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Background and Objectives:tection with appropriate rehabilitation of congenital hearing loss can reduce the adverse developmental consequences such as language delays, and behavior and attention deficits. The purpose of this study is to evaluate our newborn hearing screning program using the combined transient evoked otoacoustic emission (TEOAE) and auditory brainstem response (ABR), and to estimate the cost-efectiveness of our program. Materials and Method:6,634 infants (5,918 wel babies and 716 NICU babies)screened with TEOAEs, and those failing the TEOAEs were tested with the rescreening program. Neonates failing the TEOAE rescrening and the NICU babies were examined with ABR. The cost included personnel, fringe benefits, supplies, equipment and overhead. Results:660 (11% ) out of 5,918 well babies failed the initial TEOAE screning and 27 (0.46%) babies failed the TEOAE rescreening. Eleven babies (0.16%), 3 of the well babies and 8 of the NICU babies, were confirmed to have hearing 26-related deafness and an enlarged vestibular aqueduct syndrome. It cost $6 to scren one infant and $3,700 to detect one infant with hearing loss. Conclusion:We could detect 11 babies (0.16%) with hearing loss out of 6,634 neonates during the 4 years. Considering the benefits of early identification and rehabilitation of congenital hearing loss, the cost for the newborn hearing scren program is affordable. The newborn hearing scren should be extended as a national health program. (Korean J Otolaryngol 2002 ;45 :1052-6)

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