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Objectives: The aim of this study was to evaluate Universal Screening using transient evoked otoacoustic emisions (TEOAE) in the geographical Department of Eure -France., Material and Methods: This hearing screening was initially developed at a single maternity ward (September 1999 to December 2002), and then throughout the Department (January 2003 to December 2003). One or two successive TEOAE tests were recorded. In cases of a positive test, a new TEAO was recorded at otolaryngology consultation one month later. If this test was again positive, a new consultation with brainstem auditory evoked potential (BAEP) was scheduled. If hearing loss was suspected following BAEP, an audiometric test was performed., Results: A total of 10,770 newborns were screened (99.38%), 65 newborns were lost to follow-up (0.59%), 18 bilateral hearing losses were identified (1.6/1000), and 5 of them had hearing loss risk factors., Conclusion: This study demonstrated that a hearing screening program in the maternity ward using TEOAE is recommended and provides optimal results.

A retrospective study of 72 children with a profound (average hearing loss > 90 dB) unilateral sensorineural hearing loss (PUSNHL) was carried out in the ENT department at the Rouen hospital in 1988 and 1994. This study intended to investigate the etiologies, how it was recognized, the age of the onset and the results of the medical evaluation of these PUSNHL. We found, in 2 cases, that vestibular lesions of the healthy ear were present before the onset of a hearing loss on this side, turning the PUSNHL into a bilateral deafness. We tried to correlate the etiologies, age of onset of the PUSNHL, status of the opposite ear and possible scholar problems in the group of the 42 children followed-up for more than 2 years (mean follow-up time = 7 years). Among children suffering from PUSNHL, we specified a group with higher risk of school failures, allowing ENT physicians to propose more accurate management to these children.