OBJECTIVES Although vestibular deficits are more prevalent in hearing-impaired children and can affect their development on many levels, a pediatric vestibular assessment is still uncommon in clinical practice. Since early detection may allow for timely intervention, this pioneer project has implemented a basic vestibular screening test for each six-month-old hearing-impaired infant in Flanders, Belgium. This study aims to report the vestibular screening results over a period of three years and to define the most important risk factors for abnormal vestibular screening results. METHODS Cervical Vestibular Evoked Myogenic Potentials with bone-conduction were used as a vestibular screening tool in all reference centers affiliated to the Universal Newborn Hearing Screening Program in Flanders. From June 2018 until June 2021, 254 infants (mean age: 7.4 months, standard deviation: 2.4 months) with sensorineural hearing loss were included. RESULTS Overall, abnormal vestibular screening results were found in 13.8% (35 of 254) of the infants. The most important group at risk for abnormal vestibular screening results were infants with unilateral or bilateral severe to profound sensorineural hearing loss (20.8%, 32 of 154) (P < .001, odds ratio = 9.16). Moreover, abnormal vestibular screening results were more prevalent in infants with hearing loss caused by meningitis (66.7%, 2 of 3), syndromes (28.6%, 8 of 28), congenital cytomegalovirus infection (20.0%, 8 of 40), and cochleovestibular anomalies (19.2%, 5 of 26). CONCLUSIONS The vestibular screening results in infants with sensorineural hearing loss indicate the highest risk for vestibular deficits in severe to profound hearing loss, and certain underlying etiologies of hearing loss, such as meningitis, syndromes, congenital cytomegalovirus, and cochleovestibular anomalies.

中文翻译：

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感音神经性听力损失婴儿前庭婴儿筛查三年。

目标 尽管前庭功能障碍在听力受损儿童中更为普遍，并且会在多个层面影响他们的发育，但儿科前庭评估在临床实践中仍然不常见。由于早期检测可能允许及时干预，因此这个开创性项目已在比利时法兰德斯为每个 6 个月大的听力受损婴儿实施了一项基本的前庭筛查测试。本研究旨在报告三年内的前庭筛查结果，并确定前庭筛查结果异常的最重要危险因素。方法 带有骨导的颈前庭诱发肌源性电位被用作法兰德斯通用新生儿听力筛查计划附属的所有参考中心的前庭筛查工具。从 2018 年 6 月到 2021 年 6 月，254 名婴儿（平均年龄：7. 4 个月，标准差：2.4 个月）包括感音神经性听力损失。结果 总体而言，在 13.8%（254 名中的 35 名）婴儿中发现了异常的前庭筛查结果。最重要的前庭筛查结果异常风险组是单侧或双侧重度至极重度感音神经性听力损失的婴儿（20.8%，154 人中有 32 人）（P < .001，优势比 = 9.16）。此外，脑膜炎（66.7%，3 例中有 2 例）、综合征（28.6%，28 例中有 8 例）、先天性巨细胞病毒感染（20.0%，40 例中有 8 例）和耳蜗前庭引起的听力损失婴儿中，异常前庭筛查结果更为普遍。异常 (19.2%, 5 of 26)。结论 感音神经性听力损失婴儿的前庭筛查结果表明，重度至重度听力损失的前庭功能障碍风险最高，