecting SNHL (30.5%–21.8). However there were no significiant statistical differences in the CRF subgroups and the controls. Conclusions: Hearing acuity was found to be impaired in CRF patients whether treated HD or PD. TEOAE is more sensitive than the PTA. Although the parameters of TEOAE seem to be better in PD than HD patients, there was no statistical significance. A004 Results of national newborn hearing screening program in Erzurum between 2007–2010 V. Fidan1 , T. Fidan2 . 1 Erzurum Area Education and Training Hosp Ear, Nose and Throat Dept, Turkey; 2 Ataturk Univ Faculty of Medicine Child and Adolescent Psychiatry Dept, Turkey Objective: The National Neonatal Hearing Screening Program (NNHSP), evaluate the results of screening within the last 4 years in Eastern Anatolia. Materials and Methods: This is a retrospective study. We evaluated the transient otoacoustic emissions and auditory brainstem response tests of newborns in Erzurum between 2007–2010. Conclusion: Totally 26178 newborns were screened. We have detected hearing loss in 47 newborns and referred to the third step center. Risk factors for hearing loss has been found in 24 of them (51.1%). 27 patients were diagnosed in the first 3 months, 12 of them were diagnosed between 3–6 months of age, 8 patients were diagnosed between 6–12 months. Conclusion: The results of NNHSP in our region were similar with international studies. These patients should be identified before 6-months because of fluent language development and communication skills. There is lack of cochlear implantation and rehabilitation centers in Erzurum, certification of our clinic should be completed as soon as possible.