1.Evaluation of the newborn hearing screening program in the University of Santo Tomas Hospital based on the joint committee on infant hearing 2019 position statement on quality indicators for screening and confirmation of hearing loss
Lloyd Paolo R. Crizaldo, MD ; Archie Brian C. Ramos, MD
Philippine Journal of Otolaryngology Head and Neck Surgery 2023;38(1):17-21
Objective:
To evaluate the newborn hearing screening program in the University of Santo Tomas Hospital based on the quality indicators set by the Joint Committee on Infant Hearing (JCIH) 2019 position statement.
Methods:
Design: Cross-sectional study
Setting: Tertiary Private Training Hospital
Participants: All newborns delivered in 2019 at the University of Santo Tomas (UST) Hospital were considered for inclusion
Results:
The UST Hospital had 778 newborns in 2019, of which 687 (88.3%) completed newborn hearing screening by 1 month of age. There were 81 (10.4%) who failed initial hospitalbased screening and required outpatient re-screening while 11 (1.4%) of those who failed initial screening also failed subsequent rescreening. Forty-five (5.7%) newborns failed initial screening and subsequently passed re-screening. None of the eleven (0/11) patients completed comprehensive audiologic evaluation thus, patients necessitating referral for intervention were not identified. There were a total of 67 (8.6%) dropouts throughout the hearing evaluation process. Fifteen (15) infants were not screened due to unavailability of trained personnel at time of referral, four (4) infants were advised third screening while two (2) were advised observation instead of proceeding to confirmatory test.
Conclusion
The University of Santo Tomas Hospital newborn hearing screening program has yet to reach the quality indicators set by the Joint Committee on Infant Hearing 2019 for screening and confirmation of hearing loss. Among identified areas for improvement are the availability of trained personnel, insufficient means to ensure compliance, reluctance to pursue further testing and practices among healthcare providers.
otoacoustic emission
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diagnostics
;
quality indicators
2.Adult Glottic Hemangioma: A case report
Lloyd Paolo R. Crizaldo ; Archie Brian C. Ramos
Journal of Medicine University of Santo Tomas 2023;7(2):1229-1234
Glottic hemangioma is a benign vascular tumor that is rarely seen in the adult population. We report a rare Filipino case of glottic hemangioma in a 65-year-old female presenting with 2 weeks history of hoarseness and a smooth, pedunculated, bluish mass at the anterior one-third of the right vocal cord in flexible laryngoscopy. Direct suspension laryngoscopy showed a pedunculated mass that was paler-looking, similar to the color of the surrounding mucosa, exhibiting the Phonation sign of Menzel. The patient underwent microlaryngeal excision and histopathology showed findings consistent with cavernous hemangioma.
Vocal Cords
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Hemangioma
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Adult