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BackTable / ENT / Podcast / Episode #16
Congenital Hearing Loss
with Dr. St. John and Dr. Kutz
We talk with Dr. Rachel St. John and Dr. Walter Kutz about Congenital Hearing Loss including causes, available treatments, and counseling.
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BackTable, LLC (Producer). (2021, February 16). Ep. 16 – Congenital Hearing Loss [Audio podcast]. Retrieved from https://www.backtable.com
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Podcast Contributors
Dr. Rachel St. John
Dr. Rachel St. John is a practicing ENT and Associate Professor of Clinical Medicine at Children's Medical Center Dallas/UTSW Department of Otolaryngology.
Dr. Joe Walter Kutz
Dr. Joe Walter Kutz is a neurotologist and Professor of Otolaryngology and Neurosurgery at the University of Texas Southwestern Medical Center in Dallas, TX.
Dr. Gopi Shah
Dr. Gopi Shah is a pediatric otolaryngologist and the co-host of BackTable ENT.
Dr. Ashley Agan
Dr. Ashley Agan is an otolaryngologist in Dallas, TX.
Synopsis
In this episode, Dr. Rachel St. John and Dr. Walter Kutz join hosts Dr. Ashley Agan and Dr. Gopi Shah to discuss congenital hearing loss.
Dr. St. John and Dr. Kutz outline the newborn hearing screening process and describe the benefits of both the traditional otoacoustic emission (OAE) test and auditory brainstem response (ABR) test for different conditions. They emphasize the importance of imaging in patients with late-onset and/or asymmetric hearing loss. The factors that influence the selection of imaging modality are also discussed.
Next, the diagnosis and management of hearing loss in children with auditory neuropathy, cytomegalovirus, and meningitis are reviewed. The potential role of cochlear implantation (CI) in each of these conditions is highlighted. Dr. St. John and Dr. Kutz emphasize that the journey following CI varies for each child, and that it often takes time to reap the benefits of the procedure. Lastly, Dr. St. John stresses the importance of early language exposure – through multiple mediums – to ensure that children do not miss out on crucial early brain development.
Resources
Dr. Walter Kutz’s Twitter Handle: @EarDoc1
UT Southwestern Cytomegalovirus Screening Study (CHIMES Study):
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5260148/
Transcript Preview
[Dr. Rachel St. John]
That first year of life is a very critical year of life in terms of brain development and pruning and making sure that these kids all have access to language regardless of mode, regardless of whether it's spoken, sign, protactile, whatever you're doing, depending on the child, not sitting around and waiting for language, waiting for something to happen, waiting for the next piece of technology or intervention or resource or person who's going to work with them, is I think really critical. Once that ship sailed, it does not come back.
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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