Hearing Impairment in Children

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Hearing Impairment in Children

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

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IMPORTANCE

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

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History

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

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Examination

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

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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

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

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Methods Of Screening

• Acustic Emission Testing.
• Detection of emission from outer hair cells of
  chochlea.
• Non Invasive

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

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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

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Impedence Audiometery

• Tympanometery
• Stapedial Reflex

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Management

• Otolaryngologist
• Audiologist
• Speech Therapist
• Education Personals
• Parents

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Otitis Media with Effusion

• Medical Treatment
• Grommets

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Sensorineural Hearing Loss

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

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Cochlear Implants

• Ear canal microphone
• Body worn Speech Processor
• Electrodes in cochlea