Is routine audiometric testing necessary for children with isolated preauricular lesions?

Grace T. Wu, Conor Devine, Allen Xu, Katie Geelan-Hansen, Samantha Anne

Research output: Contribution to journalArticle

Abstract

Introduction Preauricular lesions, including tags, pits, sinuses, and cysts are commonly seen. Some studies have shown increased incidence of hearing loss in these patients but other studies have failed to corroborate this finding. The purpose of this study is to evaluate the incidence of hearing loss in patients with isolated preauricular lesions. Methods Retrospective chart review of all pediatric otolaryngology patients seen at a tertiary academic center between 2008 and 2014. All patients with the diagnosis code of 744.1 or 701.9 (preauricular skin tag) or 744.46, 744.47, or 744.89 (preauricular pit/fistula/cyst) were included in this study. Medical records were reviewed for clinical, demographic, and audiologic data. Results Ninety-nine patients, 46 males, 53 females, with preauricular lesions were identified. Twelve were found to have abnormal hearing. Five patients had conductive hearing loss due to underlying Eustachian tube dysfunction. Four patients had sensorineural hearing loss; three of these patients had an enlarged vestibular aqueduct and one patient did not have an identified cause. Three patients had sound field testing or abnormal otoacoustic emissions that suggested hearing loss with no further follow up. Conclusion Children with isolated preauricular lesions with no history of otologic surgery or risk factors for hearing loss may not need audiologic evaluation outside of regular hearing screening. However, there does appear to be a higher association with Eustachian tube dysfunction in these children. Further studies will need to be done to determine whether or not there is an embryological correlation for this finding.

Original languageEnglish (US)
Pages (from-to)68-70
Number of pages3
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume93
DOIs
StatePublished - Feb 1 2017

Fingerprint

Hearing Loss
Eustachian Tube
Hearing
Cysts
Conductive Hearing Loss
Sensorineural Hearing Loss
Incidence
Otolaryngology
Fistula
Medical Records
Demography
Pediatrics
Skin

Keywords

  • Fistula
  • Hearing loss
  • Preauricular pit
  • Tag

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Otorhinolaryngology

Cite this

Is routine audiometric testing necessary for children with isolated preauricular lesions? / Wu, Grace T.; Devine, Conor; Xu, Allen; Geelan-Hansen, Katie; Anne, Samantha.

In: International Journal of Pediatric Otorhinolaryngology, Vol. 93, 01.02.2017, p. 68-70.

Research output: Contribution to journalArticle

@article{bfc2c108c9a44a19bd7a189b8e136906,
title = "Is routine audiometric testing necessary for children with isolated preauricular lesions?",
abstract = "Introduction Preauricular lesions, including tags, pits, sinuses, and cysts are commonly seen. Some studies have shown increased incidence of hearing loss in these patients but other studies have failed to corroborate this finding. The purpose of this study is to evaluate the incidence of hearing loss in patients with isolated preauricular lesions. Methods Retrospective chart review of all pediatric otolaryngology patients seen at a tertiary academic center between 2008 and 2014. All patients with the diagnosis code of 744.1 or 701.9 (preauricular skin tag) or 744.46, 744.47, or 744.89 (preauricular pit/fistula/cyst) were included in this study. Medical records were reviewed for clinical, demographic, and audiologic data. Results Ninety-nine patients, 46 males, 53 females, with preauricular lesions were identified. Twelve were found to have abnormal hearing. Five patients had conductive hearing loss due to underlying Eustachian tube dysfunction. Four patients had sensorineural hearing loss; three of these patients had an enlarged vestibular aqueduct and one patient did not have an identified cause. Three patients had sound field testing or abnormal otoacoustic emissions that suggested hearing loss with no further follow up. Conclusion Children with isolated preauricular lesions with no history of otologic surgery or risk factors for hearing loss may not need audiologic evaluation outside of regular hearing screening. However, there does appear to be a higher association with Eustachian tube dysfunction in these children. Further studies will need to be done to determine whether or not there is an embryological correlation for this finding.",
keywords = "Fistula, Hearing loss, Preauricular pit, Tag",
author = "Wu, {Grace T.} and Conor Devine and Allen Xu and Katie Geelan-Hansen and Samantha Anne",
year = "2017",
month = "2",
day = "1",
doi = "10.1016/j.ijporl.2016.12.032",
language = "English (US)",
volume = "93",
pages = "68--70",
journal = "International Journal of Pediatric Otorhinolaryngology",
issn = "0165-5876",
publisher = "Elsevier Ireland Ltd",

}

TY - JOUR

T1 - Is routine audiometric testing necessary for children with isolated preauricular lesions?

AU - Wu, Grace T.

AU - Devine, Conor

AU - Xu, Allen

AU - Geelan-Hansen, Katie

AU - Anne, Samantha

PY - 2017/2/1

Y1 - 2017/2/1

N2 - Introduction Preauricular lesions, including tags, pits, sinuses, and cysts are commonly seen. Some studies have shown increased incidence of hearing loss in these patients but other studies have failed to corroborate this finding. The purpose of this study is to evaluate the incidence of hearing loss in patients with isolated preauricular lesions. Methods Retrospective chart review of all pediatric otolaryngology patients seen at a tertiary academic center between 2008 and 2014. All patients with the diagnosis code of 744.1 or 701.9 (preauricular skin tag) or 744.46, 744.47, or 744.89 (preauricular pit/fistula/cyst) were included in this study. Medical records were reviewed for clinical, demographic, and audiologic data. Results Ninety-nine patients, 46 males, 53 females, with preauricular lesions were identified. Twelve were found to have abnormal hearing. Five patients had conductive hearing loss due to underlying Eustachian tube dysfunction. Four patients had sensorineural hearing loss; three of these patients had an enlarged vestibular aqueduct and one patient did not have an identified cause. Three patients had sound field testing or abnormal otoacoustic emissions that suggested hearing loss with no further follow up. Conclusion Children with isolated preauricular lesions with no history of otologic surgery or risk factors for hearing loss may not need audiologic evaluation outside of regular hearing screening. However, there does appear to be a higher association with Eustachian tube dysfunction in these children. Further studies will need to be done to determine whether or not there is an embryological correlation for this finding.

AB - Introduction Preauricular lesions, including tags, pits, sinuses, and cysts are commonly seen. Some studies have shown increased incidence of hearing loss in these patients but other studies have failed to corroborate this finding. The purpose of this study is to evaluate the incidence of hearing loss in patients with isolated preauricular lesions. Methods Retrospective chart review of all pediatric otolaryngology patients seen at a tertiary academic center between 2008 and 2014. All patients with the diagnosis code of 744.1 or 701.9 (preauricular skin tag) or 744.46, 744.47, or 744.89 (preauricular pit/fistula/cyst) were included in this study. Medical records were reviewed for clinical, demographic, and audiologic data. Results Ninety-nine patients, 46 males, 53 females, with preauricular lesions were identified. Twelve were found to have abnormal hearing. Five patients had conductive hearing loss due to underlying Eustachian tube dysfunction. Four patients had sensorineural hearing loss; three of these patients had an enlarged vestibular aqueduct and one patient did not have an identified cause. Three patients had sound field testing or abnormal otoacoustic emissions that suggested hearing loss with no further follow up. Conclusion Children with isolated preauricular lesions with no history of otologic surgery or risk factors for hearing loss may not need audiologic evaluation outside of regular hearing screening. However, there does appear to be a higher association with Eustachian tube dysfunction in these children. Further studies will need to be done to determine whether or not there is an embryological correlation for this finding.

KW - Fistula

KW - Hearing loss

KW - Preauricular pit

KW - Tag

UR - http://www.scopus.com/inward/record.url?scp=85007107136&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85007107136&partnerID=8YFLogxK

U2 - 10.1016/j.ijporl.2016.12.032

DO - 10.1016/j.ijporl.2016.12.032

M3 - Article

C2 - 28109500

AN - SCOPUS:85007107136

VL - 93

SP - 68

EP - 70

JO - International Journal of Pediatric Otorhinolaryngology

JF - International Journal of Pediatric Otorhinolaryngology

SN - 0165-5876

ER -