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Hearing Impairment in Children

Hearing Impairment in Children. DR. ANJUM NAVEED FRCS( Ed) ENT Surgeon TAWAM HOSPITAL AL AIN ABU DHABI UAE. IMPORTANCE.

JasminFlorian
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Hearing Impairment in Children

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  1. Hearing Impairment in Children DR. ANJUM NAVEED FRCS( Ed) ENT Surgeon TAWAM HOSPITAL AL AIN ABU DHABI UAE

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

  3. History • Duration • Prenatal • Perinatal • Postnatal • Speech Development • Family History

  4. Examination • General Behavior • Examination Of Ears Nose Throat • Other abnormalities

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

  7. Methods Of Screening • Acustic Emission Testing. • Detection of emission from outer hair cells of chochlea. • Non Invasive

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

  9. 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

  10. Impedence Audiometery • Tympanometery • Stapedial Reflex

  11. Management • Otolaryngologist • Audiologist • Speech Therapist • Education Personals • Parents

  12. Otitis Media with Effusion • Medical Treatment • Grommets

  13. Sensorineural Hearing Loss • Hearing Aids 1. Behind the ear 2.Body worn 3.In the canal . Bone anchor Aids

  14. Cochlear Implants • Ear canal microphone • Body worn Speech Processor • Electrodes in cochlea

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