Genovese Elisabetta, Segato Erika, Liberale Carlotta, Zampieri Erica, Monzani Daniele, Apa Enrico, Palma Silvia, Nocini Riccardo
Unit of Audiology, Department of Diagnostic, Clinical, and Public Health, University of Modena and Reggio Emilia, Modena, Italy.
Unit of Otorhinolaryngology, Department of Head and Neck, University of Verona, Verona, Italy.
Front Neurol. 2024 Sep 17;15:1463234. doi: 10.3389/fneur.2024.1463234. eCollection 2024.
Congenital deafness is a pathological entity that represents an economical and social burden, affecting up to 0.2% of newborns in Europe. Sensorineural hearing loss (SHL) is caused by a variety of factors, including congenital abnormalities, perinatal infectious diseases and genetic syndromes. The inner ear's vestibular system, nestled alongside the auditory organs, is crucial for balance maintenance. Its close connection with the auditory system means that disturbances in one often coincide with disturbances in the other, highlighting their intertwined functions. With this review we aim to describe objective vestibular tests found in literature and to study their use for diagnosis of vestibular disturbances in patients affected by congenital deafness.
The review is conducted with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) 2020 guidelines. The search string used was: . An initial abstract reading selection was made, and a subsequent comprehensive full-text reading. For each article, we identified the type of vestibular test utilized and its corresponding outcome.
Out of the initial-papers identified through the search string-articles met the eligibility criteria for further analysis through abstract and full-text reading. After further selection-articles were chosen for detailed examination, focusing on the data of patients.
Congenital hearing loss profoundly affects a child's development, especially in language and communication skills, and it is frequently associated with a pathological vestibular system. Early identification allows timely intervention with personalized therapies. In current literature, there is still no gold standard test to identify balance disorders in patients with congenital hearing loss. There is considerable variability on the subject due to the inclusion of diverse patients with various diagnoses, alongside a wide range of available technologies. Managing such conditions necessitates collaboration among healthcare providers, ensuring comprehensive care through prompt diagnosis and personalized treatment plans. Ongoing research aims to further improve screening methods and develop precision medicine approaches tailored to individual needs.
先天性耳聋是一种病理状态，构成经济和社会负担，在欧洲影响高达0.2%的新生儿。感音神经性听力损失（SHL）由多种因素引起，包括先天性异常、围产期传染病和遗传综合征。内耳的前庭系统与听觉器官相邻，对维持平衡至关重要。它与听觉系统的紧密联系意味着一个系统的紊乱常常与另一个系统的紊乱同时出现，凸显了它们相互交织的功能。通过本综述，我们旨在描述文献中发现的客观前庭测试，并研究其在诊断先天性耳聋患者前庭功能障碍中的应用。
本综述按照系统评价和Meta分析的首选报告项目（PRISMA）2020指南进行。使用的检索词为： 。首先进行摘要阅读筛选，随后进行全面的全文阅读。对于每篇文章，我们确定所使用的前庭测试类型及其相应结果。
通过检索词确定的初始文章中， 篇文章通过摘要和全文阅读符合进一步分析的纳入标准。经过进一步筛选，选择了 篇文章进行详细检查，重点关注患者数据。
先天性听力损失对儿童发育有深远影响，尤其是在语言和沟通技能方面，并且经常与病理性前庭系统相关。早期识别有助于及时进行个性化治疗干预。在当前文献中，仍没有用于识别先天性听力损失患者平衡障碍的金标准测试。由于纳入了诊断各异的不同患者以及广泛可用的技术，该领域存在相当大的变异性。管理此类疾病需要医疗保健提供者之间的协作，通过及时诊断和个性化治疗计划确保全面护理。正在进行的研究旨在进一步改进筛查方法并开发针对个体需求的精准医学方法。
