2024 Early Hearing Detection & Intervention Conference
March 17-19, 2024 • Denver, CO
| Ventilation tube placement as a factor affecting timely amplification fittings for children with Trisomy 21 and conductive hearing loss
Ventilation tube placement as a factor affecting timely amplification fittings for children with Trisomy 21 and conductive hearing loss
Children with Trisomy 21 have a high incidence of conductive hearing loss (CHL) due to frequent middle ear effusion. Untreated CHL places children with Trisomy 21 at further risk for speech-language and psychosocial delays. Although tympanostomy tube placement is effective for most children, it has been found to be less effective for children with Trisomy 21, who are more likely to have repeat tubes and have a greater incidence of middle ear disorders following tube placement (Iino et al., 1999, Omar et al., 2021). We asked if and how tympanostomy tube placements may affect access to amplification. A retrospective chart review was performed to identify children with Trisomy 21, aged 5-10 years old, seen by audiology over a 10-year time frame. 126 children were identified, of which 25 were found to be fit with amplification to treat CHL. The 25 aided children received an average of 2.74 (range= 0-6) tympanostomy surgeries; middle ear effusion was noted for 110/140 total procedures. Children were fit at an average age of 5.40 years old (range = 2.05-10.70), on average 8.2 months (range = 1-60) following a recommendation for amplification, and following on average of 2.3 (range= 0-6) number of tympanostomy surgeries. Initial findings suggest repeat pressure equalization tube placements may delay the ultimate need for amplification for children with Trisomy 21 with persistent CHL. These findings shed light on the importance of co-treating middle ear dysfunction and reduced audibility to ensure children with Trisomy 21 with CHL have adequate auditory access to support spoken language skills and social-emotional development.
- The viewer will be able to identify the characteristics that describe the profile of children with trisomy 21 and frequent otitis media that end up being fit with amplification
- The viewer will be able to analyze the number of PE tube placements in children with Trisomy 21 may delay the ultimate fit of amplification
- . The viewer will be able to translate preventative practices into everyday use that would allow for children with Trisomy 21 and history of conductive hearing loss to have access to amplification in a timely manner
Presentation:
3478265_16394KarinaJirik.pdf
Handouts:
Handout is not Available
Transcripts:
CART transcripts are NOT YET available, but will be posted shortly after the conference
Presenters/Authors
Derek Stiles
(Co-Author), Boston Children's Hospital, derek.stiles@childrens.harvard.edu;
Derek Stiles has been Director of Audiology at Boston Children's Hospital since 2014, and Director of the Center for Communication Enhancement since 2021. He leads a team of 30 audiologists, serving 20,000 patients a year across 6 clinical sites in Eastern Massachusetts. He also oversees the directors of the SLP, Feeding & Swallowing, Augmentative Communication, Autism Language, Deaf & Hard-of-Hearing, and Balance Programs at Boston Children's Hospital.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
No relevant nonfinancial relationship exists.
AAA DISCLOSURE:
Financial -
Financial relationship with OAS Center
Boston Children's Hospital.
Nature: employees.
Nonfinancial -
No relevant nonfinancial relationship exists.
Karina Jirik
(Primary Presenter,Co-Presenter), Boston Children's Hospital, karina.jirik@childrens.harvard.edu;
Karina Jirik is a fourth year AuD student completing her externship at Boston Children's Hospital.
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
• Has a Other relationship (Doctoral Extern)
relationship for Other volunteer activities.
AAA DISCLOSURE:
Financial -
Financial relationship with Derek Stiles and Amanda Griffin are salaried employees of Boston Children’s Hospital. Karina Jirik and Jillian Lawlor are fourth year audiology externs at Boston Children’s Hospital..
Nature: Derek Stiles and Amanda Griffin are salaried employees of Boston Children’s Hospital. Karina Jirik and Jillian Lawlor are fourth year audiology externs at Boston Children’s Hospital.
Nonfinancial -
No relevant nonfinancial relationship exists.
Jillian Lawlor
(Co-Presenter), Boston Children's Hospital, jillian.lawlor@childrens.harvard.edu;
Jillian is a fourth year extern at Boston Children's hospital who is completing her AuD at UMass Amherst
ASHA DISCLOSURE:
Financial -
No relevant financial relationship exists.
Nonfinancial -
• Has a Other relationship (Fourth year audiology doctoral extern at Boston Children's hospital)
relationship for Volunteer employment.
AAA DISCLOSURE:
Financial -
Financial relationship with Boston Children's Hospital.
Nature: Fourth year audiology doctoral extern.
Nonfinancial -
Non-Financial relationship with Boston Children's Hospital.
Nature: Fourth year audiology doctoral extern.