{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T05:33:00Z","timestamp":1792042380585,"version":"4.4.0"},"reference-count":52,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T00:00:00Z","timestamp":1755734400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Newborn hearing screening is essential for the early detection of hearing loss, enabling timely intervention that supports communication and academic success. However, some children may develop delayed-onset hearing loss, which can go undetected without ongoing monitoring. Even mild hearing loss can affect educational development, highlighting the importance of preschool hearing screening. This study aimed to investigate the prevalence of delayed-onset hearing loss in first-grade students who had previously passed newborn hearing screening, emphasizing the need for early identification.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross-sectional study was conducted involving 130 first-grade students. The screening protocol included otoscopic examination, Pure Tone Audiometry (PTA), tympanometry, and Transient Evoked Otoacoustic Emissions (TEOAE). Passing criteria were defined as PTA thresholds \u226420\u2005dBHL at 500\u20134,000\u2005Hz, Type A or Ad tympanogram, and a TEOAE signal-to-noise ratio \u22653\u2005dB.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the participants, 80 (61.5%) passed the hearing screening, while 50 (38.5%) failed. Among those who failed, 43 (86%) showed abnormal tympanometry results, indicating potential conductive hearing loss, whereas 7 (14%) failed both OAE and PTA despite having normal tympanometry and were confirmed to have sensorineural hearing loss (SNHL). The prevalence of delayed-onset SNHL was therefore 5.4%. Among the risk factors examined, consanguinity was significantly associated with the presence of hearing loss.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The observed 5.4% prevalence of delayed-onset sensorineural hearing loss among first-grade students underscores the importance of implementing preschool hearing screening to ensure early detection and timely intervention.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fped.2025.1623225","type":"journal-article","created":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T05:27:07Z","timestamp":1755754027000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":9,"title":["Delayed-onset hearing loss in first-grade students who previously passed the newborn hearing screening"],"prefix":"10.3389","volume":"13","author":[{"given":"Reem","family":"Elbeltagy","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Waad","family":"AlObayed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shatha","family":"Mashbri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robina","family":"Alrasheed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Renad","family":"Albakiri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Munira","family":"Almulayfi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rania","family":"Alkahtani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,8,21]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"2195","DOI":"10.1001\/jama.2020.17647","article-title":"Hearing loss in children: a review","volume":"324","author":"Lieu","year":"2020","journal-title":"JAMA"},{"key":"B2","article-title":"Deafness and hearing loss","year":""},{"key":"B3","doi-asserted-by":"publisher","first-page":"221","DOI":"10.1016\/j.pcl.2021.12.006","article-title":"Congenital sensorineural hearing loss","volume":"69","author":"Shave","year":"2022","journal-title":"Pediatr Clin"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1403","DOI":"10.1590\/1982-0216201517512314","article-title":"School-age hearing screening: identification of hearing impairments in first grade students","volume":"17","author":"Tamanini","year":"2015","journal-title":"Rev CEFAC"},{"key":"B5","doi-asserted-by":"publisher","first-page":"283","DOI":"10.1016\/j.otoeng.2022.10.007","article-title":"Universal neonatal hearing screening and delayed hearing loss or late-developmental hearing loss","volume":"74","author":"N\u00fa\u00f1ez Batalla","year":"2023","journal-title":"Acta Otorrinolaringol Engl Ed"},{"key":"B6","article-title":"Risk Monitoring for Delayed-Onset Hearing Loss","author":"Stich-Hennen","year":""},{"key":"B7","doi-asserted-by":"publisher","first-page":"3397","DOI":"10.1007\/s00405-024-08527-x","article-title":"Late-onset, progressive sensorineural hearing loss in the paediatric population: a systematic review","volume":"281","author":"Corazzi","year":"2024","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"B8","doi-asserted-by":"publisher","first-page":"584","DOI":"10.61386\/imj.v17i3.523","article-title":"Barriers to prompt diagnosis and management of children with hearing loss","volume":"17","author":"Ekere","year":"2024","journal-title":"Ibom Med J"},{"key":"B9","doi-asserted-by":"publisher","first-page":"110656","DOI":"10.1016\/j.ijporl.2021.110656","article-title":"Challenges faced by parents when seeking diagnosis for children with sensorineural hearing loss","volume":"143","author":"Hamzah","year":"2021","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"B10","article-title":"Clinical Practice Guidelines: Childhood Hearing Screening [Internet]. 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