Angral Sumeet, Varshney Saurabh, Aanand Prem, Raj Ritu
Department of Otorhinolaryngology & Head-Neck Surgery, All India Institute of Medical Sciences, Deoghar, India.
Department of ENT, All India Institute of Medical Sciences, Dabourgram Jasidih, Deoghar, Jharkhand 814142 India.
Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):3776-3788. doi: 10.1007/s12070-021-02546-4. Epub 2021 May 1.
Hearing loss is the commonest sensory deficit among humans, affecting 466 million people worldwide. Early detection is the key to hearing rehabilitation, as speech and language develops early in the childhood. Scarcity of human resources and infrastructure in developing countries like India leads to difficulty in implementation of hearing screening programmes. Tele otology is very fruitful methodology in providing health care facility from distant site to the doorsteps of needy individuals. The action initiated in the field of tele otology in India was reviewed at electronic databases: Pubmed, Google scholar, Medline, Cochrane library, science direct and author mapper using the keywords 'tele otology' and 'tele audiometry' in January 2021. Eligible studies were those related to tele otology and tele audiometry in India. A total of 16 articles were shortlisted for the present study. Tele hearing testing was satisfactory for the parents in regard to accessibility, testing process and counselling. Tele audiometry surveillance shows better overall follow-up compliance rate then in-person audiological surveillance. During covid 19 pandemic virtual approach to the patient through video calling and telephone calls proved handy approach, ensuring safety profile of both health care professionals and patients. Even Tele ABR conducted in tele van shows similar results as in face-to-face mode ABR. Tele otology should be considered by the service providers and policy makers while planning for hearing screening programmes for both new-born and school going children in view of its reliability, low-cost, non-invasive and portability. The village health workers (VHWs) should be well trained in assisting tele practice and internet connectivity should be well established. Tele otology looks very promising in providing health services through the ever-expanding reach of global connectivity.
听力损失是人类最常见的感觉缺陷，全球有4.66亿人受其影响。由于儿童早期言语和语言能力就开始发展，早期检测是听力康复的关键。在印度等发展中国家，人力资源和基础设施匮乏，导致听力筛查项目难以实施。远程耳科学是一种非常有效的方法，能将医疗保健服务从遥远的地方送到有需要的人身边。2021年1月，我们在电子数据库（PubMed、谷歌学术、Medline、Cochrane图书馆、科学Direct和作者映射器）中使用关键词“远程耳科学”和“远程听力测定”，对印度远程耳科学领域开展的行动进行了综述。符合条件的研究是那些与印度远程耳科学和远程听力测定相关的研究。本研究共筛选出16篇文章。远程听力测试在可及性、测试过程和咨询方面让家长感到满意。远程听力测定监测显示，总体随访依从率比面对面听力监测更高。在新冠疫情期间，通过视频通话和电话对患者进行虚拟问诊被证明是一种便捷的方式，确保了医护人员和患者双方的安全。甚至在远程面包车里进行的远程听性脑干反应测试结果与面对面测试模式下的结果相似。鉴于其可靠性、低成本、无创性和便携性，服务提供商和政策制定者在为新生儿和学龄儿童规划听力筛查项目时应考虑远程耳科学。乡村卫生工作者应接受协助远程诊疗的良好培训，且网络连接应良好建立。通过不断扩大的全球连接范围，远程耳科学在提供医疗服务方面看起来非常有前景。
