Etiologies of Childhood Hearing Impairment in Schools for the Deaf in Mali

Objectives: To identify the etiologies of hearing impairment (HI) in schools for students who are deaf and to use a systematic review to summarize reports on the etiologies and clinical and genetic features of HI in Mali.Methods: We included individuals with HI that started before the age of 15 year...

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Autores principales: Abdoulaye Yalcouyé, Oumou Traoré, Abdoulaye Taméga, Alassane B. Maïga, Fousseyni Kané, Oluwafemi G. Oluwole, Cheick Oumar Guinto, Mohamed Kéita, Samba Karim Timbo, Carmen DeKock, Guida Landouré, Ambroise Wonkam
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/51e42be6f940455789204f23eeebec8c
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spelling oai:doaj.org-article:51e42be6f940455789204f23eeebec8c2021-12-01T13:24:27ZEtiologies of Childhood Hearing Impairment in Schools for the Deaf in Mali2296-236010.3389/fped.2021.726776https://doaj.org/article/51e42be6f940455789204f23eeebec8c2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fped.2021.726776/fullhttps://doaj.org/toc/2296-2360Objectives: To identify the etiologies of hearing impairment (HI) in schools for students who are deaf and to use a systematic review to summarize reports on the etiologies and clinical and genetic features of HI in Mali.Methods: We included individuals with HI that started before the age of 15 years old. Patients were carefully evaluated under standard practices, and pure-tone audiometry was performed where possible. We then searched for articles published on HI in the Malian population from the databases' inception to March 30, 2020.Results: A total of 117 individuals from two schools for the deaf were included, and a male predominance (sex ratio 1.3; 65/52) was noted. HI was pre-lingual in 82.2% (n = 117), and the median age at diagnosis was 12 years old. The etiologies were environmental in 59.4% (70/117), with meningitis being the leading cause (40%, 20/70), followed by cases with genetic suspicion (29.3%, 21/117). In 11.3% (8/117) of patients, no etiology was identified. Among cases with genetic suspicion, three were syndromic, including two cases of Waardenburg syndrome, while 15 individuals had non-syndromic HI. An autosomal recessive inheritance pattern was observed in 83.3% of families (15/18), and consanguinity was reported in 55.5% (10/18) of putative genetic cases.Conclusion: This study concludes that environmental factors are the leading causes of HI in Mali. However, genetic causes should be investigated, particularly in the context of a population with a high consanguinity rate.Abdoulaye YalcouyéAbdoulaye YalcouyéOumou TraoréAbdoulaye TamégaAlassane B. MaïgaFousseyni KanéOluwafemi G. OluwoleCheick Oumar GuintoCheick Oumar GuintoMohamed KéitaMohamed KéitaSamba Karim TimboSamba Karim TimboCarmen DeKockGuida LandouréGuida LandouréAmbroise WonkamAmbroise WonkamFrontiers Media S.A.articlehearing impairmentetiologygeneticsMaliAfricaPediatricsRJ1-570ENFrontiers in Pediatrics, Vol 9 (2021)
institution DOAJ
collection DOAJ
language EN
topic hearing impairment
etiology
genetics
Mali
Africa
Pediatrics
RJ1-570
spellingShingle hearing impairment
etiology
genetics
Mali
Africa
Pediatrics
RJ1-570
Abdoulaye Yalcouyé
Abdoulaye Yalcouyé
Oumou Traoré
Abdoulaye Taméga
Alassane B. Maïga
Fousseyni Kané
Oluwafemi G. Oluwole
Cheick Oumar Guinto
Cheick Oumar Guinto
Mohamed Kéita
Mohamed Kéita
Samba Karim Timbo
Samba Karim Timbo
Carmen DeKock
Guida Landouré
Guida Landouré
Ambroise Wonkam
Ambroise Wonkam
Etiologies of Childhood Hearing Impairment in Schools for the Deaf in Mali
description Objectives: To identify the etiologies of hearing impairment (HI) in schools for students who are deaf and to use a systematic review to summarize reports on the etiologies and clinical and genetic features of HI in Mali.Methods: We included individuals with HI that started before the age of 15 years old. Patients were carefully evaluated under standard practices, and pure-tone audiometry was performed where possible. We then searched for articles published on HI in the Malian population from the databases' inception to March 30, 2020.Results: A total of 117 individuals from two schools for the deaf were included, and a male predominance (sex ratio 1.3; 65/52) was noted. HI was pre-lingual in 82.2% (n = 117), and the median age at diagnosis was 12 years old. The etiologies were environmental in 59.4% (70/117), with meningitis being the leading cause (40%, 20/70), followed by cases with genetic suspicion (29.3%, 21/117). In 11.3% (8/117) of patients, no etiology was identified. Among cases with genetic suspicion, three were syndromic, including two cases of Waardenburg syndrome, while 15 individuals had non-syndromic HI. An autosomal recessive inheritance pattern was observed in 83.3% of families (15/18), and consanguinity was reported in 55.5% (10/18) of putative genetic cases.Conclusion: This study concludes that environmental factors are the leading causes of HI in Mali. However, genetic causes should be investigated, particularly in the context of a population with a high consanguinity rate.
format article
author Abdoulaye Yalcouyé
Abdoulaye Yalcouyé
Oumou Traoré
Abdoulaye Taméga
Alassane B. Maïga
Fousseyni Kané
Oluwafemi G. Oluwole
Cheick Oumar Guinto
Cheick Oumar Guinto
Mohamed Kéita
Mohamed Kéita
Samba Karim Timbo
Samba Karim Timbo
Carmen DeKock
Guida Landouré
Guida Landouré
Ambroise Wonkam
Ambroise Wonkam
author_facet Abdoulaye Yalcouyé
Abdoulaye Yalcouyé
Oumou Traoré
Abdoulaye Taméga
Alassane B. Maïga
Fousseyni Kané
Oluwafemi G. Oluwole
Cheick Oumar Guinto
Cheick Oumar Guinto
Mohamed Kéita
Mohamed Kéita
Samba Karim Timbo
Samba Karim Timbo
Carmen DeKock
Guida Landouré
Guida Landouré
Ambroise Wonkam
Ambroise Wonkam
author_sort Abdoulaye Yalcouyé
title Etiologies of Childhood Hearing Impairment in Schools for the Deaf in Mali
title_short Etiologies of Childhood Hearing Impairment in Schools for the Deaf in Mali
title_full Etiologies of Childhood Hearing Impairment in Schools for the Deaf in Mali
title_fullStr Etiologies of Childhood Hearing Impairment in Schools for the Deaf in Mali
title_full_unstemmed Etiologies of Childhood Hearing Impairment in Schools for the Deaf in Mali
title_sort etiologies of childhood hearing impairment in schools for the deaf in mali
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/51e42be6f940455789204f23eeebec8c
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