Hearing Impairment in Children

DR. ANJUM NAVEED FRCS( Ed) ENT Surgeon TAWAM HOSPITAL AL AIN ABU DHABI UAE

IMPORTANCE
Maximum Speech and Language Development Psychological Development Motor and Social skills Educational Achievements

History
Duration Prenatal Perinatal Postnatal Speech Development Family History

Examination

General Behavior Examination Of Ears Nose Throat Other abnormalities

Audiological Assessment
Screening at birth of at risk patients
1.Family H/O Deafness 2.Maternal Infections, Rubella ,Toxoplasmosis,
Syphilis, Viral infections

3.Use of Drugs 4. Prematurity 5. Stay in NICU and on Ventilators

6. Other Conjenital abnormalities e.g Craniofacial abnormalities 7. Jaundice 8. Meningitis 9.Recurrent Otitis Media

Methods Of Screening

Acustic Emission Testing.

Detection of emission from outer hair cells of chochlea. Non Invasive

Auditory Brain Stem Response Testing Measurement of Electric response from cochlea till cortex

Behavior Responses
0-6 Weeks Startle Reflex 6 Weeks- 4Months Eye shift 4-7 Months Head turn on lateral plane 7-9 months Direct localization

Distraction Test

Impedence Audiometery
Tympanometery Stapedial Reflex

Management
Otolaryngologist Audiologist Speech Therapist Education Personals Parents

Otitis Media with Effusion

Medical Treatment Grommets

Sensorineural Hearing Loss

Hearing Aids 1. Behind the ear 2.Body worn 3.In the canal . Bone anchor Aids

Cochlear Implants

Ear canal microphone Body worn Speech Processor Electrodes in cochlea