Publication date: Available online 25 February 2019
Source: International Journal of Pediatric Otorhinolaryngology
Author(s): Sarie Martens, Ingeborg Dhooge, Cleo Dhondt, Laura Leyssens, Marieke Sucaet, Saartje Vanaudenaerde, Lotte Rombaut, Leen Maes
Abstract
Objectives
The Vestibular Infant Screening – Flanders (VIS-Flanders) project aims to implement and refine a vestibular screening protocol for all children with neonatal hearing loss in Flanders (Belgium) to limit the impact of a vestibular dysfunction on the motor, cognitive and psychosocial development of hearing-impaired children.
Methods
Each child with a confirmed neonatal hearing loss in Flanders will undergo a vestibular screening at the age of 6 months in the reference centers involved in the neonatal hearing screening program. The cervical Vestibular Evoked Myogenic Potential (cVEMP) test will be used as a screening tool. The test is short, child-friendly, feasible at a young age and highly correlated with motor and balance performance. The results of an extensive follow-up protocol at the Ghent University Hospital will enable further refinement of the screening protocol.
Results
Data collection in all reference centers has started since June 2018. This paper outlines the rationale for the screening and the set-up of this four-year project.
Conclusions
Current available literature strongly favors vestibular assessment in congenitally hearing-impaired children. A standard vestibular screening for these children should lead to early identification of vestibular deficits and subsequent prompt referral for further motor assessment and rehabilitation, in order to limit the impact of a vestibular dysfunction in developing children and improve their quality of life.
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