Evidence map›Paper›PMID 40226246›Full record

ArticleIndian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India2025

Cochlear Synaptopathy in Full-Term Neonates: A Case-Control Study of NICU Hospitalization Impact.

Zeinab Hasanpour, Malihah Mazaheryazdi, Hassan Haddadzade Niri, Mohammad Maarefvand, Hajar Mehdizadeh

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Article in Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Zeinab HasanpourPresent Address: Departeman of Audiology, School of Rehabilitation Sciences, Iran University of Medical Science, Tehran, Iran.ORCID 0009-0005-4780-0835
Malihah MazaheryazdiPresent Address: Departeman of Audiology, School of Rehabilitation Sciences, Iran University of Medical Science, Tehran, Iran.ORCID 0000-0001-5165-9604
Hassan Haddadzade NiriPresent Address: Departeman of Audiology, School of Rehabilitation Sciences, Iran University of Medical Science, Tehran, Iran.ORCID 0000-0002-4280-9401
Mohammad MaarefvandPresent Address: Department of Audiology, School of Rehabilitation Sciences,Iran University of Medical Sciences, Tehran, Islamic Republic of Iran.ORCID 0000-0003-3424-1796
Hajar MehdizadehIndependent researcher, Shiraz, Iran.ORCID 0000-0002-4325-8875

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Cochlear synaptopathy, or hidden hearing loss, involves synaptic loss between inner hair cells and auditory nerve fibers. While linked to aging and excessive noise exposure in adults, its impact on neonates remains unclear. This study compared cochlear synaptopathy in full-term neonates hospitalized in the neonatal intensive care unit (NICU) versus healthy controls. Methods: Sixty full-term neonates-30 hospitalized in the neonatal intensive care unit (NICU) and 30 healthy controls-were enrolled. Inclusion criteria comprised gestational age ≥ 37 weeks, chronological age < 1-month, normal auditory brainstem response (ABR) thresholds (≤ 25 dB nHL), transient evoked otoacoustic emissions, and tympanometry. ABR wave I and V amplitudes, wave I/V ratio, growth functions, acoustic reflex thresholds (ART), and adaptation tests (rapid-rate ABR) were analyzed. Results: No significant differences emerged between NICU-hospitalized and control neonates in ABR wave I/V amplitudes (wave I: 0.05-0.15 µV vs. 0.06-0.11 µV; wave V: 0.12-0.21 µV vs. 0.14-0.20 µV), I/V ratio (0.57-0.75 vs. 0.54-0.67), ART (80.35-73.14 dB HL vs. 78.44-71.59 dB HL), or adaptation latencies (7.60 ms vs. 7.56 ms). Conclusion: The results suggest that NICU hospitalization does not significantly increase the risk of cochlear synaptopathy in full-term neonates, even when evaluating synaptic integrity using ABR wave I/V ratios, a biomarker for hidden hearing loss, despite normal hearing thresholds.

Indexed as

Acoustic Reflex ThresholdAuditory Brainstem ResponseCochlear SynaptopathyNeonatal Intensive Care UnitNoise-induced Damage

Identifiers

PMID40226246
PMCPMC11985705

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