BlogController :: showPostAction
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| _security_firewall_run | "_security_main" |
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| blogPost | App\Entity\BlogPost {#3799 -id: 164 -imageFile: null -filename: "68678af9a1a72041239666.jpg" -title: "Audition à la naissance : test, suivi, prise en charge de bébé" -slug: "depistage-auditif-naissance-bebe" -description: null -body: """ <h2>L<span dir="RTL">’</span>audition à la naissance : premier test et suivi ORL pédiatrique</h2>\r\n \r\n <p>Pour les nourrissons, les bébés et les enfants, quels sont les examens, les tests auditifs et le suivi médical pour contrôler et <strong>évaluer l’audition</strong> tout au long de l’enfance ? Quel est le protocole mis en place afin de déceler le plus tôt possible des troubles auditifs ou une potentielle surdité légère à sévère ?</p>\r\n \r\n <p>À la naissance de bébé, quels sont les tests spécifiques pour <strong>contrôler l’audition à la maternité </strong>? Qu’est ce que le <strong>dépistage auditif néonatal</strong> ? Ce mois-ci, intéressons-nous plus particulièrement à l’<a href="https://mon-centre-auditif.com/blog/audiologie-pediatrique-modeles-specificites?utm_source=Blog&utm_content=Article-164">audiologie pédiatrique</a> et à la prise en charge de l’audition des plus jeunes.</p>\r\n \r\n <h2>Les tests auditifs en maternité ou le dépistage auditif néonatal</h2>\r\n \r\n <h3>Un petit test indolore et rapide</h3>\r\n \r\n <p>Le test auditif néonatal ou <a href="https://parents.reseau-naissance.fr/medias/2024/06/Audition-du-nouveau-ne-en-maternite.pdf?utm_source=Blog&utm_content=Article-164">dépistage auditif du nouveau-né</a> est un examen systématiquement proposé alors que le nourrisson est encore à la maternité. Cet examen indolore n’a pas de caractère obligatoire et doit être réalisé toujours avec le consentement de l’autorité parentale.</p>\r\n \r\n <p>Réalisé dans les deux jours qui suivent la naissance, le <strong>dépistage auditif néonatal</strong> est rapide, non douloureux et n’affirme en rien une déficience auditive, mais donne plutôt une orientation.</p>\r\n \r\n <h3>Toute l’utilité d’un tel dépistage</h3>\r\n \r\n <p>Ce test qui peut paraitre tôt pour certains parents permet d’éviter une prise en charge trop tardive. Nous le rappelons : entre 1 et 6 bébés sur 1000 naissent avec une atteinte auditive plus ou moins importante. Autre chiffre intéressant : 80% des <strong>surdités infantiles</strong> sont présentes dès la naissance. Ce dépistage auditif à la naissance prend donc tout son sens.</p>\r\n \r\n <p>Dépister tôt permet une prise une charge directe et ainsi de bien meilleures chances pour l’enfant de grandir avec un <strong>trouble auditif</strong> maitrisé. L’atteinte auditive impacte directement le <strong>développement du langage et de la communication de l’enfant</strong>.</p>\r\n \r\n <h3>Réponse à la stimulation acoustique</h3>\r\n \r\n <p>Le <a href="https://sante.gouv.fr/IMG/pdf/Depliant_surdite_enfants_2014__BD_BAT.pdf?utm_source=Blog&utm_content=Article-164">test auditif chez le nouveau-né</a> est réalisé par un professionnel de la maternité est rapide, non douloureux et très simple. Ce test consiste à observer que les deux oreilles du bébé réagissent bien au son envoyé par la sonde (OEAa) ou par l’oreillette (PEAa) placée sur l’oreille du bébé.</p>\r\n \r\n <p>Le professionnel de santé s’assure qu’il y a bien une réponse à la stimulation sonore, une <strong>oto-émissions acoustiques automatisées ou otoémissions acoustiques provoquées</strong>. Le son envoyé dans les oreilles du bébé est très faible, semblable à des chuchotements.</p>\r\n \r\n <p>La plupart du temps le bébé dort et ne s’en rend même pas compte ! Donc aucune inquiétude à avoir ! Cet examen étant sensible aux sons ambiants, il n’est pas étonnant que le personnel réalise le test plusieurs fois.</p>\r\n \r\n <h3>Les résultats : concluant ou non concluant</h3>\r\n \r\n <p>Les résultats sont directs, mais ne sont en rien définitifs.</p>\r\n \r\n <ul>\r\n \t<li>Soit le test est concluant, il y a bien stimulation, l’<strong>audition du nourrisson</strong> semble a priori normale. Le parents doivent évidemment rester vigilants. L’audition de l’enfant doit être testée de manière régulière chez le pédiatre ou le médecin de famille lors des visites de contrôle.</li>\r\n \t<li>Soit ce premier test n’est pas concluant. Cela peut être un problème technique ou encore un <strong>bouchon d’oreille</strong>. Rien d’alarmant. Un second dépistage est proposé lors du séjour et avant le retour à la maison. Si ce second dépistage à la maternité (T2) n’est pas concluant, cela ne signifie pas que le bébé est sourd. L’équipe de la maternité oriente les parents vers un ORL ou un audiologiste. Les parents peuvent aussi se tourner vers un ORL avec une sur-spécialité en <strong>pédoaudiologie</strong> ou <strong>audiologie pédiatrique</strong>.</li>\r\n </ul>\r\n \r\n <h2><span>Le programme de dépistage auditif néonatal complet</span></h2>\r\n \r\n <h3><span>Le T3</span></h3>\r\n \r\n <p><span>Suite à deux tests à la maternité non concluants, un troisième test (T3) doit être réalisé entre le 14e et le 28e jour de vie du bébé idéalement à la maternité. Si ce n’est pas possible ce troisième test doit être réalisé chez un ORL lors du premier mois de vie.</span></p>\r\n \r\n <p><span>Les deux premiers tests non concluants peuvent être des faux positifs (du liquide amniotique peut gêner ce test, le conduit auditif est trop étroit, etc.) Si le T3 est toujours non concluant, les professionnels de santé rappellent aux parents que cela reste un dépistage et non un diagnostic arrêté.</span></p>\r\n \r\n <h3><span>La consultation diagnostic avant les 3 mois</span></h3>\r\n \r\n <p><span>Suite à un T3 non concluant, les parents devront prendre rendez-vous auprès d’un <strong>centre d<span dir="RTL">’</span>audiologie infantile</strong> (soit auprès d’un CDOS, Centre de Diagnostic et d'Orientation de la Surdité, soit auprès d’un ORL référent). La maternité peut mettre en relation les parents avec le professionnel adéquat. Des plages de rendez-vous sont réservées pour les nourrissons, le but étant d’obtenir un diagnostic complet et solide avant les <strong>3 mois du nourrisson</strong>.</span></p>\r\n \r\n <p> </p>\r\n \r\n <p>Lors de cette consultation, l’ORL établit un diagnostic notamment suite à un <strong>examen otoscopique</strong> et à un <strong>PEA (potentiels évoqués auditifs)</strong>. Ce diagnostic peut être vite posé si l’enfant est calme et qu’il dort.</p>\r\n \r\n <p>Le PEA est essentiel à l’ORL pour diagnostiquer le degrés de surdité, l’importance de la perte auditive, s’il s’agit d’une surdité de transmission ou neuro sensorielle. Quelque soit les résultats de la consultation diagnostique, l’ORL transmet les résultats au pédiatre, mais aussi au Centre de Diagnostic et d<span dir="RTL">’</span>Orientation de la Surdité (CDOS).</p>\r\n \r\n <h2>L’examen ORL obligatoire malgré un dépistage concluant : cas spécifiques</h2>\r\n \r\n <ul>\r\n \t<li>\r\n \t<p>Même à la suite d’un dépistage auditif néonatal concluant à la maternité, il est vivement conseillé à certains parents de vérifier l’audition de leur enfant dans les mois qui suivent sa naissance. Certains facteurs à risque évolutifs sont à prendre au sérieux comme :</p>\r\n \t</li>\r\n \t<li>un terrain génétique favorable,</li>\r\n \t<li>une naissance prématurée,</li>\r\n \t<li>un poids de naissance inférieur à 1,5kg,</li>\r\n \t<li>la contraction de certaines pathologies, infection néonatales, (herpès, varicelle),</li>\r\n \t<li>la prise de certains médicaments ototoxiques,</li>\r\n \t<li>ou encore un séjour en néonatalogie, etc.</li>\r\n </ul>\r\n \r\n <h2>Pourquoi consulter un ORL pédiatrique ? Dans quelles situations ?</h2>\r\n \r\n <p>Le contrôle régulier de l’audition de l’enfant est important. On prend rendez-vous pour son enfant chez le dentiste, l’ophtalomologiste ou encore chez le médecin tous les ans, cela doit être aussi le cas chez l’ORL. Des troubles auditifs peuvent survenir dans les premiers mois, les premières années de l’enfant. Difficile à débusquer, la vigilance est de mise.</p>\r\n \r\n <p>Certains signaux alertent et poussent à consulter. Vous pouvez observer :</p>\r\n \r\n <ul>\r\n \t<li>si le bébé ne réagit pas aux divers <strong>bruits autour de lui </strong>(il n’interagit pas, il n’a aucune réaction),</li>\r\n \t<li>si le bébé sursaute (le bruit le surprend, il perçoit des sons, mais de manière incohérente),</li>\r\n \t<li>si le bébé ne babille pas ou très peu,</li>\r\n \t<li>si le bébé ne réagit pas aux voix familières qu’il est sensé entendre tous les jours,</li>\r\n \t<li>si son sommeil est trop calme (typiquement, il reste profondément endormi malgré un bruit important qui aurait du le réveiller),</li>\r\n \t<li>s’il ne réagit pas à son prénom,</li>\r\n \t<li>s’il a des retards de langage (un bébé de 3 mois émet des sons, des bruits pour communiquer ses émotions).</li>\r\n </ul>\r\n \r\n <p>L’entourage, la nourrice, les assistantes maternelles, les auxiliaires petite enfance et toutes autres personnes autour du bébé peuvent potentiellement observer ou remarquer des signes.</p>\r\n \r\n <p>Lorsque l’enfant est un peu plus grand, d’autres signes peuvent alerter sur une altération de son audition :</p>\r\n \r\n <ul>\r\n \t<li>l’enflant fait répéter ou utilise les médias (TV, musique, jeux vidéos) à un <strong>volume sonore</strong> élevé,</li>\r\n \t<li>son langage régresse,</li>\r\n \t<li>il connaît des <strong>otites répétées</strong>,</li>\r\n \t<li>il est dans son monde (cela peut être pris pour de la rêverie, l’enfant est jugé distrait, peu attentionné à ce qu’il se passe autour de lui),</li>\r\n \t<li>il ne répond pas, ne réagit quand on lui parle hors de son champ visuel (typiquement lorsqu’on est à la maison et qu’on va l’appeler pour se mettre à table alors qu’il est dans sa chambre, etc.)</li>\r\n </ul>\r\n \r\n <p>Là encore, l’entourage mais aussi, et c’est souvent le cas, les professionnels de l’enfance, les professeurs des écoles et les ATSEM peuvent partager leur observations auprès des parents. En effet, des enfants sont souvent amenés à être testés à la suite de leur première rentrée scolaire.</p> """ -bodySecond: """ <h2 class="Pardfaut" style="border: none;"><span class="Pardfaut" style="border:none;">FAQ : audition à la naissance</span></h2>\r\n \r\n <h3><span class="Pardfaut" style="border:none;">Existe-il des situations où le bébé n’est pas concerné par le dépistage néonatal ?</span></h3>\r\n \r\n <p><span class="Pardfaut" style="border:none;">Le test auditif chez les nouveaux nés est contre indiqué si le nourrisson est âgé de moins de 34 semaines. Ils sont également exclus en cas de diagnostic confirmé de microtie congénitale à cytomégalovirus (cCMV) ou d'atrésie du conduit auditif externe.</span></p>\r\n \r\n <h3><span class="Pardfaut" style="border:none;">Qui réalise le dépistage auditif néonatal ?</span></h3>\r\n \r\n <p><span class="Pardfaut" style="border:none;">C’est un personnel de la maternité formé qui réalise le dépistage. Il peut s’agir d’une sage femme ou d’une infirmière.</span></p>\r\n \r\n <h3><span class="Pardfaut" style="border:none;">Que veut dite OEAa et PEAa ?</span></h3>\r\n \r\n <p><span class="Pardfaut" style="border:none;">Le dépistage auditif néonatal peut se réaliser de deux manières :</span></p>\r\n \r\n <ul>\r\n \t<li><span class="Pardfaut" style="border:none;">soit avec une petite sonde posée à l’entrée de l’oreille (OEAa),</span></li>\r\n \t<li><span class="Pardfaut" style="border:none;">soit avec une oreillette (PEAa).</span></li>\r\n </ul>\r\n \r\n <p><span class="Pardfaut" style="border:none;">Dans les deux, c’est indolore et rapide. Pas besoin d’anesthésie, ni de médicament.</span></p> """ -metaTitle: "À la naissance de bébé, sa santé auditive est prise en charge dès la maternité : dépistage auditif néonatal, visite chez l’ORL, contrôle de l’audition." -metaDescription: "À la naissance de bébé, sa santé auditive est prise en charge dès la maternité : dépistage auditif néonatal, visite chez l’ORL, contrôle de l’audition." -metaCustom: null -metaSchema: null -ctaLinkPath: "demande-de-bilan-3?utm_source=Blog&utm_content=Article-164" -keyword: "depistage, auditif, naissance, bebe" -createdAt: DateTime @1751621460 {#3795 : 2025-07-04 09:31:00.0 UTC (+00:00) } -updatedAt: DateTime @1751623481 {#3792 : 2025-07-04 10:04:41.0 UTC (+00:00) } -blogAuthor: Proxies\__CG__\App\Entity\BlogAuthor {#3835 …} -readingTime: 5 -isPillarPage: false -blogCategory: Proxies\__CG__\App\Entity\BlogCategory {#3813 …} } |
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]
[
"file" => "/var/www/hearing_store_locator/vendor/symfony/runtime/Runner/Symfony/HttpKernelRunner.php"
"line" => 35
"function" => "handle"
"class" => "Symfony\Component\HttpKernel\Kernel"
"type" => "->"
]
[
"file" => "/var/www/hearing_store_locator/vendor/autoload_runtime.php"
"line" => 35
"function" => "run"
"class" => "Symfony\Component\Runtime\Runner\Symfony\HttpKernelRunner"
"type" => "->"
]
[
"file" => "/var/www/hearing_store_locator/public/index.php"
"line" => 5
"args" => [
"/var/www/hearing_store_locator/vendor/autoload_runtime.php"
]
"function" => "require_once"
]
]
|
Flashes
Flashes
No flash messages were created.
Server Parameters
Server Parameters
Defined in .env
| Key | Value |
|---|---|
| APPMAILER_ENABLED | "1" |
| APP_ENV | "dev" |
| APP_SECRET | "db90e28d314e7bfa7f595b29502687e0" |
| AUDIOWIZARD_KEY | "4kh95HMA7aQZHKRQtF9359VaT92N5F23PiG47u" |
| CAPITOLE_SMS_LOGIN | "Wits Media" |
| CAPITOLE_SMS_PWD | "36ae9205e51c8a1ec95f3e8f1773faa9895dd94f" |
| CORS_ALLOW_ORIGIN | "^http?://media-optin.qa.wits-media.com(:[0-9]+)?$" |
| DATABASE_URL | "mysql://hearing_store_locator_qa_user:9xC97bCE23v8VbeB@127.0.0.1:3306/hearing_store_locator_qa?serverVersion=mariadb-10.5.19" |
| DEV_EMAIL | "bertrand.dilly@gmail.com" |
| DEV_SMS | "0609745659" |
| GMAPS_API_KEY | "AIzaSyBUjvFgW9uwWovx2oI-f4JTTWqEacBaKm8" |
| HLR_PHONENUMBER_VALIDATION_ENABLED | "0" |
| HUBSPOT_ACCESS_TOKEN | "pat-eu1-eda688b6-9944-4893-aa74-d9c8c47aa361" |
| HUBSPOT_CLIENT_SECRET | "62eca59f-c964-49b2-8311-9e65b376d735" |
| JWT_PASSPHRASE | "bf73c6751808e27174a51a4ac142ee22" |
| JWT_PUBLIC_KEY | "%kernel.project_dir%/config/jwt/public.pem" |
| JWT_SECRET_KEY | "%kernel.project_dir%/config/jwt/private.pem" |
| MAILER_DSN | "smtp://moncentreauditif:czZsc3B3NTY3NjAw@mail.smtp2go.com:465?timeout=60&encryption=ssl&auth_mode=login" |
| MAINTENANCE_MODE | "0" |
| MEDIAOPTIN_ENABLED | "1" |
| MEDIAOPTIN_QUALIFICATION_CAMPAIGN_ID_CREDIT | "189" |
| MEDIAOPTIN_QUALIFICATION_CAMPAIGN_ID_PERF | "205" |
| MEDIAOPTIN_TOKEN | "d99bf3210da785a22dbff13fe27fd5344b3c03a9" |
| MEDIAOPTIN_URL | "http://media-optin.qa.wits-media.com/" |
| MESSENGER_TRANSPORT_DSN | "doctrine://default?auto_setup=0" |
| PHONE_VALIDATION_ENABLED | "0" |
| SENDINBLUE_2FA_CODE_TEMPLATE_ID | "261" |
| SENDINBLUE_API_KEY | "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" |
| SENDINBLUE_CALLBACK_REMINDER_TEMPLATE_ID | "215" |
| SENDINBLUE_CONTACT_LIST | "135" |
| SENDINBLUE_FEEDBACK_TEMPLATE_ID | "202" |
| SENDINBLUE_FEEDBACK_WHITELABEL_TEMPLATE_ID | "204" |
| SENDINBLUE_NEW_LEAD_TEMPLATE_ID | "217" |
| SENDINBLUE_NEW_RELATION_CENTRAL_PURCHASING_TEMPLATE_ID | "244" |
| SENDINBLUE_NEW_STATUS_FEEDBACK_TEMPLATE_ID | "233" |
| SENDINBLUE_NEW_STATUS_TEMPLATE_ID | "205" |
| SENDINBLUE_NEW_USER_TEMPLATE_ID | "243" |
| SENDINBLUE_PASSWORD_REQUEST_TEMPLATE_ID | "246" |
| SENDINBLUE_PAYMENT_METHOD_EXPIRATION_TEMPLATE_ID | "307" |
| SENDINBLUE_SEPA_DEVICE_SALE_TEMPLATE_ID | "248" |
| SENDINBLUE_SEPA_PAYASYOUGO_TEMPLATE_ID | "302" |
| SENDINBLUE_SEPA_STORE_INDEXATION_TEMPLATE_ID | "303" |
| SENDINBLUE_SMSBROADCAST_TEMPLATE_ID | "223" |
| SENDINBLUE_SPONSORSHIP_TEMPLATE_ID | "220" |
| SENDINBLUE_WELCOME_FREELANCER_TEMPLATE_ID | "200" |
| SENDINBLUE_WELCOME_FREELANCER_WHITELABEL_TEMPLATE_ID | "201" |
| SENDINBLUE_WELCOME_TEMPLATE_ID | "179" |
| SENDINBLUE_WELCOME_WHITELABEL_TEMPLATE_ID | "188" |
| SMS_SENDER_ENABLED | "0" |
| STRIPE_PRIVATE_KEY | "sk_test_eT4IeuYRj4ROIZ8A4yBEF39H00z5k8pvNj" |
| STRIPE_PUBLIC_KEY | "pk_test_LS3J1L0hR6twhglbFaAqbjjo00QsP8UNVt" |
| STRIPE_WEBHOOK_KEY | "whsec_ISNSzHEc3uaOrtFExYXbwHwTPbCcpSEG" |
| TWO_FACTOR_AUTHENTICATION_ENABLED | "1" |
| ZEROBOUNCE_API_KEY | "" |
Defined as regular env variables
| Key | Value |
|---|---|
| APP_DEBUG | "1" |
| CONTEXT_DOCUMENT_ROOT | "/var/www/hearing_store_locator/public" |
| CONTEXT_PREFIX | "" |
| DOCUMENT_ROOT | "/var/www/hearing_store_locator/public" |
| GATEWAY_INTERFACE | "CGI/1.1" |
| HTTPS | "on" |
| HTTP_ACCEPT | "*/*" |
| HTTP_ACCEPT_ENCODING | "gzip, br, zstd, deflate" |
| HTTP_COOKIE | "utm=%7B%22url%22%3A%22%5C%2F_profiler%5C%2Fc218d1%22%7D" |
| HTTP_HOST | "mca.qa.wits-media.com" |
| HTTP_USER_AGENT | "Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)" |
| PATH | "/usr/local/sbin:/usr/local/bin:/usr/sbin:/usr/bin:/sbin:/bin" |
| PHP_SELF | "/index.php" |
| QUERY_STRING | "" |
| REDIRECT_HTTPS | "on" |
| REDIRECT_SSL_TLS_SNI | "mca.qa.wits-media.com" |
| REDIRECT_STATUS | "200" |
| REDIRECT_URL | "/blog/depistage-auditif-naissance-bebe" |
| REMOTE_ADDR | "216.73.216.102" |
| REMOTE_PORT | "10728" |
| REQUEST_METHOD | "GET" |
| REQUEST_SCHEME | "https" |
| REQUEST_TIME | 1765464243 |
| REQUEST_TIME_FLOAT | 1765464243.9232 |
| REQUEST_URI | "/blog/depistage-auditif-naissance-bebe" |
| SCRIPT_FILENAME | "/var/www/hearing_store_locator/public/index.php" |
| SCRIPT_NAME | "/index.php" |
| SERVER_ADDR | "135.125.106.31" |
| SERVER_ADMIN | "lumiapixelweb@gmail.com" |
| SERVER_NAME | "mca.qa.wits-media.com" |
| SERVER_PORT | "443" |
| SERVER_PROTOCOL | "HTTP/1.1" |
| SERVER_SIGNATURE | "<address>Apache/2.4.65 (Debian) Server at mca.qa.wits-media.com Port 443</address>\n" |
| SERVER_SOFTWARE | "Apache/2.4.65 (Debian)" |
| SSL_TLS_SNI | "mca.qa.wits-media.com" |
| SYMFONY_DOTENV_VARS | "APP_ENV,APP_SECRET,DATABASE_URL,MAILER_DSN,GMAPS_API_KEY,MEDIAOPTIN_URL,MEDIAOPTIN_TOKEN,MEDIAOPTIN_QUALIFICATION_CAMPAIGN_ID_CREDIT,MEDIAOPTIN_QUALIFICATION_CAMPAIGN_ID_PERF,SENDINBLUE_API_KEY,SENDINBLUE_WELCOME_TEMPLATE_ID,SENDINBLUE_WELCOME_WHITELABEL_TEMPLATE_ID,SENDINBLUE_WELCOME_FREELANCER_TEMPLATE_ID,SENDINBLUE_WELCOME_FREELANCER_WHITELABEL_TEMPLATE_ID,SENDINBLUE_NEW_LEAD_TEMPLATE_ID,SENDINBLUE_FEEDBACK_TEMPLATE_ID,SENDINBLUE_FEEDBACK_WHITELABEL_TEMPLATE_ID,SENDINBLUE_CALLBACK_REMINDER_TEMPLATE_ID,SENDINBLUE_NEW_STATUS_TEMPLATE_ID,SENDINBLUE_NEW_STATUS_FEEDBACK_TEMPLATE_ID,SENDINBLUE_SPONSORSHIP_TEMPLATE_ID,SENDINBLUE_SMSBROADCAST_TEMPLATE_ID,SENDINBLUE_SEPA_DEVICE_SALE_TEMPLATE_ID,SENDINBLUE_SEPA_PAYASYOUGO_TEMPLATE_ID,SENDINBLUE_SEPA_STORE_INDEXATION_TEMPLATE_ID,SENDINBLUE_CONTACT_LIST,SENDINBLUE_NEW_USER_TEMPLATE_ID,SENDINBLUE_NEW_RELATION_CENTRAL_PURCHASING_TEMPLATE_ID,SENDINBLUE_PASSWORD_REQUEST_TEMPLATE_ID,SENDINBLUE_2FA_CODE_TEMPLATE_ID,SENDINBLUE_PAYMENT_METHOD_EXPIRATION_TEMPLATE_ID,CAPITOLE_SMS_LOGIN,CAPITOLE_SMS_PWD,ZEROBOUNCE_API_KEY,STRIPE_PUBLIC_KEY,STRIPE_PRIVATE_KEY,STRIPE_WEBHOOK_KEY,PHONE_VALIDATION_ENABLED,SMS_SENDER_ENABLED,APPMAILER_ENABLED,MEDIAOPTIN_ENABLED,HLR_PHONENUMBER_VALIDATION_ENABLED,DEV_EMAIL,DEV_SMS,TWO_FACTOR_AUTHENTICATION_ENABLED,CORS_ALLOW_ORIGIN,JWT_SECRET_KEY,JWT_PUBLIC_KEY,JWT_PASSPHRASE,MESSENGER_TRANSPORT_DSN,MAINTENANCE_MODE,AUDIOWIZARD_KEY,HUBSPOT_ACCESS_TOKEN,HUBSPOT_CLIENT_SECRET" |