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Mass hearing screening in kindergarten students.

V A Flanary¹, C J Flanary, J Colombo

¹Medical College of Wisconsin, Children's Hospital of Wisconsin, Milwaukee 53226, USA.

International Journal of Pediatric Otorhinolaryngology

|November 27, 1999

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Mass hearing screenings in public schools effectively identify conductive and sensorineural hearing losses in children. However, family follow-through for diagnosed hearing impairments remains a significant challenge.

Area of Science:

Audiology
Public Health
Pediatric Medicine

Background:

Early detection of hearing loss is crucial for child development.
School-based hearing screenings are a primary method for identifying potential hearing impairments in children.
Understanding the types of hearing loss detected is essential for effective intervention.

Purpose of the Study:

To determine the types of hearing losses identified through mass hearing screenings in a public school system.
To evaluate the effectiveness of school-based hearing screenings in detecting various forms of hearing impairment.
To assess the follow-through rates of families after a child is identified with hearing loss.

Main Methods:

A prospective observational study was conducted in a major metropolitan public school system.

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Kindergarten students failing initial hearing screenings underwent formal audiologic testing.

Testing included pure tone audiometry, tympanometry, and speech discrimination tests.

Main Results:

140 students failed initial hearing screenings on two occasions.
Of those tested formally, 43% had conductive hearing loss, 14% had sensorineural hearing loss, and 43% had normal hearing.
A significant proportion of students identified with hearing loss did not have adequate follow-up care.

Conclusions:

Mass hearing screenings are valuable for detecting transient conductive and significant sensorineural hearing losses in school-aged children.
The study highlights a critical gap in family engagement and follow-through for identified hearing issues.
Improving the follow-up process is essential to ensure children receive necessary audiological care and intervention.