Vestibular assessment in infants with congenital or early onset sensorineural hearing loss: is neonatal vestibular screening required? A scoping review

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dc.contributor.authorFarquhar, Laurenen
dc.contributor.authorEl Refaie, Amren
dc.date.accessioned2025-05-13T08:54:15Z
dc.date.available2025-05-13T08:54:15Z
dc.date.issued2025en
dc.description.abstractBackground/Objectives: Children with congenital or early onset sensorineural hearing loss (SNHL) are at a greater risk of vestibular dysfunction (VD), hypothesized to occur from the close embryological relationship between the cochlear and vestibular systems. Even with increasing focus on early detection and rehabilitation through Universal Newborn Hearing Screening (UNHS) programmes in many countries, few studies have focused on the prevalence and feasibility of vestibular assessment in infant populations. The objectives of this review are to 1. identify the prevalence of VD infants with congenital or early onset (<12 months old) SNHL, 2. identify which vestibular assessment tests/protocols are conducted on this population, 3. report sensitivity and specificity values for identified vestibular assessment tests/protocols. Methods: Studies that included infants aged 0–12 months, with congenital or early onset SNHL of any laterality, degree, or configuration, and who underwent any method of vestibular assessment were included. The review adhered to the Joanna Briggs Institute (JBI) guidance and the PRISMA-ScR extension statement. Results: A total of 18 studies were included in the review. All articles reported that infants with congenital or early onset SNHL are at a greater risk of VD, particularly those with bilateral severe–profound SNHL. The cervical vestibular-evoked myogenic potentials (cVEMP) test was the most frequently identified vestibular assessment tool for this age demographic. Conclusions: Results from the included articles coincide with results from literature assessing older paediatric populations. cVEMPs have been reported to be a feasible, sensitive, and specific screening tool in infants with congenital or early onset SNHL. The prevalence of VD in infants with congenital or early onset SNHL justify further investigation on the feasibility of establishing a pathway for vestibular assessment for all infants referred by UNHS programmes.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.articleid23en
dc.identifier.citationFarquhar, L. and El Refaie, A. (2025) 'Vestibular assessment in infants with congenital or early onset sensorineural hearing loss: is neonatal vestibular screening required? A scoping review', Audiology Research, 15(2), 23 (32pp). https://doi.org/10.3390/audiolres15020023en
dc.identifier.doi10.3390/audiolres15020023en
dc.identifier.endpage263en
dc.identifier.issn20394349en
dc.identifier.issued2
dc.identifier.journaltitleAudiology Researchen
dc.identifier.startpage250en
dc.identifier.urihttps://hdl.handle.net/10468/17428
dc.identifier.volume15
dc.language.isoenen
dc.publisherMultidisciplinary Digital Publishing Institute (MDPI)en
dc.rights© 2025, the Authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectCongenitalen
dc.subjectInfantsen
dc.subjectNeonatesen
dc.subjectScoping reviewen
dc.subjectScreeningen
dc.subjectSensorineural hearing lossen
dc.subjectVestibular assessmenten
dc.titleVestibular assessment in infants with congenital or early onset sensorineural hearing loss: is neonatal vestibular screening required? A scoping reviewen
dc.typeArticle (peer reviewed)en
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