PEDIATRICS Vol. 81 No. 5 May 1988, pp. 650-656
This Article
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Hendricks-Muñoz, K. D.
Right arrow Articles by Walton, J. P.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Hendricks-Muñoz, K. D.
Right arrow Articles by Walton, J. P.

Hearing Loss in Infants With Persistent Fetal Circulation

Karen D. Hendricks-Muñoz MD, MPH1 and Joseph P. Walton PhD1

1 From the Division of Neonatology, Department of Pediatrics, and Division of Otolaryngology, Department of Surgery, University of Rochester School of Medicine, Rochester, New York

Infants with the diagnosis of persistent fetal circulation were evaluated for hearing loss. From Jan 1, 1982, to Jan 1, 1984, 28 infants with this diagnosis were retrospectively identified, and 18 were evaluated by formal audiologic testing. Additionally, 22 infants were prospectively followed by serial auditory evaluation from Jan 1, 1984, to Jan 1, 1986. Of the 40 infants evaluated, 21 were identified as having hearing impairment (52.5%), 14 of whom required hearing aids. For 82% of those retrospectively identified hearing-impaired infants who required hearing aids, parental concern was expressed for their lack of hearing acuity. This factor could have aided in the earlier recognition of these infants' impairment. Among those infants followed prospectively, formal audiologic testing, in some cases serially, was needed to diagnose a progressive hearing loss that was expressed at 6 to 8 months after discharge from the neonatal intensive care unit. Perinatal factors associated with the development and management of persistent fetal circulation were identified and compared in infants with comfirmed hearing loss and those with normal hearing. Variables related to those infants with hearing loss were as follows: degree of alkalosis, duration of ventilation, and possibly use of furosemide. We concluded from these results that infants with persistent fetal circulation have an extremely high incidence of sensorineural hearing loss and suggest serial formal audiologic evaluations to aid in detection of hearing-impaired infants.

Key Words: hearing loss • neonate • persistent fetal circulation

Submitted on March 23, 1987
Accepted on July 10, 1987




This article has been cited by other articles:


Home page
 PediatricsHome page
B. J. Fligor, M. W. Neault, C. H. Mullen, H. A. Feldman, and D. T. Jones
Factors Associated With Sensorineural Hearing Loss Among Survivors of Extracorporeal Membrane Oxygenation Therapy
Pediatrics, June 1, 2005; 115(6): 1519 - 1528.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
M. Ellington Jr, D. O'Reilly, E. N. Allred, M. C. McCormick, D. L. Wessel, and S. Kourembanas
Child Health Status, Neurodevelopmental Outcome, and Parental Satisfaction in a Randomized, Controlled Trial of Nitric Oxide for Persistent Pulmonary Hypertension of the Newborn
Pediatrics, June 1, 2001; 107(6): 1351 - 1356.
[Abstract] [Full Text] [PDF]

Home page
 Arch Otolaryngol Head Neck SurgHome page
M. E. Hutchin, C. Gilmer, and W. G. Yarbrough
Delayed-Onset Sensorineural Hearing Loss in a 3-Year-Old Survivor of Persistent Pulmonary Hypertension of the Newborn
Arch Otolaryngol Head Neck Surg, August 1, 2000; 126(8): 1014 - 1017.
[Abstract] [Full Text] [PDF]

Home page
 PediatricsHome page
C. J. Clemens, S. A. Davis, and A. R. Bailey
The False-Positive in Universal Newborn Hearing Screening
Pediatrics, July 1, 2000; 106(1): 7e - 7.
[Abstract] [Full Text]

Home page
 Pediatr. Rev.Home page
K. Van Meurs and B. Lou Short
Congenital Diaphragmatic Hernia: The Neonatologist's Perspective
Pediatr. Rev., October 1, 1999; 20(10): 79e - 87.
[Full Text]

Home page
 PediatricsHome page
UK Collaborative ECMO Group
The Collaborative UK ECMO Trial: Follow-up to 1 Year of Age
Pediatrics, April 1, 1998; 101 (4): e1 - e1.
[Abstract] [Full Text] [PDF]

Home page
 J Child NeurolHome page
L. J. Graziani, S. Baumgart, S. Desai, C. Stanley, M. Gringlas, and A. R. Spitzer
Clinical Antecedents of Neurologic and Audiologic Abnormalities in Survivors of Neonatal Extracorporeal Membrane Oxygenation
J Child Neurol, October 1, 1997; 12(7): 415 - 422.
[Abstract] [PDF]

Home page
 PediatricsHome page
M. Keszler, H. D. Modanlou, D. S. Brudno, F. I. Clark, R. S. Cohen, R. M. Ryan, M. K. Kaneta, and J. M. Davis
Multicenter Controlled Clinical Trial of High-frequency Jet Ventilation in Preterm Infants With Uncomplicated Respiratory Distress Syndrome
Pediatrics, October 1, 1997; 100(4): 593 - 599.
[Abstract] [Full Text] [PDF]

Home page
 Arch Otolaryngol Head Neck SurgHome page
R. D. Eavey, L. E. Pinto, A. R. Thornton, B. S. Herrmann, M. d. C. Bertero, and A. Saenz
Early Hearing Testing of Still Critically Ill Neonates
Arch Otolaryngol Head Neck Surg, March 1, 1996; 122(3): 289 - 293.
[Abstract] [PDF]

Home page
 CLIN PEDIATRHome page
R. D. Eavey, M. d. C. C. Bertero, A. R. Thornton, B. S. Herrmann, J. M. Joseph, R. E. Gliklich, K. S. Krishnamoorthy, and I. D. Todres
Failure to Clinically Predict NICU Hearing Loss
Clinical Pediatrics, March 1, 1995; 34(3): 138 - 145.
[Abstract] [PDF]