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Assessing Rates of Hearing Loss across Types and Syndromic Status of Craniosynostosis
Eric Min BA, Adriane Baylis PhD, Tran Bourgeois MPH, Ursula Findlen PhD, Alyssa Fogolin BS, John Munday MS, Ibrahim Khansa MD, Gregory Pearson MD
Ohio State University College of Medicine
2023-02-01
Presenter: Eric Min
Affidavit:
All coauthors appropriately participated in all aspects of this project. Eric Min has participated in greater than 50% of the study design, data acquisition, data analysis, and abstract proposal. I support the submission of this abstract.
Director Name: Gregory Pearson
Author Category: Medical Student
Presentation Category: Clinical
Abstract Category: Craniomaxillofacial
BACKGROUND: Craniosynostosis, the premature fusion of one or more cranial sutures, typically requires surgical intervention during infancy. The prevalence and types of hearing loss (HL) seen in patients with non-syndromic craniosynostosis is relatively unknown, as most studies have focused on hearing profiles of children with associated syndromes. The purpose of this study was to describe and compare HL among children with various craniosynostosis types and syndromic status.
METHODS: A retrospective cohort study was conducted on children with craniosynostosis at a tertiary pediatric hospital between 2011-2021. Patients missing data on HL were excluded. Univariable multinomial logistic regression was used to explore risk of HL.
RESULTS: Among 157 patients, 63% (n=99) had normal hearing (NH), 27% (n=43) had transient hearing loss (THL), and 10% (n=15) had permanent hearing loss (PHL). Syndromic patients were more likely than non-syndromic patients to experience THL than NH (OR 4.75, 95% CI [1.72, 13.14], P < .05) and PHL than NH (OR 5.41, 95% CI [1.46, 19.95], P < .05). Patients with bicoronal craniosynostosis were more likely than patients with sagittal craniosynostosis to experience THL than NH (OR 23.33, 95% CI [5.56, 97.84], P < .05) and PHL than NH (OR 28, 95% CI [1.94, 404.72], P < .05).
CONCLUSION: Children with craniosynostosis have an increased risk for hearing loss. Syndromic patients have higher rates of THL and PHL compared to their non-syndromic peers. Clinicians should advocate for audiologic evaluation and management of all patients to minimize long term risks of speech-language and cognitive-behavioral development.
