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The Absence of Permanent Sensorineural Hearing Loss in a Cohort of Children with SARS-CoV-2 Infection and the Importance of Performing the Audiological "Work-Up".
Malesci, Rita; Rizzo, Davide; Del Vecchio, Valeria; Serra, Nicola; Tarallo, Giuseppe; D'Errico, Domenico; Coronella, Valentina; Bussu, Francesco; Vecchio, Andrea Lo; Auletta, Gennaro; Franzè, Annamaria; Fetoni, Anna Rita.
  • Malesci R; Section of Audiology, Department of Neuroscience, Reproductive Sciences and Dentistry, University of Naples Federico II, Via Pansini, 5, 80131 Naples, Italy.
  • Rizzo D; Otolaryngology Division, Department of Medical, Surgical and Experimental Sciences, University of Sassari, Viale San Pietro, 43, 07100 Sassari, Italy.
  • Del Vecchio V; Section of Audiology, Department of Neuroscience, Reproductive Sciences and Dentistry, University of Naples Federico II, Via Pansini, 5, 80131 Naples, Italy.
  • Serra N; Department of Public Health, University of Naples Federico II, Via Pansini, 5, 80138 Naples, Italy.
  • Tarallo G; Section of Audiology, Department of Neuroscience, Reproductive Sciences and Dentistry, University of Naples Federico II, Via Pansini, 5, 80131 Naples, Italy.
  • D'Errico D; Section of Audiology, Department of Neuroscience, Reproductive Sciences and Dentistry, University of Naples Federico II, Via Pansini, 5, 80131 Naples, Italy.
  • Coronella V; Section of Audiology, Department of Neuroscience, Reproductive Sciences and Dentistry, University of Naples Federico II, Via Pansini, 5, 80131 Naples, Italy.
  • Bussu F; Otolaryngology Division, Department of Medical, Surgical and Experimental Sciences, University of Sassari, Viale San Pietro, 43, 07100 Sassari, Italy.
  • Vecchio AL; Section of Pediatrics, Department of Translational Medical Sciences, University of Naples Federico II, Via Pansini, 5, 80138 Naples, Italy.
  • Auletta G; Section of Audiology, Department of Neuroscience, Reproductive Sciences and Dentistry, University of Naples Federico II, Via Pansini, 5, 80131 Naples, Italy.
  • Franzè A; Section of Audiology, Department of Neuroscience, Reproductive Sciences and Dentistry, University of Naples Federico II, Via Pansini, 5, 80131 Naples, Italy.
  • Fetoni AR; Section of Audiology, Department of Neuroscience, Reproductive Sciences and Dentistry, University of Naples Federico II, Via Pansini, 5, 80131 Naples, Italy.
Children (Basel) ; 9(11)2022 Nov 01.
Article in English | MEDLINE | ID: covidwho-2099376
ABSTRACT

BACKGROUND:

Currently, the novel coronavirus (SARS-CoV-2) causes an acute respiratory illness named COVID-19 and is a controversial risk factor for hearing loss (HL). Herein, we aim to describe the associated symptoms and to evaluate hearing function in the COVID-19 pediatric population.

METHODS:

A retrospective cross-sectional observational study was carried out on 37 children who contracted COVID-19 infection with no previous audio-vestibular disorders. Clinical data on the infections were collected, and an audiological assessment of all affected children was performed by using different diagnostic protocols according to their age.

RESULTS:

Fever, upper respiratory and gastrointestinal manifestations were common presentations of infection. Audiological function was normal in 30 (81.08%) children, while 7 children showed an increased hearing threshold 6 (16.21%) had transient conductive hearing loss (CHL) due to middle ear effusion and normalized at the follow-up and 1 had sensorineural hearing loss (SNHL). A single child was affected by bilateral SNHL (2.7%); however, he underwent a complete audiological work-up leading to a diagnosis of genetic HL due to a MYO6 gene mutation which is causative of progressive or late onset SNHL.

CONCLUSIONS:

HL needs to be considered among the manifestations of COVID-19 in children, nevertheless, we found cases of transient CHL. The onset of HL during or following COVID-19 infection does not eliminate the indication for maintaining audiological surveillance and audiological work-ups, including genetic diagnosis, to avoid the risk of mistaking other causes of HL.
Keywords

Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Language: English Year: 2022 Document Type: Article Affiliation country: Children9111681

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Cohort study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Language: English Year: 2022 Document Type: Article Affiliation country: Children9111681