Telemedicine in Audiology. Best practice recommendations from the French Society of Audiology (SFA) and the French Society of Otorhinolaryngology-Head and Neck Surgery (SFORL) |
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| Affiliation: | 1. Department of Audiology and Otoneurological Evaluation, Edouard-Herriot Hospital, HCL (hospices civils de Lyon), 69003 Lyon, France;2. Claude-Bernard University Lyon 1, 69100 Villeurbanne, France;3. Inserm (French National Institute of Health and Medical Research) U1120, Hearing Institute-Paris, Research Centre of Institut Pasteur, 75012 Paris, France;4. Faculty of Medicine, University of Tours, 10, boulevard Tonnellé, 37000 Tours, France;5. Inserm U1253, ibrain, 37044 Tours, France;6. Department of ENT and Head & Neck Oncology, Georges-Pompidou European Hospital, Paris Ouest University Hospitals, AP–HP, 75015 Paris, France;7. SOFRESC (French Society of Sensory and Cognitive Research), 92130 Issy-les-Moulineaux, France;8. Department of ENT & Maxillofacial Surgery, Necker Children''s University Hospital, 75015 Paris, France;9. Inserm U587, Genetics of Deafness Unit, IMAGINE, 75015 Paris, France;10. Department of Otology, Otoneurology, and Paediatric Otorhinolaryngology, Pierre-Paul-Riquet Hospital, Toulouse Purpan University Hospital, 31000 Toulouse, France;11. Brain and Cognition Laboratory, UMR 5549, Toulouse III University, 31000 Toulouse, France;12. Department of Otorhinolaryngology and Head & Neck Surgery, Gabriel-Montpied University Hospital, 63000 Clermont-Ferrand, France;13. Inserm UMR 1107, Sensorineural Biophysics Laboratory, Clermont-Auvergne University, 63000 Clermont-Ferrand, France;14. Functional unit for auditory implants and audiovestibular testing, Department of Otorhinolaryngology, île de France reference centre for cochlear and brainstem implants in adults, Pitié-Salpêtrière Hospital Group, Sorbonne University, AP–HP, 75013 Paris, France;15. Department of ENT, Timone Children''s Hospital, AP-HM (Assistance publique–Hôpitaux de Marseille), 13385 Marseille cedex 5, France;p. La Timone Faculty of Medicine, UMR 1106, The institut de neurosciences des systèmes, 13005 Marseille, France;q. Department of ENT & Maxillofacial Surgery, Gui-de-Chauliac University Hospital, 34000 Montpellier, France;r. Inserm U1051, Institute for Neurosciences of Montpellier, University of Montpellier, 34000 Montpellier, France;s. Department of Otology and Otoneurology, Salengro Hospital, University of Lille, 59000 Lille, France |
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| Abstract: | ObjectivesAccess to diagnosis and treatments for auditory disorders and related pathologies has regressed in France during the COVID-19 pandemic, posing a risk to the patient's chance of recovery. This best practice recommendations guide aims to list the existing technological solutions for the remote examination of a patient with hearing complaint, and to outline their benefits and, where applicable, their limitations.MethodsThe recommendations were developed both from the clinical experience of the medical experts who drafted the guide, and from an extensive review of the literature dealing with clinical practice recommendations for tele-audiology. Tele-audiometry solutions were identified on the basis of a search engine query carried out in April 2020, prior to verification of their availability on the European market.ResultsVideo otoscopy solutions allow for the teletransmission of images compatible with a high-quality diagnosis, either by connecting via internet to a tele-health platform or using a smartphone or a tablet with an iOS or Android operating system. Using the same telecommunication methods, it is possible to remotely conduct a pure-tone audiometry test in accordance with standard practice, a speech-in-quiet or a speech-in-noise audiometry test, as well as objective measures of hearing. Clinical and paraclinical examinations can be accessed by the physician to be interpreted on a deferred basis (asynchronous tele-audiology). Examinations can also be conducted in real time in a patient, at any age of life, as long as a caregiver can be present during the installation of the transducers or the acoumetry. Tele-audiology solutions also find application in the remote training of future healthcare professionals involved in the management of deafness and hearing impairment.ConclusionUnder French law, tele-otoscopy is a medical procedure that is either a tele-expertise (asynchronous adive) or a teleconsultation act (synchronous advice). Subjective and objective evaluation of the patient's hearing functions can be done remotely provided that the listed precautions are respected. |
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| Keywords: | COVID-19 Tele-audiometry Tele-otoscopy Pure-tone audiometry Speech audiometry Acoumetry Auditory evoked potentials Otoacoustic emissions Virtual reality Audiophonology Cochlear implant Presbycusis |
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