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Tufatulin G.Sh.

Center of Pediatric Audiology;
Mechnikov North-Western State Medical University;
St. Petersburg Research Institute of Ear, Throat, Nose and Speech

Lalayants M.R.

Russian Medical Academy of Continuous Professional Education;
Russian Children’s Clinical Hospital of the Pirogov Russian National Research Medical University

Artyushkin S.A.

Mechnikov North-Western State Medical University

Vikhnina S.M.

Pavlov First St Petersburg State Medical University

Garbaruk E.S.

Pavlov First St Petersburg State Medical University;
St. Petersburg State Pediatric Medical University

Dvoryanchikov V.V.

Saint Petersburg ENT and Speech Research Institute

Koroleva I.V.

Center of Pediatric Audiology;
St. Petersburg Research Institute of Ear, Throat, Nose and Speech

Kreisman M.V.

St. Petersburg Research Institute of Ear, Throat, Nose and Speech;
City Clinical polyclinic No. 7;
Novosibirsk State Medical University

Mefodovskaya E.K.

Center of Pediatric Audiology

Pashkov A.V.

Pediatric and Child Health Research Institute of the Petrovsky National Research Center of Surgery;
Central State Medical Academy of Department of Presidential Affairs

Savenko I.V.

Pavlov First St Petersburg State Medical University

Tsygankova E.R.

Russian Medical Academy of Continuous Professional Education

Chibisova S.S.

Russian Medical Academy of Continuous Professional Education

Tavartkiladze G.A.

Russian Medical Academy of Continuous Professional Education

Clinical protocol: audiological assessment of infants in Russian Federation. Part I

Authors:

Tufatulin G.Sh., Lalayants M.R., Artyushkin S.A., Vikhnina S.M., Garbaruk E.S., Dvoryanchikov V.V., Koroleva I.V., Kreisman M.V., Mefodovskaya E.K., Pashkov A.V., Savenko I.V., Tsygankova E.R., Chibisova S.S., Tavartkiladze G.A.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2023;88(5): 82‑90

DOI: 10.17116/otorino20238805182

Views: 1961

Downloaded: 148

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To cite this article:

Tufatulin GSh, Lalayants MR, Artyushkin SA, et al. . Clinical protocol: audiological assessment of infants in Russian Federation. Part I. Russian Bulletin of Otorhinolaryngology. 2023;88(5):82‑90. (In Russ.)
https://doi.org/10.17116/otorino20238805182

Подписка 2025 (Russian Bulletin of Otorhinolaryngology)
 
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Clinical protocol: audiological asse­ssment of infa­nts in Russian Fede­ration. Part II. Russian Bulletin of Otorhinolaryngology. 2023;(6):81-90

The clinical protocol of audiological assessment in infants was prepared by the workgroup of Russian pediatric audiologists from different regions. The goal of the protocol is unification approaches to audiological diagnosis of the infants. The protocol has been developed according the evidence based medicine principles, by reviewing current scientific publications on the topic and taking into account the order of providing medical services and other clinical practice guidelines. When direct evidence was not available, both indirect evidence and consensus practice were considered in making recommendations. This guideline is not intended to serve as a standard to dictate precisely how the child should be diagnosed. This guideline is meant to provide the evidence base from which the clinician can make individualized decisions for each patient. The first part of the protocol covers following sections: equipment, staff requirements, timing of the diagnostics, case history and risk factors, preparing the child for the appointment, sedation and general anesthesia, otoscopy, tympanometry and acoustic reflex, otoacoustic emissions, skin preparing, electrode montage, choosing the stimulators, auditory brainstem responses on broadband and narrow-band stimuli, on bone conducted stimuli, auditory steady-state responses, masking, combined correction factors.

Keywords:

audiological diagnosis
ABR
otoacoustic emissions
ASSR
tympanometry

Authors:

Tufatulin G.Sh.

Center of Pediatric Audiology;
Mechnikov North-Western State Medical University;
St. Petersburg Research Institute of Ear, Throat, Nose and Speech

Lalayants M.R.

Russian Medical Academy of Continuous Professional Education;
Russian Children’s Clinical Hospital of the Pirogov Russian National Research Medical University

Artyushkin S.A.

Mechnikov North-Western State Medical University

Vikhnina S.M.

Pavlov First St Petersburg State Medical University

Garbaruk E.S.

Pavlov First St Petersburg State Medical University;
St. Petersburg State Pediatric Medical University

Dvoryanchikov V.V.

Saint Petersburg ENT and Speech Research Institute

Koroleva I.V.

Center of Pediatric Audiology;
St. Petersburg Research Institute of Ear, Throat, Nose and Speech

Kreisman M.V.

St. Petersburg Research Institute of Ear, Throat, Nose and Speech;
City Clinical polyclinic No. 7;
Novosibirsk State Medical University

Mefodovskaya E.K.

Center of Pediatric Audiology

Pashkov A.V.

Pediatric and Child Health Research Institute of the Petrovsky National Research Center of Surgery;
Central State Medical Academy of Department of Presidential Affairs

Savenko I.V.

Pavlov First St Petersburg State Medical University

Tsygankova E.R.

Russian Medical Academy of Continuous Professional Education

Chibisova S.S.

Russian Medical Academy of Continuous Professional Education

Tavartkiladze G.A.

Russian Medical Academy of Continuous Professional Education

Received:

11.04.2023

Accepted:

15.05.2023

List of references:

  1. Chibisova SS, Tufatulin GSh, Koroleva IV, Tsygankova ER, Markova TG, Volodin NN, Namazova-Baranova LS, Tavartkiladze GA. Recommendations for All-Round Newborns and Infants Hearing Screening In Russian Federation. Pediatricheskaya farmakologiya. 2021;18(2):134-145. (In Russ.). https://doi.org/10.15690/pf.v18i2.2249
  2. Savelyev ES, Savelyeva EE, Tufatulin GSh. Diagnostic methods for determining auditory function in infants. Nauka i innovatsii v meditsine. 2020;5(1):62-69. (In Russ.). https://doi.org/10.35693/2500-1388-2020-5-1-62-69
  3. Elektroakustika — audiometricheskoe oborudovanie GOST R MJeK 60645-1-2017. (In Russ.). Accessed April 10, 2023. https://docs.cntd.ru/document/1200157248?ysclid=lg94bgeag4364497387
  4. Protocol for Audiological Surveillance of Children at Risk for Permanent Hearing Loss. Ministry of Children, Community and Social Services, Ontario Infant Hearing Program, July 17, 2019. Accessed April 10, 2023. https://www.uwo.ca/nca/pdfs/clinical_protocols/IHP%20Surveillance%20Protocol_2019.01_Final_July_2019.pdf
  5. British Society of Audiology. Recommended Procedure Auditory Brainstem Response (ABR) Testing in Babies. 2019. Accessed April 10, 2023. https://www.thebsa.org.uk/wp-content/uploads/2019/06/OD104-81-Recommended-Procedure-for-ABR-Testing-in-Babies.pdf
  6. British Society of Audiology. Recommended Procedure Ear Examination. 2022. Accessed April 10, 2023. https://www.thebsa.org.uk/resources/
  7. British Society of Audiology. Recommended Procedure Tympanometry. 2013. Accessed April 10, 2023. https://www.thebsa.org.uk/wp-content/uploads/2013/04/OD104-35-Recommended-Procedure-Tympanometry.pdf
  8. British Society of Audiology. Recommended Procedure Clinical Application of Otoacoustic Emissions (OAEs) in Children and Adults. 2023. Accessed April 10, 2023. https://www.thebsa.org.uk/wp-content/uploads/2022/09/OD104-120-Recommended-Procedure-Clinical-Application-of-Otoacoustic-Emissions-OAEs.docx.pdf
  9. Boboshko MYu, Savenko IV, Garbaruk ES, Zhuravskiy SG, Maltseva NV, Berdnikova IP. Prakticheskaya surdologiya. SPb: Dialog; 2021. (In Russ.).
  10. Norton SJ, Gorga MP, Widen JE, Vohr BR, Folsom RC, Sininger YS, Cone-Wesson B, Fletcher KA. Identification of neonatal hearing impairment: transient evoked otoacoustic emissions during the perinatal period. Ear and Hearing. 2000;21:425-442.  https://doi.org/10.1097/00003446-200010000-00008
  11. Gorga MP, Dierking DM, Johnson TA, Beauchaine KL, Garner CA, Neely ST. A validation and potential clinical application of multivariate analyses of distortion-product otoacoustic emission data. Ear and Hearing. 2005;26:593-607.  https://doi.org/10.1097/01.aud.0000188108.08713.6c
  12. Robinette MS, Glattke TJ. Otoacoustic Emissions: Clinical Applications. 3rd ed. New York: Thieme Publishing; 2007:236-237. 
  13. American Academy of Audiology. Clinical Guidance Document: Assessment of Hearing in Infant and Young Children. 2020. Accessed April 10, 2023. https://www.audiology.org/wp-content/uploads/2021/05/Clin-Guid-Doc_Assess_Hear_Infants_Children_1.23.20.pdf
  14. British Society of Audiology. Guidelines for the Early Audiological Assessment and Management of Babies Referred from the Newborn Hearing Screening Programme. 2021. Accessed April 10, 2023. https://www.thebsa.org.uk/resources
  15. Kemp DT, Ryan S, Bray P. A guide to the effective use of otoacoustic emissions. Ear and Hearing. 1990;11(2):93-105.  https://doi.org/10.1097/00003446-199004000-00004
  16. Protocol for Auditory Brainstem Response — Based Audiological Assessment (ABRA). Ministry of Children, Community and Social Services, Ontario Infant Hearing Program, October 06, 2020. Accessed April 10, 2023. https://www.uwo.ca/nca/pdfs/clinical_protocols/2018.02%20ABRA%20Protocol_Oct%202020.pdf
  17. Hall J. New Handbook of Auditory Evoked Responses. New York: Pearson; 2007.
  18. Tavartkiladze GA. Rukovodstvo po klinicheskoj audiologii. M.: Meditsina; 2013. (In Russ.).
  19. Tharpe AM, Seewald R. Comprehensive Handbook of Pediatric Audiology. Second edition. San Diego: Plural Publishing; 2017.
  20. Pashkov AV. Frequency-specific assessment of hearing function according to the data of recording the auditory response to a constant modulated tone. Rossijskaya otorinolaringologiya. 2004;2(9):86-88. (In Russ.).
  21. Savelieva EE, Tufatulin GSh, Saveliev ES. Auditory evoked potentials on an inpatient basis in clinical practice. RMZh. 2020;28(5): 3-8. (In Russ.).
  22. Naumova IV, Gadaleva SV, Pashkov AV. Auditory steady-state responses: literature review. Rossijskaya otorinolaringologiya. 2018; 3(94):115-129. (In Russ.). https://doi.org/10.18692/1810-4800-2018-3-115-129
  23. British Society of Audiology. Auditory Steady State Response (ASSR) Testing. 2022. Accessed April 10, 2023. https://www.thebsa.org.uk/resources

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