Page 89 - Portuguese Journal - SPORL - Vol 61. Nº1

Pediatric Hearing Loss: Referral, Visiting

and Treating – REVISIT RANU (Universal

Neonatal Auditory Screening)

Review Article

Authors Abstract

Introduction: New risk and suspicion factors for
Miguel Arede Antunes childhood deafness were recently introduced in the
Serviço de Otorrinolaringologia, Centro Hospitalar literature, justifying the suggestion to review the
Universitário Lisboa Norte, Portugal algorithm associated with Portuguese Universal
Neonatal Hearing Screening (UNHS).
Filipa Carmo Goals: Develop an algorithm that allows screening,
Serviço de Pediatria, Centro Hospitalar Universitário
Lisboa Norte, Portugal early diagnosis, referral and rapid intervention in
child deafness.
Filipa Duarte Silva Material and methods: Algorithm creation based on
USF Cuidar Saúde, Agrupamento de Centros de Saúde literature review and existing clinical guidelines.
Almada-Seixal, Portugal Results: Newborns after intrauterine Zika infection,
admitted to a neonatal intensive care unit for
Aliya Nurdin more than 5 days or submitted to ExtraCorporal
Serviço de Otorrinolaringologia, Centro Hospitalar Membrane Oxygenation and children submitted
Universitário Lisboa Norte, Portugal to ventriculoperitoneal shunt were included in the
UNHS risk group. In some cases, it is suggested to
João Levy
Serviço de Otorrinolaringologia, Centro Hospitalar extend the audiological assessment until school
Universitário Lisboa Norte, Portugal age. Alarm signals were proposed at stages of
development that should motivate referral for
Tiago Fuzeta Eça audiological examination.
Serviço de Otorrinolaringologia, Centro Hospitalar Conclusions: The developed algorithm extends
Universitário Lisboa Norte, Portugal the scope of referral of auditory screening to other
pediatric ages and suggests updates to the UNHS.
André Garrido Keywords: Pediatric; Audiometry; Hearing; Evoked
Serviço de Pediatria, Hospital Fernando da Fonseca, Response; Intensive Care, Neonatal; Extracorporeal
Portugal
Membrane Oxygenation; Zika virus
Otília Ferrão
Serviço de Otorrinolaringologia, Centro Hospitalar
Universitário Lisboa Norte, Portugal Introduction

Leonel Luís Congenital or acquired hearing loss during
Serviço de Otorrinolaringologia, Centro Hospitalar childhood is relatively common, with
Universitário Lisboa Norte; Instituto de Fisiologia, approximately 1:1000 newborns (NB) presenting
Faculdade de Medicina da Universidade de Lisboa,
Portugal with severe-profound hearing loss and 1:500
developing some degree of hearing loss
during childhood. 1–5
In addition to its high prevalence, hearing loss
Correspondência: in childhood interferes with the child’s normal
Miguel Arede Antunes development, especially the development of
Rua de Campolide 378, 2º Esquerdo,
1070-041, Lisboa spoken language, and may result in a delay
miguel.arede@campus.ul.pt in speech acquisition, limitation of cognitive
Article received on July 7, 2022. abilities, and impaired communication and
Accepted for publication on October 5, 2022. social interaction. 2–8

Volume 61 . Nº1 . March 2023 89