Aggiornamento
Ipoacusia infantile permanente
Permanent childhood hearing impairment
Eva Orzan1, Elena Ciciriello1, Raffaella Marchi1, Franca Ruta2, Flavia Ceschin3, Caterina Marchese1, Chiara Falzone1, Gilberto Canteri4, Paola Bolzonello1,5
1Struttura Complessa di Audiologia e Otorinolaringoiatria, IRCCS Materno-Infantile “Burlo Garofolo”, Trieste
2Pediatra di famiglia nel Distretto di Maniago, Azienda Sanitaria 6
3Pediatra di famiglia nell’Azienda Sanitaria 6, Pordenone
4Dottore in psicologia e docente di scuola secondaria, Trieste
5Azienda Ospedaliera S. Maria degli Angeli, Pordenone
Giugno 2014 - pagg. 361 -368
Abstract
Newborn hearing screening programmes, voluntarily carried out or regulated by regional
norms, have developed themselves into a standardized health organization system
in several Italian regions in a few years. Hospital-based programmes are generally structured
to achieve a high coverage of the newborn population, are widely recognized as
the standard of care and have a good level of knowledge among the stakeholders. It is
however necessary to exploit the screening potential as well as to improve the diagnostic
evaluation and the early intervention process. This implies the need to increase the
capacity of paediatric audiological services. A further requirement is to standardize the
auditory surveillance and vigilance practice, in order to comprise children who missed
the screening test, and to support detection of cases that develop a progressive or lateonset
hearing loss. The principal aim will be to develop an integrated healthcare model
of early hearing detection and intervention, which links the hospital and the territory,
and avoids -or minimizes- the developmental communication delays that are typically
observed in hearing impaired children with late diagnosis and treatment. The next future
encompasses the opportunity to combine diagnostic, therapeutic and rehabilitative innovations
with the experience achieved by the regions where universal newborn hearing
screening programmes have been already set.
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Corrispondenza: eva.orzan@burlo.trieste.it