1 / 23

Pediatric Hearing Loss

Confirmed refer" on hearing screen. Who to refer to?Audiologist for comprehensive hearing testingRecommendation is before 3 months of ageABR is the more sensitive test and can identify both a conductive (middle ear) and sensorineural (inner ear or nerve) componentBehavioral testing once older.

hallie
Download Presentation

Pediatric Hearing Loss

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

    1. Pediatric Hearing Loss Tina C. Huang, MD Assistant Professor, Neurotology Department of Otolaryngology

    2. Confirmed “refer” on hearing screen Who to refer to? Audiologist for comprehensive hearing testing Recommendation is before 3 months of age ABR is the more sensitive test and can identify both a conductive (middle ear) and sensorineural (inner ear or nerve) component Behavioral testing once older

    3. Confirmed hearing loss Now which medical professionals to refer to? Goal is intervention before 6 months of age ENT Pediatric ophthalmology Genetics Pediatric infectious disease Speech therapy Audiology for amplification

    4. Testing for confirmed hearing loss Conductive or sensorineural? Conductive Look for other facial/external ear differences Otitis media with effusion Most common cause of hearing loss in children Recommend PE tubes for hearing loss Recommend close follow-up to ensure other middle ear pathology does not develop Congenital syndromes can be associated with a conductive loss

    5. Testing for sensorineural hearing loss Ears form early in development Eyes, heart and kidneys are developing at the same time Testing is focused on identifying possible problems in these other systems

    6. Testing for sensorineural hearing loss EKG Jervell and Lange-Nielsen syndrome Urinalysis Hematuria and proteinuria CMV titers (needs to be collected in the first 3 weeks after birth) CT or MRI? Controversial as to which is the best Most physicians order CT Enlarged vestibular aqueduct Cochlear/labyrinth abnormalities Ossicular abnormalities Calcification in CMV

More Related