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Optimization of early diagnosis and auditory rehabilitation in children with sensorineural hearing loss


Author: Chiaburu-Chiosa Doina
Degree:doctor of medicine
Speciality: 14.00.04 - Otorhinolaryngology
Year:2020
Scientific advisers: Mihail Maniuc
doctor habilitat, professor, Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova
Marie Jean-Paul
doctor habilitat, profesor universitar,
Institution: Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova

Status

The thesis was presented on the 4 March, 2020 at the meeting of the Scientific Council and now it is under consideration of the National Council.

Abstract

Adobe PDF document0.80 Mb / in romanian
Adobe PDF document0.75 Mb / in english

Thesis

CZU 16.284-089.844(043.2)

Adobe PDF document 1.71 Mb / in romanian
119 pages


Keywords

sensorineural hearing loss, deafness, otoacoustic emissions, newborn hearing loss screening, brainstem-evoked potentials, auditory prostheses, cochlear implants

Summary

Optimization of early diagnosis and auditory rehabilitation in children with sensorineural hearing loss. PhD thesis in Medical Sciences. Chisinau, 2019. The research work comprises 112 edited pages, including introduction, 4 chapters, general conclusions, practical recommendations, and 255 bibliographic sources. The research findings were published within 32 scientific works, as well as used wihin national and international oral presentations. Keywords: sensorineural hearing loss, deafness, otoacoustic emissions, newborn hearing loss screening, brainstem-evoked potentials, auditory prostheses, cochlear implants. Research domain: Otolaryngology Purpose of the study: To assess the etiological diagnosis of hearing loss in children based on the anamnestic data and molecular-genetic evaluations. To determine the diagnostic importance of transient otoacoustic emissions in newborn hearing screening. To highlight the diagnostic patterns of sensorineural deafness in newborns by recording OAEs, ASSR, BERA and conditioned play and behavioral audiometry. To study the effectiveness of newborn hearing screening in the auditory rehabilitation process of hearing-impaired children. To provide the auditory function assessment in children with sensorineural hearing loss following a prosthetic rehabilitation by means of hearing aids or cochlear implants. To develop an algorithm for early diagnosis and auditory rehabilitation of sensorineural hearing-impaired children. The scientific novelty of the research: This present clinical study, aimed at assessing the newborn hearing screening findings was conducted for the first time in the Republic of Moldova, which included the recording of the otoacoustic emissions and the study of the risk factors for developing a diagnostic and rehabilitation algorithm for sensorineural hearing loss. The scientific issue to be solved: Early diagnosis of sensorineural hearing loss in children, followed by an optimal early rehabilitation. Theoretical significance: The study results will enable the early diagnosis of sensorineural hearing loss in children, as well as to improve the genetic counseling for patients with non-syndromic hearing loss. The applicative value of the research: The results of the study encourage the use of the acoustic testing within the newborn hearing loss screening, providing reliable research findings Implementation of the scientific results: The study results were implemented within the clinical activity at the Republican Center for Audiology, Auditory Prosthesis and Medico-Pedagogical Rehabilitation, and at IMC Emilian Coţaga Clinic, as well as in the teaching activity of the Department of Otolaryngology, at “Nicolae Testemitanu" SUMPh.