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Archives of Disease in Childhood 2000;83:377-383; doi:10.1136/adc.83.5.377
Copyright © 2000 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Arch Dis Child 2000;83:377-383 ( November )
Neonatal screening for hearing impairment
Commentary

Current topic

Neonatal screening for hearing impairment

Colin R Kennedy

Department of Child Health, Southampton General Hospital, Southampton, UK

Correspondence to: Dr Kennedy, Mailpoint 21, Child Health, Southampton General Hospital, Southampton SO51 OQJ, UK crk1@soton.ac.uk29/06/00

Accepted 17 July 2000

The first 150 words of the full text of this article appear below.

    Introduction

Scope of this discussion

Hearing impairment in childhood may be conductive or sensorineural or a combination of the two (mixed) with additive effects. Impairments affect one or both ears, vary from mild to profound in degree, and may be congenital, acquired, transient, fluctuating, recurrent, progressive, or permanent. Screening positive for hearing impairment at any age leads firstly to the need for follow up tests, including an estimation of hearing threshold levels, and secondly, if these are elevated, to a medical evaluation to determine whether or not the hearing loss is permanent. Bilateral congenital permanent childhood hearing impairment (PCHI) of moderate or greater degree can be expected to lead to major deficits in the development of language as well as secondary effects on the child and the family. This is largely avoidable with early intervention,1-2 thus providing the rationale for neonatal screening. Consideration of this rationale and its practical implications is . . . [Full text of this article]


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eLetters:

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Developing newborn screening: Crusaders or committees
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ADC Online, 18 Jan 2001 [Full text]

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