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
Autor para correspondencia
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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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 6 | 10 | 16 |
| 2024 Octubre | 38 | 61 | 99 |
| 2024 Septiembre | 35 | 36 | 71 |
| 2024 Agosto | 51 | 88 | 139 |
| 2024 Julio | 35 | 42 | 77 |
| 2024 Junio | 49 | 31 | 80 |
| 2024 Mayo | 39 | 41 | 80 |
| 2024 Abril | 35 | 41 | 76 |
| 2024 Marzo | 37 | 49 | 86 |
| 2024 Febrero | 28 | 39 | 67 |
| 2024 Enero | 27 | 32 | 59 |
| 2023 Diciembre | 30 | 35 | 65 |
| 2023 Noviembre | 28 | 45 | 73 |
| 2023 Octubre | 33 | 26 | 59 |
| 2023 Septiembre | 23 | 22 | 45 |
| 2023 Agosto | 23 | 16 | 39 |
| 2023 Julio | 45 | 29 | 74 |
| 2023 Junio | 31 | 48 | 79 |
| 2023 Mayo | 26 | 29 | 55 |
| 2023 Abril | 33 | 23 | 56 |
| 2023 Marzo | 22 | 25 | 47 |
| 2023 Febrero | 12 | 20 | 32 |
| 2023 Enero | 22 | 30 | 52 |
| 2022 Diciembre | 33 | 43 | 76 |
| 2022 Noviembre | 35 | 33 | 68 |
| 2022 Octubre | 27 | 40 | 67 |
| 2022 Septiembre | 29 | 44 | 73 |
| 2022 Agosto | 37 | 61 | 98 |
| 2022 Julio | 22 | 43 | 65 |
| 2022 Junio | 26 | 50 | 76 |
| 2022 Mayo | 27 | 45 | 72 |
| 2022 Abril | 38 | 51 | 89 |
| 2022 Marzo | 42 | 56 | 98 |
| 2022 Febrero | 23 | 38 | 61 |
| 2022 Enero | 31 | 45 | 76 |
| 2021 Diciembre | 35 | 57 | 92 |
| 2021 Noviembre | 30 | 70 | 100 |
| 2021 Octubre | 42 | 73 | 115 |
| 2021 Septiembre | 28 | 56 | 84 |
| 2021 Agosto | 36 | 44 | 80 |
| 2021 Julio | 75 | 33 | 108 |
| 2021 Junio | 53 | 46 | 99 |
| 2021 Mayo | 44 | 30 | 74 |
| 2021 Abril | 133 | 100 | 233 |
| 2021 Marzo | 74 | 48 | 122 |
| 2021 Febrero | 66 | 23 | 89 |
| 2021 Enero | 50 | 22 | 72 |
| 2020 Diciembre | 43 | 21 | 64 |
| 2020 Noviembre | 24 | 21 | 45 |
| 2020 Octubre | 7 | 13 | 20 |
| 2020 Septiembre | 22 | 7 | 29 |
| 2020 Agosto | 11 | 10 | 21 |
| 2020 Julio | 24 | 13 | 37 |
| 2020 Junio | 24 | 17 | 41 |
| 2020 Mayo | 27 | 14 | 41 |
| 2020 Abril | 35 | 15 | 50 |
| 2020 Marzo | 29 | 11 | 40 |
| 2020 Febrero | 36 | 9 | 45 |
| 2020 Enero | 30 | 26 | 56 |
| 2019 Diciembre | 38 | 26 | 64 |
| 2019 Noviembre | 26 | 11 | 37 |
| 2019 Octubre | 24 | 12 | 36 |
| 2019 Septiembre | 20 | 15 | 35 |
| 2019 Agosto | 34 | 22 | 56 |
| 2019 Julio | 41 | 34 | 75 |
| 2019 Junio | 41 | 27 | 68 |
| 2019 Mayo | 54 | 25 | 79 |
| 2019 Abril | 39 | 49 | 88 |
| 2019 Marzo | 25 | 20 | 45 |
| 2019 Febrero | 42 | 24 | 66 |
| 2019 Enero | 16 | 19 | 35 |
| 2018 Diciembre | 28 | 34 | 62 |
| 2018 Noviembre | 33 | 10 | 43 |
| 2018 Octubre | 58 | 19 | 77 |
| 2018 Septiembre | 25 | 10 | 35 |
| 2018 Agosto | 1 | 0 | 1 |
| 2018 Julio | 4 | 0 | 4 |
| 2018 Junio | 1 | 0 | 1 |
| 2018 Mayo | 7 | 0 | 7 |
| 2018 Abril | 9 | 0 | 9 |
| 2018 Marzo | 8 | 0 | 8 |
| 2018 Febrero | 9 | 0 | 9 |
| 2018 Enero | 5 | 0 | 5 |
| 2017 Diciembre | 9 | 0 | 9 |
| 2017 Noviembre | 16 | 0 | 16 |
| 2017 Octubre | 8 | 0 | 8 |
| 2017 Septiembre | 17 | 0 | 17 |
| 2017 Agosto | 6 | 0 | 6 |
| 2017 Julio | 20 | 0 | 20 |
| 2017 Junio | 23 | 7 | 30 |
| 2017 Mayo | 18 | 9 | 27 |
| 2017 Abril | 22 | 8 | 30 |
| 2017 Marzo | 26 | 1 | 27 |
| 2017 Febrero | 8 | 12 | 20 |
| 2017 Enero | 8 | 2 | 10 |
| 2016 Diciembre | 19 | 10 | 29 |
| 2016 Noviembre | 68 | 6 | 74 |
| 2016 Octubre | 56 | 5 | 61 |
| 2016 Septiembre | 46 | 9 | 55 |
| 2016 Agosto | 31 | 3 | 34 |
| 2016 Julio | 23 | 10 | 33 |
| 2016 Junio | 1 | 8 | 9 |
| 2016 Mayo | 1 | 12 | 13 |
| 2016 Abril | 4 | 0 | 4 |
| 2016 Marzo | 1 | 0 | 1 |
| 2016 Febrero | 2 | 0 | 2 |
| 2016 Enero | 3 | 0 | 3 |
| 2015 Diciembre | 5 | 0 | 5 |
| 2015 Noviembre | 2 | 8 | 10 |
| 2015 Octubre | 1 | 14 | 15 |
| 2015 Septiembre | 1 | 0 | 1 |
| 2015 Agosto | 2 | 0 | 2 |
| 2015 Julio | 9 | 7 | 16 |
| 2015 Junio | 9 | 5 | 14 |
| 2015 Mayo | 10 | 0 | 10 |
| 2015 Abril | 16 | 6 | 22 |
| 2015 Marzo | 18 | 5 | 23 |
| 2015 Febrero | 17 | 6 | 23 |
| 2015 Enero | 20 | 2 | 22 |
| 2014 Diciembre | 17 | 3 | 20 |
| 2014 Noviembre | 13 | 2 | 15 |
| 2014 Octubre | 29 | 3 | 32 |
| 2014 Septiembre | 20 | 2 | 22 |
| 2014 Agosto | 28 | 3 | 31 |
| 2014 Julio | 34 | 3 | 37 |
| 2014 Junio | 46 | 4 | 50 |
| 2014 Mayo | 65 | 4 | 69 |
| 2014 Abril | 38 | 2 | 40 |
| 2014 Marzo | 32 | 9 | 41 |
| 2014 Febrero | 41 | 9 | 50 |
| 2014 Enero | 43 | 5 | 48 |
| 2013 Diciembre | 45 | 11 | 56 |
| 2013 Noviembre | 37 | 6 | 43 |
| 2013 Octubre | 47 | 8 | 55 |
| 2013 Septiembre | 31 | 10 | 41 |
| 2013 Agosto | 56 | 17 | 73 |
| 2013 Julio | 31 | 8 | 39 |
| 2013 Junio | 6 | 1 | 7 |
| 2013 Mayo | 3 | 1 | 4 |
| 2013 Abril | 5 | 2 | 7 |
| 2013 Marzo | 6 | 5 | 11 |
| 2013 Febrero | 18 | 2 | 20 |
| 2013 Enero | 18 | 1 | 19 |
| 2012 Diciembre | 22 | 0 | 22 |
| 2012 Noviembre | 18 | 1 | 19 |
| 2012 Octubre | 16 | 1 | 17 |
| 2012 Septiembre | 2 | 0 | 2 |
| 2005 Diciembre | 2883 | 0 | 2883 |
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