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Updated: Apr 1, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
2014 CODEPEH recommendations: Early detection of late onset deafness, audiological diagnosis, hearing aid fitting and
Faustino Núñez-Batalla1, Carmen Jáudenes-Casaubón1, Jose Miguel Sequí-Canet1
1Comisión para la detección precoz de la hipoacusia.
Insights
Early diagnosis of deafness is crucial for a child
Area of Science:
- Pediatrics
- Audiology
- Developmental Psychology
Background:
- Early diagnosis of deafness is vital for a child's educational and inclusive development.
- The critical developmental period for intervention is between 0-4 years.
- Significant disparities exist between early and late-intervened deaf individuals.
Purpose of the Study:
- To emphasize the importance of early identification of hearing loss in children.
- To advocate for continuous auditory health monitoring beyond neonatal screening.
- To present recommendations for early detection of deafness.
Main Methods:
- Literature review on early diagnosis of deafness.
- Analysis of developmental outcomes based on intervention timing.
- Development of recommendations by CODEPEH.
Main Results:
- Early diagnosis and intervention significantly improve outcomes for deaf children.
- Late or improper intervention leads to poorer developmental trajectories.
- Childcare professionals need specialized knowledge for early identification of hearing disorders.
Conclusions:
- Continuous monitoring of children's auditory health is essential.
- Proactive programs beyond neonatal screening are necessary for early detection.
- CODEPEH's recommendations aim to ensure timely identification and intervention for hearing loss.
Abstract:
The latest scientific literature considers early diagnosis of deafness as the key element to define the educational and inclusive prognosis of the deaf child, because it allows taking advantage of the critical period of development (0-4 years). Highly significant differences exist between deaf people who have been stimulated early and those who have received late or improper intervention. Early identification of late-onset disorders requires special attention and knowledge on the part of every childcare professional. Programs and additional actions beyond neonatal screening should be designed and planed to ensure that every child with a significant hearing loss is detected early. For this purpose, the CODEPEH would like to highlight the need for continuous monitoring of children's auditory health. Consequently, CODEPEH has drafted the recommendations included in the present document.

