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Genomics Precision Diagnostic > Ear, Nose, Throat

Ear, Nose, Throat

Deafness (syndromic & non-syndromic) gene panel
  • Overview
  • Indications
  • Genes & Associated Diseases
  • Hearing loss (deafness) can be due to a variety of genetic causes, deafness can be associated with a syndrome or can appear individually depending on the molecular change present and the clinical presentation. Deafness can occur in different ways, conductive – external ear and/or middle ear abnormalities or sensorineural – inner ear abnormalities. Additionally, deafness can occur due to a combination of the abnormalities mentioned. Most types of syndromic deafness is associated with malformations in the external ear and other organs. non-syndromic deafness is associated with problems in the inner or middle ear with no other related medical problems. Deafness is most often inherited in an autosomal recessive manner however, autosomal dominant and X-linked deafness can occur. there are two different types of deafness – pre-lingual and post lingual, the majority of pre-lingual deafness can be attributed to a genetic cause and is nonsyndromic.
  • Specialties involved: ENT, Audiology *different syndromes could require additional specialties*
  • Abnormalities in the outer/inner ear
  • Hearing loss

Symptoms can be dependent on the syndrome

  • Waardenburg syndrome
  • Branchiootorenal spectrum disorders
  • Neurofibromatosis 2
  • Stickler syndrome
  • Usher syndrome
  • Pendred Syndrome
  • Jervell and Lange-nielsen syndrome
  • Biotinidase deficiency
  • Refsum disease
  • Alport syndrome
  • Deafness-dystonia-optic neuropathy syndrome

For More Information Call our Geneticist: 800 50342

Waardenburg syndrome gene panel
  • Overview
  • Indications
  • Genes & Associated Diseases
  • Waardenburg syndrome is associated with sensory hearing loss, abnormalities in pigments of the hair, eyes and skin. The amount of hearing loss that manifests in an individual diagnosed with this syndrome can range from moderate to severe. There are four different subtypes of waardenburg syndrome that have similar but distinct clinical presentation. Individuals with Waardenburg syndrome have distinctive facial features as well as pigmentation in the eyes, skin and hair depending on the subtype of the disorder. This syndrome is inherited in an autosomal dominant manner however the phenotype that affected individuals present with is greatly vary.
  • Specialties involved: ENT, ophthalmology, dermatology
  • Hearing loss
  • Distinct facial features
  • Skin pigmentation
  • Waardenburg syndrome

For More Information Call our Geneticist: 800 50342

Usher syndrome gene panel
  • Overview
  • Indications
  • Genes & Associated Diseases
  • Usher syndrome is associated with hearing and vision loss that gets worse over time, the hearing loss is caused by inner ear malformations (sensorineural).There are three types of Usher syndrome and they are all inherited in an autosomal recessive manner. The level of hearing loss, vision loss and balance problems varies between types as well as the age of onset of the symptoms.
  • Specialties involved: ENT, Ophthalmology
  • Hearing loss
  • Retinitis pigmentosa
  • Vision loss
  • Balance problems
  • Usher syndrome

For More Information Call our Geneticist: 800 50342

Branchio-Oto-Renal syndrome panel
  • Overview
  • Indications
  • Genes & Associated Diseases
  • Branchio-Oto-Renal syndrome is an inherited condition that causes malformations in the ears and kidneys as well as disrupts the development of the tissue in the neck. Individuals with this condition could present with masses in the neck, fistulae and/or holes in the sides of the neck. Additionally, they can present with ear abnormalities and hearing loss as well as renal problems. this syndrome is mostly inherited in an autosomal dominant manner while some cases arise due to de novo mutations.
  • Specialties involved – ENT, nephrology
  • Inner ear malformations
  • Hearing loss
  • Renal problems
  • Fistulae in the neck
  • Masses in the neck
  • Branchio-Oto-Renal syndrome
  • BOR syndrome
  • Branchio-Oto syndrome
  • BO syndrome

For More Information Call our Geneticist: 800 50342

Sample Requirements

For genetic testing through next generation sequencing, the following sample types are accepted. A thorough labelling of the tube with unique identifying information is suggested, incorrect labelling can lead to rejection of the sample. The minimum required information to identify and accept a sample is – Patient’s full name, Date of birth, Gender and Medical Record Number.

  • Maternal blood sample must be sent with all products of conception, CVS and Amnio samples.
  • Precedence will be given to all prenatal samples.

The ‘informed consent’ form and the ‘test requisition from’ (included within the provided kit) must be properly filled-in and signed by the patient and sent with the samples inside the shipping box or by e-mail to the laboratory. Igenomix will send you all the documents needed for the pick-up and transportation of the appropriate kit to our laboratory

Methodology

Limitations

The probes used for this test are designed to detect known genes in the curated panel. Therefore, this test is unable to detect genes not defined by the NCBI reference genome GRCh37 or non-human genome sequences including viral sequences or non-nuclear DNA that are designated in the specific panel.

In addition, due to the limitations of NGS technologies, the following variants cannot be readily detected: large deletions/duplications greater than 40 base pairs, copy number variations, homopolymer stretches, variants in pseudogene regions, gene fusions, balanced translocations, inversions, ploidy changes, uniparental disomy, and repeat expansion regions.

Furthermore, variants present outside the exons (non-coding region) could be missed; these variants can affect gene activity and protein production which may lead to genetic disorders. This technique does not cover the entire exome, (the % of bases with coverage above 20x is approximately 97%). It may not be possible to resolve certain details about variants such as mosaicism, phasing, or mapping ambiguity.

Analytical limitations may also occur due to the provided clinician information. Accurate and thorough clinical information of the patient(s) and family members is required as incomplete information may lead to false positive or negative results

This list of indications and symptoms is not necessarily a comprehensive list and only covers common symptoms associated with disease, signs and symptoms should be discussed with your physician. If you feel like you are affected by one or more of these syndromes visit a doctor immediately. The information presented in this site is not meant to diagnose any medical or genetic condition rather give an overview of the panels presented and offer guidance as to which panel is most appropriate. The associated diseases listed are not necessarily a comprehensive list – more diseases may be added to this list as new information about the disease and the genes associated with these diseases and panels arises

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