CHARACTERISTICS OF PATIENTS WITH SPEECH AND LANGUAGE DISORDERS AT ENT-HNS CLINIC OF SANGLAH HOSPITAL IN THE PERIOD OF JUNE 2012-JUNE 2013

Abstract

because it is often caused and accompanied by various problems, and resulting in significant implications. The underlying hearing impairment should be noted by ENT-HNS specialists, to improve its early detection and intervention program, for better final result. Data on patients with speech-language disorders at ENT-HNS clinic at Sanglah Hospital is insufficient. This study is carried out as an effort to collect basic data on the characteristics of patients with speech-language disorders whom referred to ENT-HNS clinic at Sanglah Hospital-Denpasar. Patients with speech-language disorders and complete medical records, whom referred to ENT-HNS clinic at Sanglah Hospital during the period of June 2012 to June 2013 were included in the study. The patients’ data on medical records were analyzed on several aspects, including sex, age, residence, close-related parents, prenatal, perinatal, and postnatal risk factors, and their ENT-HNS evaluation results. Most of the samples were 1-2 years old (44%) and live in rural area (63%). We found 18 patients with no wave V on ABR, 2 patients with effusion otitis media, and 1 patient with autism. Various risk factors were associated with speech and language disorders in literatures. The most common risk factors found in the study were infection during pregnancy (16%), post natal infection (12%), and kernicterus (9%), but we did not find any prenatal, perinatal, and postnatal risk factors in 67%, 81%, and 86% of the patients, respectively. Result of the study shows that there is a delay of hearing impairment evaluation due to limitation of screening program. The most common risk factor of speech-language disorders is infection, during pregnancy or after labor. Type of hearing loss we find are mostly sensorineural.