الفهرس 
Aim of the workOnly 14 pages are availabe for public view
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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).