Artikel
Etiological assessment of congenital profound sensorineural hearing loss
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Veröffentlicht: | 26. April 2017 |
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Gliederung
Abstract
Introduction: Congenital profound sensorineural hearing losses are determined by genetic or nongenetic factors. To further evaluate more accurately congenital profound sensorineural hearing losses from etiologic point of view.
Methods: Congenital profound sensorineural hearing loss etiological assessment is a critical component in infants and children clinical and paraclinical evaluation. Nongenetic factors might be implied in about 25% of congenital hearing losses, while genetic factors (hereditary) are thought to determine more than 50% of all hearing losses. Evaluation of nongenetic and genetic factors will allow to determine a disease progression pattern and will facilitate associated clinical manifestations and complications monitoring.
Results: Implementation of a cost-efficient etiological assessment based on genetic testing, environmental factors, maternal infections (rubella, cytomegalovirus, herpes simplex virus), prematurity, low birth weight, birth injuries, toxins including drugs and alcohol consumed by the mother during pregnancy, complications associated with the Rh factor in the blood/jaundice, maternal diabetes, toxemia during pregnancy, anoxia evaluation. Imaging studies (CT and MRI) are indicated in order to exclude inner ear malformations.
Conclusion: In congenital profound sensorineural hearing loss etiological assessment is mandatory a multidisciplinary approach: ENT surgeon, neonatologist, pediatrician, geneticist, radiologist and other specialists, depending on each case.
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