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Observational study to preliminarily characterize the audiological profile of chinese children with williams syndrome

Jiao Zhang1,2,3Minghui Zhao1Wei Shi1Haina Ding1Lan Lan1,2Dayong Wang1,2,3Qiuju Wang1,2,3,4()
College of Otolaryngology Head and Neck Surgery, Chinese PLA Institute of Otolaryngology, Chinese PLA General Hospital, Chinese PLA Medical School, Beijing, China
National Clinical Research Center for Otolaryngologic Diseases, Beijing, China
Key Lab of Hearing Science, Ministry of Education, Beijing, China
Beijing Key Lab of Hearing Impairment for Prevention and Treatment, Beijing, China
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Abstract

Purpose

It is essential to investigate the audiological profiles of Williams syndrome in a multicultural context. This study aims to examine the characteristics and management of hearing loss in Chinese children with Williams syndrome and provide references for future clinical management.

Method

Between January 2007 and March 2022, families with at least 1 WS patient was recruited from the Newborn Cohort Study of Hearing Loss. Audiological tests were performed, and then appropriate medical management was offered. Furthermore, an overview of the hearing loss phenotype in Williams syndrome in different locations was reviewed.

Results

A total of two families with at least 1 Williams syndrome patient were recruited from the Newborn Cohort Study of Hearing Loss (ChiCTR2100049765). We identified moderately severe sensorineural or conductive hearing loss that emerged as early as the infancy period in Williams syndrome subjects in Chinese children. Our results extended the reported onset ages of hearing loss in WS from late childhood or early adulthood to the infancy period. We also found that with early diagnosis, proper management, and regular monitoring, children with Williams syndrome could return to a normal or near-normal school life.

Conclusions

Our study demonstrated the distinct hearing profile in Chinese children with Williams syndrome for the first time. This cohort of WS subjects extends the reported onset ages of hearing loss in WS from late childhood or early adulthood to the infancy period, indicating the importance of clinicians screening and monitoring the hearing status of individuals with WS as early as possible. These data provide references for otolaryngologists and paediatricians to inform the clinical understanding and management of hearing loss in Williams syndrome.

References

[1]
Barozzi, S., Soi, D., Comiotto, E., et al. (2012) 'Audiological findings in Williams syndrome: a study of 69 patients', American Journal of Medical Genetics Part A, 158A(4), pp. 759-771. doi:10.1002/ajmg.a.35241.
[2]
Barozzi, S., Soi, D., Spreafico, E., et al. (2013) 'Audiological follow-up of 24 patients affected by Williams syndrome', European Journal of Medical Genetics, 56(9), pp. 490-496. doi:10.1016/j.ejmg.2013.07.001.
[3]
Bedeschi, M.F., Bianchi, V., Colli, A.M., et al. (2011) 'Clinical follow-up of young adults affected by Williams syndrome: experience of 45 Italian patients', American Journal of Medical Genetics Part A, 155A(2), pp. 353-359. doi:10.1002/ajmg.a.33819.
[4]
Beuren, A.J., Apitz, J. and Harmjanz, D. (1962) 'Supravalvular aortic stenosis in association with mental retardation and a certain facial appearance', Circulation, 26(6), pp. 1235-1240. doi:10.1161/01.cir.26.6.1235.
[5]
Brodie, K.D., David, A.P., Kriss, H., et al. (2022) 'Outcomes of an Early Childhood Hearing Screening Program in a Low-Income Setting', JAMA Otolaryngology–Head & Neck Surgery, 148(4), pp. 326-332. doi:10.1001/jamaoto.2021.4430.
[6]
Cherniske, E.M., Carpenter, T.O., Klaiman, C., et al. (2004) 'Multisystem study of 20 older adults with Williams syndrome', American Journal of Medical Genetics Part A, 131(3), pp. 255-264. doi:10.1002/ajmg.a.30400.
[7]
Chailangkarn, T., Trujillo, C.A., Freitas, B.C., et al. (2016) 'A human neurodevelopmental model for Williams syndrome', Nature, 536(7616), pp. 338-343. doi:10.1038/nature19067.
[8]
Fagundes Silva, L.A., Honjo Kawahira, R.S., et al. (2021) 'Abnormal auditory event-related potentials in Williams syndrome', European Journal of Medical Genetics, 64(3), p. 104163. doi:10.1016/j.ejmg.2021.104163.
[9]
Game, X., Panicker, J. and Fowler, C.J. (2010) 'Williams-Beuren syndrome', New England Journal of Medicine, 362(15), pp. 1449-1450. doi:10.1056/NEJMc1001965.
[10]
İkiz, M. and Yücel, E. (2022) 'The relationships between language, working memory and rapid naming in children with mild to moderate hearing loss', International Journal of Pediatric Otorhinolaryngology, 158, p. 111156. doi:10.1016/j.ijporl.2022.111156.
[11]
Jerger, J. (1970) 'Clinical experience with impedance audiometry', Archives of Otolaryngology, 92(4), pp. 311-324. doi:10.1001/archotol.1970.04310040005002.
[12]
Kozel, B.A., Barak, B., Kim, C.A., et al. (2021) 'Williams syndrome', Nature Reviews Disease Primers, 7(1), p. 42. doi:10.1038/s41572-021-00276-z.
[13]
Kruszka, P., Porras, A.R., de Souza, D.H., et al. (2018) 'Williams-Beuren syndrome in diverse populations', American Journal of Medical Genetics Part A, 176(5), pp. 1128-1136. doi:10.1002/ajmg.a.38672.
[14]
Marler, J.A., Elfenbein, J.L., Ryals, B.M., et al. (2005) 'Sensorineural hearing loss in children and adults with Williams syndrome', American Journal of Medical Genetics Part A, 138(4), pp. 318-327. doi:10.1002/ajmg.a.30970.
[15]
Marler, J.A., Sitcovsky, J.L., Mervis, C.B., et al. (2010) 'Auditory function and hearing loss in children and adults with Williams syndrome: cochlear impairment in individuals with otherwise normal hearing', American Journal of Medical Genetics Part C: Seminars in Medical Genetics, 154C(2), pp. 249-265. doi:10.1002/ajmg.c.30262.
[16]
Miezah, D., Porter, M., Rossi, A., et al. (2021) 'Cognitive profile of young children with Williams syndrome', Journal of Intellectual Disability Research, 65(8), pp. 784-794. doi:10.1111/jir.12860.
[17]
Morris, C.A. and Braddock, S.R. (2020) 'Health Care Supervision for Children With Williams Syndrome', Pediatrics, 145(2), p. e20193761. doi:10.1542/peds.2019-3761.
[18]
National Organization for Rare Disorders (2006) Williams Syndrome. Available at: https://rarediseases.org/rare-diseases/williams-syndrome/ (Accessed: 9 June 2022).
[19]
Paglialonga, A., Barozzi, S., Brambilla, D., et al. (2014) 'Analysis of subtle auditory dysfunctions in young normal-hearing subjects affected by Williams syndrome', International Journal of Pediatric Otorhinolaryngology, 78(11), pp. 1861-1865. doi:10.1016/j.ijporl.2014.08.010.
[20]
Pinelli, M., Terrone, G., Troglio, F., et al. (2020) 'A small 7q11.23 microduplication involving GTF2I in a family with intellectual disability', Clinical Genetics, 97(6), pp. 940-942. doi:10.1111/cge.13753.
[21]
R Core Team (2022) R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria. Available at: https://www.R-project.org/ (Accessed: 9 June 2022).
[22]
Sauna-Aho, O., Bjelogrlic-Laakso, N., et al. (2019) 'Cognition in adults with Williams syndrome-A 20-year follow-up study', Molecular Genetics & Genomic Medicine, 7(6), p. e695. doi:10.1002/mgg3.695.
[23]
Silva, L.A.F., Kawahira, R.S.H., Kim, C.A., et al. (2021) 'Auditory hypersensitivity in Williams syndrome', International Journal of Pediatric Otorhinolaryngology, 146, p. 110740. doi:10.1016/j.ijporl.2021.110740.
[24]
Silva, L.A.F., Kawahira, R.S.H., Kim, C.A., et al. (2022) 'Audiological profile and cochlear functionality in Williams syndrome', CoDAS, 34(3), p. e20210041. doi:10.1590/2317-1782/20212021041.
[25]
Somerville, M.J., Mervis, C.B., Young, E.J., et al. (2005) 'Severe expressive-language delay related to duplication of the Williams-Beuren locus', New England Journal of Medicine, 353(16), pp. 1694-1701. doi:10.1056/NEJMoa051962.
[26]
Strømme, P., Bjørnstad, P.G. and Ramstad, K. (2002) 'Prevalence estimation of Williams syndrome', Journal of Child Neurology, 17(4), pp. 269-271. doi:10.1177/088307380201700406.
[27]
Tebbenkamp, A.T.N., Varela, L., Choi, J., et al. (2018) 'The 7q11.23 Protein DNAJC30 Interacts with ATP Synthase and Links Mitochondria to Brain Development', Cell, 175(4), pp. 1088-1104.e23. doi:10.1016/j.cell.2018.09.014.
[28]
Tomblin, J.B., Oleson, J., Ambrose, S.E., et al. (2020) 'Aided Hearing Moderates the Academic Outcomes of Children With Mild to Severe Hearing Loss', Ear and Hearing, 41(4), pp. 775-789. doi:10.1097/AUD.0000000000000823.
[29]
Willfors, C., Riby, D.M., van der Poll, M., et al. (2021) 'Williams syndrome: on the role of intellectual abilities in anxiety', Orphanet Journal of Rare Diseases, 16(1), p. 472. doi:10.1186/s13023-021-02098-4.
[30]
Williams, J.C., Barratt-Boyes, B.G. and Lowe, J.B. (1961) 'Supravalvular aortic stenosis', Circulation, 24(6), pp. 1311-1318. doi:10.1161/01.cir.24.6.1311.
[31]
Williams Syndrome Guideline Development Group (2017) Management of Williams Syndrome. A Clinical Guideline. Available at: https://williams-syndrome.org.uk/wp-content/uploads/2018/07/williams_syndrome_guidelines_pdf.pdf (Accessed: 9 June 2022).
[32]
World Health Organization (2021) World report on hearing. Geneva: World Health Organization. Available at: https://www.who.int/activities/highlighting-priorities-for-ear-and-hearing-care (Accessed: 9 June 2022).
[33]
Yeshoda, K., Raveendran, R. and Konadath, S. (2020) 'Perception of vocal emotional prosody in children with hearing impairment', International Journal of Pediatric Otorhinolaryngology, 137, p. 110252. doi:10.1016/j.ijporl.2020.110252.
[34]
Zarchi, O., Attias, J., Raveh, E., et al. (2011) 'A comparative study of hearing loss in two microdeletion syndromes: velocardiofacial (22q11.2 deletion) and Williams (7q11.23 deletion) syndromes', Journal of Pediatrics, 158(2), pp. 301-306. doi:10.1016/j.jpeds.2010.07.056.
Journal of Otology
Cite this article:
Zhang J, Zhao M, Shi W, et al. Observational study to preliminarily characterize the audiological profile of chinese children with williams syndrome. Journal of Otology, 2025, https://doi.org/10.26599/JOTO.2025.9540002
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