Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2022, Vol. 36 ›› Issue (1): 43-47.doi: 10.6040/j.issn.1673-3770.0.2021.378

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Application of 1 000 Hz acoustic immittance in hearing screenings of high-risk newborns

NI Kun, SUN Shibing, LI Xiaoyan   

  1. Department of Otorhinolaryngology & Head and Neck Surgery, Shanghai Children's Hospital, Shanghai 200062, China
  • Online:2022-01-10 Published:2022-02-22

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Abstract: Objective To explore the significance of the 1 000 Hz acoustic immittance test combined with automatic auditory brainstem response(AABR)and distortion product otoacoustic emission(DPOAE)in hearing screenings of high-risk newborns. Methods A total of 318 high-risk newborns(636 ears)were included as the research subjects. The triple hearing screening scheme of AABR + DPOAE + 1 000 Hz acoustic immittance was adopted. The newborns who failed the screening test were examined for diagnostic hearing at 3 months of age, and the sensitivity, specificity, missed diagnosis rate, false diagnosis rate, and accuracy of the triple screening results were calculated. In this study, the normal triple screening results included AABR(-)DPOAE(+)acoustic immittance(+), AABR(-)DPOAE(-)acoustic immittance(+), and AABR(-)DPOAE(-)acoustic immittance(-). The abnormal triple screening results include AABR(+)DPOAE(+)acoustic immittance(+), AABR(+)DPOAE(+)acoustic immittance(-), AABR(+)DPOAE(-), AABR(-)DPOAE(+)acoustic immittance(-), and AABR(+)DPOAE(-)acoustic immittance(-). Results A total of 318 high-risk newborns(636 ears)were included. The sensitivity of triple screening(96.77%)was higher than that of the AABR-only screening method(80.64%)and DPOAE-only screening method(83.87%), which was consistent with that of the double AABR + OAE screening method(96.77%). The specificity of triple screening(91.24%)was higher than that of AABR + OAE double screening(87.44%). Triple screening can further reduce the false-positive rate of double screening and is suitable for high-risk neonatal screening. Conclusion Triple screening has high sensitivity and a low missed diagnosis rate for hearing screening of high-risk newborns. Triple hearing examinations can be applied to hearing screening of high-risk newborns. Some false-positive infants with simple middle-ear dysfunction can be screened out in the early stage, which can alleviate parental anxiety.

Key words: High-risk infants, Hearing screening, Automated auditory brainstem response, Distortion product otoacoustic emission, 1 000 Hz acoustic immittance, Combined screening

CLC Number: 

  • R764
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