JAMA Otolaryngology–Head & Neck Surgery Study Highlights

 

  • Among 314 children who had passed their universal newborn hearing screen (NHS), 78 children were later diagnosed with hearing loss (age at diagnosis ranged from 1 month to 10 years), 37 of whom had severe or profound hearing loss, according to a retrospective review of patient medical charts. Parental concerns and school hearing screens were the most common methods to identify hearing loss after passing the NHS, and the authors question whether further screens would better identify hearing loss in children who pass the NHS (Online First).
  • Children of African American ethnicity appear to be nearly twice as likely (19 percent vs. 10 percent) to experience major respiratory complications related to adenotonsillectomy (surgical removal of the tonsils and adenoids) compared with children of non-African American ethnicity, according to a study of 594 children age 0 to 18 years who underwent adenotonsillectomy from 2002 to 2006 at a Canadian tertiary care center (Online First).
  • Among children with recurrent upper respiratory tract infections selected for adenoidectomy (surgical removal of the adenoids), immediate surgery is associated with an increase in costs but does not appear to offer additional clinical benefits over an initial watchful waiting strategy, according to a study of 111 children age 1 to 6 years selected for adenoidectomy in the Netherlands (Online First).

(JAMA Otolaryngol Head Neck Surg. Published online January 17, 2013. doi:10.1001/jamaoto.2013.1229; doi:10.1001/jamaoto.2013.1321; doi:10.1001/jamaoto.2013.1324.