Evaluation of the Hearing in Children of Mild and Severe Pre-Eclamptic Mothers

Selim Unsal, T. Karlıdağ, Į. Kaygusuz, E. Keleş, Ş. Yalçın
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Abstract

Abstract Aim: This study is realized with the aim to investigate whether or not there is congenital and progressive hearing loss in the children aged between 1 and 4 whose mothers experienced mild or severe preeclampsia in their pregnancy. Material and Methods: Total 60 children participated in the study whose mothers had mild preeclampsia [20 children] and severe preeclampsia [20 children] and whose mothers were healthy [20 children] for the control group. After the Ear-Nose-Throat [ENT] examination, immitansmetric examination, otoacoustic emission test, Automatic Auditory Brainstem Response [A-ABR] measurement and Free Field [FF] audiometry were applied to the children. Result: As a result of audiological evaluation, Type C tympanogram was observed in the right ear of one child in the group with mild preeclampsia, and in the left ears of total four children in the group with severe preeclampsia [2 children] and in the healthy group [2 children]. No ipsilateral reflex was obtained in the right ears of total two children in the groups with mild [1 child] and severe [1 child] preeclampsia, and in the left ear of one child in the group with severe preeclampsia. One child in the group with mild preeclampsia did not pass from the OAE test. Normal immitansmetric findings and passed result from OAE test were obtained in the second audiological evaluation. All children passed the Automatic Auditory Brainstem Response [A-ABR] test. Hearing thresholds between 125-4000 Hz were obtained in the FF and at 30 dB. Conclusion: When comparison is made between the hearings of children whose mothers were healthy and have experienced preeclampsia; normal hearing findings were obtained for groups, and it is considered that preeclampsia did not cause any congenital and/or progressive hearing loss by it.
轻、重度先兆子痫母亲儿听力评价
摘要目的:本研究旨在探讨母亲在妊娠期间出现轻度或重度子痫前期的1 ~ 4岁儿童是否存在先天性和进行性听力损失。材料与方法:以母亲为轻度子痫前期[20例]和重度子痫前期[20例],母亲健康[20例]为对照组,共60例患儿参与研究。患儿经耳鼻喉检查、耳声发射测试、自动听脑干反应(A-ABR)测量和自由场(FF)听力学测试后,进行耳鼻喉检查。结果:经听力学检查,轻度子痫前期组1例患儿出现右耳C型鼓室图,重度子痫前期组[2例]和健康组[2例]共4例患儿出现左耳C型鼓室图。轻、重度子痫组共2例患儿右耳无同侧反射,重度子痫组1例患儿左耳无同侧反射。在轻度子痫前期组中,有一个孩子没有通过OAE测试。在第二次听力学评估中获得正常的免疫测量结果和通过的OAE测试结果。所有儿童都通过了自动听觉脑干反应(A-ABR)测试。在FF和30db处获得125- 4000hz的听力阈值。结论:对母亲健康的子痫前期患儿的听力进行比较;各组听力结果正常,认为子痫前期未引起任何先天性和/或进行性听力损失。
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