| Sumario: | Telemedicine is defined as "the delivery of healthcare services and information via high-tech telecommunications technologies". The American Academy of Audiology (AAA) and American Speech-Language-Hearing Association (ASHA) have propagated and supported the use of telehealth services through position statement. These services are especially applicable for those patients with limited access to healthcare resources, cost-efficient and can be applied directly to patient care as well as indirectly for training health professionals. Telemedicine has been adapted to the field of audiology, known as tele-audiology, to provide remote hearing screenings, diagnostic testing, intervention, and/or rehabilitation services (e.g., hearing aid adjustment, cochlear implant programming). We can explain the tele-audiology evaluations under the following items: 1. Home-based otoscopy: Recently, artificial intelligence algorithms have been developed to improve the sensitivity and specificity of home based otoscopy using the smartphone-based machine learning algorithm; 2. Hearing screening: The researchers have examined the reliability of tablet-based, computer-based, and smartphone-based audiometry, but results have been mixed. These researchers found that, with proper planning, equipment, and financial resources, synchronous applications could be used to effectively evaluate infant hearing over long distaces; 3. Diagnostic audiometry: Online testing and machine learning will improve the both efficiency of tele-audiometry and its diagnostic power. However, thresholds are best-obtained when real-time noise monitoring is incorporated, especially in ambient noise; 4. Diagnostic ABR: In the literature it was found that there were no significant difference between inperson and remote tests results. In addition, it was stated that remote testing option can significantly reduce loss to followup rates in infants who fail their newborn hearing screenings. Future advancements in artificial intelligence, will continue to increase tele-audiology acceptance and application.
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