Originales
Hipoacusia de detección posneonatal. Circunstancias que precisan evaluación auditiva
Hypoacusis after the neonatal period. situations requiring hearing assessment
J.D. Herrero-Morín
, J.A. Concha Torre, N. Fernández González, M. Crespo Hernández
Corresponding author
josedahm@yahoo.es
Correspondencia: Dres. J.D. Herrero Morín/J.A. Concha Torre. Departamento de Pediatría. Hospital Universitario Central de Asturias. Celestino Villamil, s/n. 33006 Oviedo. España.
Correspondencia: Dres. J.D. Herrero Morín/J.A. Concha Torre. Departamento de Pediatría. Hospital Universitario Central de Asturias. Celestino Villamil, s/n. 33006 Oviedo. España.
Departamento de Pediatría. Centro Materno-Infantil. Hospital Universitario Central de Asturias. Oviedo. España.
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Circunstancias que precisan evaluación auditiva" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "502" "paginaFinal" => "508" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J.D. Herrero-Morín, J.A. Concha Torre, N. Fernández González, M. Crespo Hernández" "autores" => array:4 [ 0 => array:4 [ "nombre" => "J.D." "apellidos" => "Herrero-Morín" "email" => array:1 [ 0 => "josedahm@yahoo.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:2 [ "nombre" => "J.A." "apellidos" => "Concha Torre" ] 2 => array:2 [ "nombre" => "N." "apellidos" => "Fernández González" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Crespo Hernández" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Departamento de Pediatría. Centro Materno-Infantil. Hospital Universitario Central de Asturias. Oviedo. España." ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondencia: Dres. J.D. Herrero Morín/J.A. Concha Torre. Departamento de Pediatría. Hospital Universitario Central de Asturias. Celestino Villamil, s/n. 33006 Oviedo. España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Hypoacusis after the neonatal period. situations requiring hearing assessment" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2005-01-31" "fechaAceptado" => "2005-08-31" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec186274" "palabras" => array:8 [ 0 => "Hipoacusia" 1 => "Sordera" 2 => "Niño" 3 => "Toxicidad" 4 => "Meningitis" 5 => "Otitis" 6 => "Radioterapia" 7 => "Traumatismo craneoencefálico" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec186273" "palabras" => array:8 [ 0 => "Hypoacusis" 1 => "Deafness" 2 => "Children" 3 => "Toxicity" 4 => "Meningitis" 5 => "Otitis" 6 => "Radiotherapy" 7 => "Head injury" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p class="elsevierStyleSimplePara elsevierViewall">El papel destacado de la audición en el desarrollo del lenguaje verbal hace que la existencia de hipoacusia infantile sea especialmente perniciosa. La elevada frecuencia de defectos de audición presentes en el nacimiento y la necesidad de un reconocimiento precoz han llevado a establecer una detección neonatal. Sin embargo, existen otras situaciones que pueden comprometer la audición en edades más tardías y que es preciso conocer para instaurar las medidas oportunas de forma precoz.</p> <span class="elsevierStyleSectionTitle">Objetivos</span><p class="elsevierStyleSimplePara elsevierViewall">Describir los motivos más frecuentes de derivación para estudio de hipoacusia en un hospital de tercer nivel. Dar a conocer situaciones comunes en pediatría con riesgo auditivo en las que es preciso evaluar.</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">Revisión de las historias de 197 pacientes no neonatos con estudio de hipoacusia. Se compararon parámetros clínicos y diagnósticos en pacientes hipoacúsicos y normooyentes.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Un total de 161 pacientes no tenían hipoacusia conocida. La principal causa que motivó la evaluación fue la sospecha de hipoacusia por familiares o cuidadores (53,4 %), seguido del retraso del lenguaje. De las primeras consultas, 78 presentaban hipoacusia (48,4 %), más frecuentemente bilateral. En el 29,5 % de los niños con hipoacusia, ésta se atribuyó a otitis o adenoiditis recurrentes y en el 25,6 % a causa genética. La existencia de familiares afectados fue el antecedente más frecuente en hipoacúsicos, mientras que en normooyentes fue la presencia de fenotipo anormal. Se estudiaron tres casos con antecedents de meningitis bacteriana; en dos de ellos existía defecto auditivo.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">Los estudios de hipoacusia fuera de la detección neonatal están motivados, sobre todo, por sospecha clínica de hipoacusia o retraso del lenguaje. Otras situaciones, como las otitis serosas de repetición, presencia de rasgos fenotípicos sindrómicos o las meningitis bacterianas, se relacionan con problemas auditivos y requieren, por tanto, evaluación minuciosa.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p class="elsevierStyleSimplePara elsevierViewall">Because hearing plays a major role in language development, pediatric hypoacusis is especially damaging. The high frequency of hearing impairment in newborns and the need for an early diagnosis have led to the establishment of neonatal screening. Nevertheless, there are other situations which may compromise hearing quality in later stages and it is essential to identify them in order to be able to provide early and effective treatment.</p> <span class="elsevierStyleSectionTitle">Objectives</span><p class="elsevierStyleSimplePara elsevierViewall">To describe the most frequent reasons for referring patients for hearing evaluation to a third level hospital and to identify common situations that require hearing assessment among the pediatric population.</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">The clinical histories of 197 non-neonates evaluated for hypoacusis were reviewed. Clinical parameters and diagnosis were compared in patients with impaired and normal hearing.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">One hundred sixty-one patients had no previous known hypoacusis. The main reason for evaluation was suspicion by the family or child minder (53.4 %), followed by language underdevelopment. In the first examinations 78 children had hypoacusis (48.4 %), which was more frequently bilateral than unilateral. In 29.5 % of hypoacusic patients, the disease was related to recurrent otitis or adenoiditis and in 25.6 % it was genetic. The most frequent antecedent was deaf relatives in hypoacusic patients and abnormal phenotypes in children with normal hearing. Three patients with previous bacterial meningitis were studied and two of these had hypoacusis.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Hypoacusic evaluation outside the context of newborn screening is mainly motivated by clinical suspicion of hypoacusis or language underdevelopment. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 6 | 10 | 16 |
| 2024 October | 38 | 61 | 99 |
| 2024 September | 35 | 36 | 71 |
| 2024 August | 51 | 88 | 139 |
| 2024 July | 35 | 42 | 77 |
| 2024 June | 49 | 31 | 80 |
| 2024 May | 39 | 41 | 80 |
| 2024 April | 35 | 41 | 76 |
| 2024 March | 37 | 49 | 86 |
| 2024 February | 28 | 39 | 67 |
| 2024 January | 27 | 32 | 59 |
| 2023 December | 30 | 35 | 65 |
| 2023 November | 28 | 45 | 73 |
| 2023 October | 33 | 26 | 59 |
| 2023 September | 23 | 22 | 45 |
| 2023 August | 23 | 16 | 39 |
| 2023 July | 45 | 29 | 74 |
| 2023 June | 31 | 48 | 79 |
| 2023 May | 26 | 29 | 55 |
| 2023 April | 33 | 23 | 56 |
| 2023 March | 22 | 25 | 47 |
| 2023 February | 12 | 20 | 32 |
| 2023 January | 22 | 30 | 52 |
| 2022 December | 33 | 43 | 76 |
| 2022 November | 35 | 33 | 68 |
| 2022 October | 27 | 40 | 67 |
| 2022 September | 29 | 44 | 73 |
| 2022 August | 37 | 61 | 98 |
| 2022 July | 22 | 43 | 65 |
| 2022 June | 26 | 50 | 76 |
| 2022 May | 27 | 45 | 72 |
| 2022 April | 38 | 51 | 89 |
| 2022 March | 42 | 56 | 98 |
| 2022 February | 23 | 38 | 61 |
| 2022 January | 31 | 45 | 76 |
| 2021 December | 35 | 57 | 92 |
| 2021 November | 30 | 70 | 100 |
| 2021 October | 42 | 73 | 115 |
| 2021 September | 28 | 56 | 84 |
| 2021 August | 36 | 44 | 80 |
| 2021 July | 75 | 33 | 108 |
| 2021 June | 53 | 46 | 99 |
| 2021 May | 44 | 30 | 74 |
| 2021 April | 133 | 100 | 233 |
| 2021 March | 74 | 48 | 122 |
| 2021 February | 66 | 23 | 89 |
| 2021 January | 50 | 22 | 72 |
| 2020 December | 43 | 21 | 64 |
| 2020 November | 24 | 21 | 45 |
| 2020 October | 7 | 13 | 20 |
| 2020 September | 22 | 7 | 29 |
| 2020 August | 11 | 10 | 21 |
| 2020 July | 24 | 13 | 37 |
| 2020 June | 24 | 17 | 41 |
| 2020 May | 27 | 14 | 41 |
| 2020 April | 35 | 15 | 50 |
| 2020 March | 29 | 11 | 40 |
| 2020 February | 36 | 9 | 45 |
| 2020 January | 30 | 26 | 56 |
| 2019 December | 38 | 26 | 64 |
| 2019 November | 26 | 11 | 37 |
| 2019 October | 24 | 12 | 36 |
| 2019 September | 20 | 15 | 35 |
| 2019 August | 34 | 22 | 56 |
| 2019 July | 41 | 34 | 75 |
| 2019 June | 41 | 27 | 68 |
| 2019 May | 54 | 25 | 79 |
| 2019 April | 39 | 49 | 88 |
| 2019 March | 25 | 20 | 45 |
| 2019 February | 42 | 24 | 66 |
| 2019 January | 16 | 19 | 35 |
| 2018 December | 28 | 34 | 62 |
| 2018 November | 33 | 10 | 43 |
| 2018 October | 58 | 19 | 77 |
| 2018 September | 25 | 10 | 35 |
| 2018 August | 1 | 0 | 1 |
| 2018 July | 4 | 0 | 4 |
| 2018 June | 1 | 0 | 1 |
| 2018 May | 7 | 0 | 7 |
| 2018 April | 9 | 0 | 9 |
| 2018 March | 8 | 0 | 8 |
| 2018 February | 9 | 0 | 9 |
| 2018 January | 5 | 0 | 5 |
| 2017 December | 9 | 0 | 9 |
| 2017 November | 16 | 0 | 16 |
| 2017 October | 8 | 0 | 8 |
| 2017 September | 17 | 0 | 17 |
| 2017 August | 6 | 0 | 6 |
| 2017 July | 20 | 0 | 20 |
| 2017 June | 23 | 7 | 30 |
| 2017 May | 18 | 9 | 27 |
| 2017 April | 22 | 8 | 30 |
| 2017 March | 26 | 1 | 27 |
| 2017 February | 8 | 12 | 20 |
| 2017 January | 8 | 2 | 10 |
| 2016 December | 19 | 10 | 29 |
| 2016 November | 68 | 6 | 74 |
| 2016 October | 56 | 5 | 61 |
| 2016 September | 46 | 9 | 55 |
| 2016 August | 31 | 3 | 34 |
| 2016 July | 23 | 10 | 33 |
| 2016 June | 1 | 8 | 9 |
| 2016 May | 1 | 12 | 13 |
| 2016 April | 4 | 0 | 4 |
| 2016 March | 1 | 0 | 1 |
| 2016 February | 2 | 0 | 2 |
| 2016 January | 3 | 0 | 3 |
| 2015 December | 5 | 0 | 5 |
| 2015 November | 2 | 8 | 10 |
| 2015 October | 1 | 14 | 15 |
| 2015 September | 1 | 0 | 1 |
| 2015 August | 2 | 0 | 2 |
| 2015 July | 9 | 7 | 16 |
| 2015 June | 9 | 5 | 14 |
| 2015 May | 10 | 0 | 10 |
| 2015 April | 16 | 6 | 22 |
| 2015 March | 18 | 5 | 23 |
| 2015 February | 17 | 6 | 23 |
| 2015 January | 20 | 2 | 22 |
| 2014 December | 17 | 3 | 20 |
| 2014 November | 13 | 2 | 15 |
| 2014 October | 29 | 3 | 32 |
| 2014 September | 20 | 2 | 22 |
| 2014 August | 28 | 3 | 31 |
| 2014 July | 34 | 3 | 37 |
| 2014 June | 46 | 4 | 50 |
| 2014 May | 65 | 4 | 69 |
| 2014 April | 38 | 2 | 40 |
| 2014 March | 32 | 9 | 41 |
| 2014 February | 41 | 9 | 50 |
| 2014 January | 43 | 5 | 48 |
| 2013 December | 45 | 11 | 56 |
| 2013 November | 37 | 6 | 43 |
| 2013 October | 47 | 8 | 55 |
| 2013 September | 31 | 10 | 41 |
| 2013 August | 56 | 17 | 73 |
| 2013 July | 31 | 8 | 39 |
| 2013 June | 6 | 1 | 7 |
| 2013 May | 3 | 1 | 4 |
| 2013 April | 5 | 2 | 7 |
| 2013 March | 6 | 5 | 11 |
| 2013 February | 18 | 2 | 20 |
| 2013 January | 18 | 1 | 19 |
| 2012 December | 22 | 0 | 22 |
| 2012 November | 18 | 1 | 19 |
| 2012 October | 16 | 1 | 17 |
| 2012 September | 2 | 0 | 2 |
| 2005 December | 2883 | 0 | 2883 |
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