2024 Early Hearing Detection & Intervention Conference
March 17-19, 2024 • Denver, CO
3/18/2024 | 3:10 PM - 3:35 PM | An Enhanced Audiologic Protocol for Early Identification of Conductive Hearing Loss in Patients with Cleft Palate | Capitol 2
An Enhanced Audiologic Protocol for Early Identification of Conductive Hearing Loss in Patients with Cleft Palate
Objective: To characterize the onset and prevalence of conductive hearing loss (CHL) in pediatric patients with cleft palate (CP) prior to palatoplasty with an enhanced audiologic protocol.
Design: Retrospective cohort study.
Setting: Multidisciplinary cleft and craniofacial clinic at a tertiary care center.
Patients: Patients with CP who received audiologic workup pre-operatively. Patients with bilateral permanent hearing loss, expiration prior to palatoplasty, or no pre-operative data were excluded.
Interventions: Patients with CP born February 2019 to November 2019 who passed newborn hearing screening (NBHS) received audiologic testing at 9 months of age (standard protocol). Patients born December 2019 to September 2020 underwent testing prior to 9 months of age (enhanced protocol).
Main outcome measures: Age of identification of CHL in patients after implementation of the enhanced audiologic protocol.
Results: The number of patients who passed their NBHS in the standard protocol (n = 14, 54%) and the enhanced protocol (n = 25, 66%) did not differ. Infants who passed their NBHS, but demonstrated hearing loss on subsequent audiologic testing did not differ between enhanced (n = 25, 66%) and standard cohort (n = 14, 54%). Of patients who passed NBHS in the enhanced protocol, 48% (n = 12) had CHL identified by 3 months, and 20% (n = 5) by 6 months of age. With the enhanced protocol, patients who did not undergo additional testing post NBHS significantly dropped from 44.9% (n = 22) to 4.2% (n = 2) (P < .0001).
Conclusion: Even with passed NBHS, CHL is still present for infants with CP pre-operatively. Earlier and more frequent testing for this population is recommended.
- To characterize the onset of prevalance of conductive hearing loss in pediatric patients with cleft palate prior to palatoplasty with an enhanced audiologic protocol
- To bring awareness to the value of frequent monitoring of hearing pre-operatively in children with cleft palate
- To discuss a multidisciplinary approach to the treatment and intervention of children with cleft palate
Presentation:
3478265_16360ElizabethWest Ellis.pdf
Handouts:
Handout is not Available
Transcripts:
3478265_16360ElizabethWest Ellis.docx
Presenters/Authors
Elizabeth West Ellis
(Primary Presenter), Vanderbilt University Medical Center, liz.west.ellis@vumc.org;
Dr. Ellis is the Associate Director of Inpatient Pediatric Audiology services for Vanderbilt University Medical Center, where she manages auidology operations and clinically serves the NICU, Inpatient, Newborn Nursery, and Operating Room populations. She is also the lead audiology representative for the Cleft and Craniofacial Team at Vanderbilt Children's Hospital. Prior to her time at VUMC, she was employeed by Wake Forest Baptist hospital in North Carolina, wheere she was also the lead audiology representative on the Cleft and Craniofacial Team.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.
AAA DISCLOSURE:
Financial -
Financial relationship with Vanderbilt University Medical Center
Vanderbilt Children's Hospital.
Nature: N/A.
Nonfinancial -
Non-Financial relationship with Vanderbilt University Medical Center
Vanderbilt Children's Hospital.
Nature: N/A.