RADIOLOGICAL EVALUATION OF PEDIATRIC SENSORINEURAL HEARING LOSS AT A TERTIARY CARE CENTRE IN THE VINDHYA REGION
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Keywords
SNHL, hearing loss.
Abstract
Pediatric Sensorineural Hearing Loss (SNHL) is a common congenital sensory disorder affecting 1-3 per 1,000 live births. It can significantly impact speech, language, cognitive, and social development if untreated. Causes include genetic factors, infections, ototoxic exposure, or acquired conditions. Radiological evaluation is crucial for diagnosis, etiology, pre-surgical planning, genetic correlation, and prognosis. It complements genetic testing and provides information about treatment feasibility and potential success. Comprehensive management is essential for SNHL.
OBJECTIVE: The study aims to assess radiological findings in pediatric sensorineural hearing loss (SNHL) utilizing advanced imaging modalities as high-resolution CT and MRI.
METHODS AND MATERIALS:
The study was carried out at Sanjay Gandhi Memorial Hospital and Shyam Shah Medical College (SGMH), Rewa, in the Department of Otorhinolaryngology and Head and Neck Surgery.
A prospective observational study in Vindhya aimed to identify sensorineural hearing loss in children aged 0-15 years.
Data collection included clinical history, audiological findings, and radiological abnormalities.
High-Resolution Computed Tomography (HRCT) and Magnetic resonance imaging (MRI) were used to evaluate and congenital anomalies
RESULT: Cochlear Pathology: The most common pathology, affecting 65% (16 patients), includes mild abnormalities (23%), moderate to severe abnormalities (9%), hypoplasia (9%), aplasia (6%), and cochlear nerve deficiency (18%).
Vestibular Pathology :Found in 24% (6 patients), dominated by enlarged vestibular aqueduct (16%) and vestibular hypoplasia (8%).
Semicircular Canal Pathology :Observed in 20% (5 patients), with aplasia (8%) and hypoplasia (12%) contributing equally to the total.
CONCLUSION: This study emphasizes the diverse range of inner ear malformations contributing to pediatric SNHL. A multidisciplinary diagnostic approach is essential to optimize treatment, improve auditory and vestibular outcomes, and enhance the quality of life for affected children.
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Dr. Ankita Kujur
SR, SSMC, REWA
Dr. Surendra Singh Moupchi
HOD and Professor, SSMC, REWA
Dr. Vikas Patel
JR, SSMC Rewa
Dr. Tawn Khuma
JR, SSMC Rewa
Dr. Harshvardhan
JR, SSMC Rewa
Dr. Sheetal Soni
JR, SSMC Rewa