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Updated: Aug 11, 2026

Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
Deaf child--a general practitioner's responsibility
Bivas Adhikary1, Haradhan Bora, S N Bandyopadhyay
1Department of ENT, RG Kar Medical College, Kolkata 700004.
Insights
Early detection of childhood deafness is crucial for language development. Regular screenings and prompt referrals to specialists are vital for managing hearing loss in children.
Area of Science:
- Pediatrics
- Audiology
- Public Health
Background:
- Childhood deafness significantly impacts language development and overall well-being.
- Early identification and intervention are critical for mitigating the long-term effects of hearing loss.
- Deafness in children can be congenital or acquired, necessitating diverse detection strategies.
Purpose of the Study:
- To highlight the importance of early detection of childhood deafness.
- To outline various methods for identifying hearing loss at different developmental stages.
- To emphasize the role of healthcare professionals and educational programs in managing childhood deafness.
Main Methods:
- Observational methods for detecting responses to sound at different ages (birth, 4 months, 3 years).
- Screening protocols for nursery and school-aged children (5 years onwards).
- Clinical examination of common ear conditions like otitis media and enlarged adenoids by general practitioners.
Main Results:
- Deafness is detectable at birth and 4 months, becomes difficult between 12 months-2 years, and easier again at 3 years.
- Screening in nursery and school settings can identify hearing loss.
- General practitioners play a key role in referring suspected cases and managing related ear conditions.
Conclusions:
- Early and consistent screening for childhood deafness is essential for timely intervention.
- A multi-faceted approach involving parents, healthcare providers, and educational institutions is necessary.
- Advances like cochlear implantation offer improved hearing outcomes for deaf children.
Abstract:
The power of a child's speaking language never develops if he is deaf. Deafness persists if it is not detected early. Childhood deafness is either congenital or acquired. At birth, doctors or attendants can detect deafness by arousing the baby with sudden loud noise. At 4 months onwards mothers and doctors can detect deafness. The baby at this age can turn its head or eyes towards the source of the sound. By 12 months to 2 years of age it is very difficult to detect deafness. By the age of 3 years children again become co-operative and it becomes easier to detect deafness. Children should always be screened for deafness while being admitted to nursery classes. In school going age ie, 5 years onwards loss of tests can be employed to detect deafness. If a child is suspected be deaf, a general practitioner's responsibility is to refer him to an ENT specialist earlier. Any child whose mother believes her child is deaf should be given due attention. Otitis media with effusion, enlarged adenoid, chronic suppurative otitis media, recurrent otitis media are some diseases to be carefully looked into by the general practitioners. Now-a-days cochlear implantation surgery is gaining popularity to give hearing to deaf child. Moreover regular screening for deafness should be included school heath programme.
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