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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
[Diagnosing hearing impairment in children]
1Leiter der Audiologie, Klinik und Poliklinik für Hals-, Nasen- und Ohrenheilkunde der LMU München. John-Martin.Hempel@med.uni-muenchen.de
Insights
Early recognition of childhood hearing impairment is crucial for development. Differentiating between conductive and sensorineural deafness aids timely intervention and management.
Area of Science:
- Pediatrics
- Otolaryngology
- Genetics
Context:
- Untreated hearing impairment in early childhood can significantly impede a child's developmental trajectory.
- Hearing loss is categorized into conductive (temporary or permanent) and sensorineural (inherited or acquired) types.
Purpose:
- To differentiate between types of childhood deafness and outline diagnostic approaches.
- To emphasize the importance of early identification and interdisciplinary management of hearing impairments.
Summary:
- Conductive deafness can be temporary or permanent. Sensorineural deafness may be inherited (syndromal or isolated) or acquired (prenatal, perinatal, or postnatal).
- A combination of subjective and objective audiological tests, tailored to the child's age and development, is utilized for diagnosis.
- Syndromal deafness cases require a collaborative interdisciplinary approach involving pediatricians, geneticists, laboratory physicians, and radiologists.
Impact:
- Facilitates timely diagnosis and intervention for hearing impairments in children.
- Highlights the critical role of audiological testing and interdisciplinary collaboration in managing childhood deafness.
- Underscores the long-term developmental consequences of undiagnosed hearing loss in early childhood.
Abstract:
Failure to recognize the presence of a hearing impairment in early childhood can severely harm the development of the child. A differentiation is made between sound conduction deafness and sensorineural.deafness. The former may be temporary or permanent. The latter may be inherited or acquired. Inherited sensorineural deafness occurs within the framework of syndromes, or may be monosymptomatic. Acquired sensorineural deafness may occur prenatally, perinatally or postnatally. A range of subjective and objective audiological tests is available, which, depending on the age and state of developmental of the child, can be used in combination. Cases of syndromal deafness are investigated on an interdisciplinary basis and involve the pediatrician, geneticist, laboratory physician and radiologist.
