الفهرس | Only 14 pages are availabe for public view |
Abstract Hearing screening is viewed as an effective means for early identification of hearing impairment. Egypt developed a national program for early detection and intervention of hearing impairment. Evoked otoacoustic emissions are extremely useful in infant hearing screening. They are accurate, economic, easy procedure, and time efficient. Many researchers had administered automated auditory brainstem response for screening neonates to identify patients with auditory neuropathy spectrum disorder, and to reduce the number of false-positive results. The study aimed to screen for hearing loss and the hearing screening obstacles in newborn infants and to facilitate early detection of hearing impairment etiology and providing proper counseling issues. The study was involved 3500 newborn infants came to the family health care units for neonatal hearing screening at Menoufia Governorate. The study was conducted within the period from December 2019 to December 2020. All newborns were subjected to the following: 1- Full history taking: including age, residence, parental education, consanguinity, history of similar condition, and perinatal risk factors. 2- Thorough clinical examination: including anthropometric measures and detailed systemic examination. 3- Screening tests: including: 1st and 2nd otoacoustic emissions done sequentially, as the initial otoacoustic emission done during 1st 28 days after birth, and if the test result was REFER, the 2nd OAE test done after 2 weeks. Diagnostic automated auditory brainstem response done to neonates who failed to pass 2nd OAE as a second stage following 2nd time OAE screening test with a REFER result. 4- Diagnostic workup: including ENT evaluation, imaging and radiological studies, serology to SNHL cases and whole exome sequencing. 5- Detection of screening obstacles and providing solutions: That included obstacles related to various issues (parents, baby, screening place and testing). 6- Genetic counseling: especially to families with affected children. The counseling includes major points (providing information, family support, regular follow-up and monitoring, improve management and hearing aids, education and rehabilitation and training and preventable programmes). |