Journal of Ear Nose Throat and Head Neck Surgery, cilt.32, sa.2, ss.79-88, 2024 (Scopus)
Objective: To determine the relationship between hearing screening results and risk factors, and to present the results of audiological evaluation and intervention in infants who failed newborn hearing screening or who were screened but referred to our reference center due to hearing loss risk factors. Material and Methods: The audiological evaluation and intervention results of 708 newborns referred to our reference center between January 2018 and August 2022 were examined retrospectively. Results: Of the 708 infants who participated in our study, 248 failed and 460 passed newborn hearing screening. The rate of having at least one risk factor was 65.14% in those who passed and 64.59% in those who failed the screening test. The first most common risk factor was the presence of hyperbilirubinemia. However, according to the binary logistic regression analysis performed to determine the effect of variables on newborn hearing screening, sibling hearing loss, chronic disease, consanguineous marriage and craniofacial anomaly variables were found to be the factors influencing the result of the test (p<0.05). Six hundred twenty four infants had normal hearing levels, 16 infants lost follow-up, 27 infants were diagnosed with conductive, 2 with mixed, 37 with bilateral sensorineural and 2 with unilateral sensorineural hearing loss due to neuropathy. Thirty-seven infants with bilateral sensorineural hearing loss were referred to hearing aid use and special education. The mean age at audiologic evaluation was 5.81±2.96 months, the mean age at diagnosis of hearing loss was 6.43±3.25 months, and the mean age at initiation of hearing aid use was 7.45±3.25 months. Conclusion: These results once again demonstrated the importance of newborn hearing screening and the role of risk factors in the early diagnosis and intervention of hearing loss.