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Updated: Jun 2, 2026

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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
[Hearing disorders in 3- to 12-year-olds]
Stéphane Roman1, Maya Elziere, Richard Nicollas
1Service ORL pédiatrique, CHU de La Timone, 13385 Marseille Cedex 05, France. stephane.roman@ap-hm.fr
La Revue Du Praticien
|May 10, 2011
Summary
Conductive hearing loss is common in children aged 3-12. Early detection through risk factor assessment, otoscopy, and screening tests is crucial for timely diagnosis and intervention.
Area of Science:
- Pediatric Audiology
- Otolaryngology
Context:
- Hearing disorders in children aged 3 to 12 years are frequently characterized by conductive hearing loss.
- Early identification and diagnosis are critical for effective management.
Purpose:
- To outline the primary methods for detecting and diagnosing hearing disorders in children.
- To emphasize the importance of considering sensorineural hearing loss even when conductive loss is suspected.
Summary:
- Questioning parents about risk factors and performing otoscopy are key initial steps.
- Screening tests aid in identifying at-risk children, who are then referred for specialized evaluation.
- Puretone audiometry is essential to rule out sensorineural hearing loss when in doubt.
Impact:
- Facilitates earlier intervention for hearing impairments in children.
- Improves diagnostic accuracy by ensuring sensorineural hearing loss is considered.
- Contributes to better auditory health outcomes for pediatric populations.
Related Concept Videos
Hearing
When we hear a sound, our nervous system is detecting sound waves—pressure waves of mechanical energy traveling through a medium. The frequency of the wave is perceived as pitch, while the amplitude is perceived as loudness.
Attention-Deficit/Hyperactivity Disorder
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings.
Perception of Sound Waves
The human ear is not equally sensitive to all frequencies in the audible range. It may perceive sound waves with the same pressure but different frequencies as having different loudness. Moreover, the perception of sound waves depends on the health of an individual's ears, which decays with age. The health of one's ears may also be affected by regular exposure to loud noises.
The pitch of a sound depends on the frequency and the pressure amplitude of the source. Two sounds of the same frequency...
The pitch of a sound depends on the frequency and the pressure amplitude of the source. Two sounds of the same frequency...

