Pediatric Hearing Evaluation Strategies

  • Discuss how hearing is tested in children, the different types of hearing loss and the intervention strategies that address the infant’s communication needs.

APA

Pediatric Hearing Evaluation Strategies

Hearing tests vary based on a child’s age and developmental level.

Newborn Hearing Screening:

  • Otoacoustic Emissions (OAE): Measures cochlear response to sound.
  • Auditory Brainstem Response (ABR): Assesses auditory nerve and brainstem activity.

Infants and Toddlers:

  • Behavioral Observation Audiometry (BOA): Observes reactions to sound.
  • Visual Reinforcement Audiometry (VRA): Uses visual stimuli to condition responses.

Preschool and School-Age Children:

  • Conditioned Play Audiometry (CPA): Engages children in a task-based response to sounds.
  • Pure-Tone Audiometry: Tests frequency-specific hearing thresholds.
  • Tympanometry: Evaluates middle ear function.
Types of Hearing Loss

Conductive Hearing Loss:

  • Caused by outer or middle ear issues (e.g., ear infections, fluid buildup).
  • Often temporary and treatable with medication or surgery.

Sensorineural Hearing Loss (SNHL):

  • Results from inner ear or auditory nerve damage.
  • Typically permanent; managed with hearing aids or cochlear implants.

Mixed Hearing Loss:

  • Combination of conductive and sensorineural loss.
  • Requires both medical and audiological interventions…

Hearing tests vary based on a child’s age and developmental level.

Newborn Hearing Screening:

  • Otoacoustic Emissions (OAE): Measures cochlear response to sound.
  • Auditory Brainstem Response (ABR): Assesses auditory nerve and brainstem activity.

Infants and Toddlers:

  • Behavioral Observation Audiometry (BOA): Observes reactions to sound.
  • Visual Reinforcement Audiometry (VRA): Uses visual stimuli to condition responses.

Preschool and School-Age Children:

  • Conditioned Play Audiometry (CPA): Engages children in a task-based response to sounds.
  • Pure-Tone Audiometry: Tests frequency-specific hearing thresholds.
  • Tympanometry: Evaluates middle ear function.
Types of Hearing Loss

Conductive Hearing Loss:

  • Caused by outer or middle ear issues (e.g., ear infections, fluid buildup).
  • Often temporary and treatable with medication or surgery.

Sensorineural Hearing Loss (SNHL):

  • Results from inner ear or auditory nerve damage.
  • Typically permanent; managed with hearing aids or cochlear implants.

Mixed Hearing Loss:

  • Combination of conductive and sensorineural loss.
  • Requires both medical and audiological interventions…