Conductive impairment in newborn who failed the newborn hearing screening.
In newborn hearing screening little importance is attributed to changes in the middle ear. Children with secretory otitis in the neonatal period are at risk for developing otitis media in the first year of life.


OBJECTIVE
To determine if children who failed the hearing screening because of conductive hearing loss have more episodes of conductive hearing impairment during their first years of life.


METHODS
The study group comprised 62 children who failed the screening for conductive impairment. The control was made up of 221 who passed. Both had audiologic and otolaryngological assistance and were compared regarding the occurrence of conductive disorder. Were used the Fisher's Exact test for statistical analysis and logistic regression models. The study was prospective and retrospective.


RESULTS
Children who failed the screening by conductive disorder had more episodes of otitis media during the first year of life than those who did not fail, with statistically significant difference.


CONCLUSIONS
Infants who failed the screening in the first month of life for conductive alteration are more likely to experience otitis in the first year of life. The high incidence of otitis indicates the need for joint action with otolaryngologist for diagnosis of such changes.
Pereira
Priscila Karla Santana
PK
Sao Paulo Federal University/UNIFESP/Paulista Medical School/EPM, Brazil.
Azevedo
Marisa Frasson de
MF
Testa
José Ricardo
JR
D016022:Case-Control Studies; D005260:Female; D006314:Hearing Loss, Conductive / Q000175:diagnosis* / Q000209:etiology; D006320:Hearing Tests / Q000379:methods*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D015997:Neonatal Screening / Q000379:methods*; D010034:Otitis Media with Effusion / Q000150:complications / Q000175:diagnosis*; D011446:Prospective Studies; D012189:Retrospective Studies