RESUMO
OBJECTIVE: To determine the types of hearing losses identified by mass hearing screenings in the public school system. DESIGN: Prospective observational. PARTICIPANTS: Students enrolled in kindergarten in the public school system. SETTING: Major metropolitan area. MAIN OUTCOME MEASURES: (1) hearing screening tests performed by speech pathologists using an audiometer in a quiet room; (2) formal audiologic testing including pure tone audiometry, tympanograms, speech discrimination, and acoustic impedance testing in a sound proof booth. RESULTS: 140 students failed hearing screening on two separate occasions; 91(65%) underwent formal audiologic testing at Milwaukee Public School, 43% demonstrated conductive hearing losses, 14% demonstrated sensorineural losses and 43% demonstrated normal hearing. CONCLUSION: Mass hearing screening in the school system (1) is useful for detecting transient conductive hearing losses, (2) detects a significant number of sensorineural hearing losses and (3) has a very poor follow-through by the families of those students identified with hearing loss through the screening program.
Assuntos
Creches , Perda Auditiva Condutiva/epidemiologia , Perda Auditiva Neurossensorial/epidemiologia , Programas de Rastreamento , Testes de Impedância Acústica/métodos , Audiometria de Tons Puros/métodos , Criança , Pré-Escolar , Perda Auditiva Condutiva/diagnóstico , Perda Auditiva Neurossensorial/diagnóstico , Humanos , Estudos Retrospectivos , Índice de Gravidade de Doença , EstudantesRESUMO
Traumatic pseudodiverticulum of the pharynx is an uncommon entity which generally occurs in infants after traumatic intubation or suctioning. A case of an infant presenting with stridor, drooling and cervical crepitus is presented.
