1. Co‐Occurrence of Sensorineural Hearing Loss and Congenital Heart Disease: Etiologies and Management.
- Author
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Yang, Tengyu, Fan, Xinmiao, Fan, Yue, Song, Wenjie, Liu, Xingrong, Wang, Jian, and Chen, Xiaowei
- Abstract
Objectives/Hypothesis: The co‐occurrence of sensorineural hearing loss (SNHL) and congenital heart disease (CHD) is a rare condition with complex etiologies. The purpose of this study is to assess the etiologies, clinical features, and outcomes of cochlear implant (CI) in this patient population. Study Design: Case series and literature review. Methods: Clinical data of children who were diagnosed with SNHL and CHD and received CIs at a tertiary hospital from 2016 to 2021 were retrospectively analyzed. A literature review was performed to identify patients with SNHL and CHD. Findings: Of the 382 children who underwent cochlear implantation at our center, eight (2.1%) were diagnosed with SNHL and CHD. A literature review identified 1525 patients from 254 studies; the database therefore consisted of 1533 patients. The most common genetic etiologies of co‐occurring SNHL and CHD were CHARGE syndrome (36.3%), Turner syndrome (8.4%), 22q11.2 deletion (3.0%), Noonan syndrome (2.9%), and Down syndrome (2.5%), whereas the most common non‐genetic etiologies were congenital rubella syndrome (22.9%) and SNHL after early cardiac surgery (5.5%). Most of the patients presented with congenital, bilateral, severe‐profound SNHL requiring early rehabilitation. Of the 126 children who received CIs at a median age of 2.5 years, half showed delayed speech development at last follow‐up. Conclusions: Co‐occurring SNHL and CHD is a rare condition with complex etiologies. Timely hearing intervention with long‐term follow‐up and proper timing of heart surgery is essential for these children. Level of Evidence: 4, case series Laryngoscope, 134:400–409, 2024 [ABSTRACT FROM AUTHOR]
- Published
- 2024
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