Clinical study of children detected by pre-school otorhinolaryngological check-up

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  • 耳鼻咽喉科就学時健診を契機に受診した症例の検討
  • ジビ インコウカ シュウガクジケンシン オ ケイキ ニ ジュシン シタ ショウレイ ノ ケントウ

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Abstract

<p>From October 2017 to March 2020, we reviewed 29 suspected cases of hearing loss or speech and language disorders as a result of the pre-school otorhinolaryngological checkup, including the diagnoses, treatments and managements provided for school attendance. Eight cases were suspected of bilateral hearing loss; the final diagnoses in five of the eight cases were not particular, two cases had conductive hearing loss due to otitis media with effusion, and one case had bilateral sensorineural hearing loss in high frequency. Seventeen cases were suspected of unilateral hearing loss, three of the 17 were not particular, three had unilateral conductive hearing loss due to otitis media with effusion, seven had unilateral sensorineural hearing loss, and four had bilateral sensorineural hearing loss. Three of the 7 cases with unilateral hearing loss had inner ear malformations. Two of the 4 bilateral hearing loss cases who were suspected of having unilateral hearing loss required hearing aids.</p><p>Two of the five suspected speech-language disorders were developmental dysarthria, and the others were lateralized dysarthria, pediatric vocal cord nodules, and delayed language.</p><p>As a result of this study, the hearing test at the pre-school otorhinolaryngological checkup was considered to be significant in screening for diseases that may interfere with school life and in preparing support for schooling. However, since the period between the pre-school checkup and the start of school is only about half a year, it was considered important to transfer and collaborate with the language class at the elementary school.</p>

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