Deafness in children Flashcards
What are congenital causes of conductive hearing loss in children?
- Anomalies of pinna, external ear canal, drum or ossicles
- congenital cholesteatoma
What are autosomal dominant congenital causes of sensorineural hearing loss?
waardenburg
klippel-feil
alport
What are autosomal recessive congenital causes of sensorineural hearing loss?
pendred
ushers syndrome
Jerrell and lange-nielsen
What are X-linked congenital causes of sensorineural hearing loss?
alports
turners
What are infectious congenital causes of sensorineural hearing loss?
CMV HSV Syphilis Rubella Toxoplasmosis Group B strep sepsis
What are perinatal and postnatal causes of childhood deafness?
anoxia birth trauma cerebral palsy kernicterus meningitis ototoxic drugs lead skull fracture
When is hearing screened in the newborn and how?
within hrs of birth
Otoacoustic emissions
What test is done for those w an abnormal otoacoustic emission?
audiological brainstem responses
how is hearing tested in children aged 6-18m?
distraction testing - child sits on parents lap and someone in front attracts the Childs attention whilst someone else attempts to distract bu making noises being and beside the child
How is hearing tested in children 2-4 yrs?
conditioned response audiometry
speech discrimination
How is hearing tested in children 5 yrs?
pure tone audiogram
What is possible treatment of childhood deafness?
cochlear implant
What is conservative treatment of childhood deafness?
Encourage parents to talk to child as much as possible
educated at another school
arrangements for fitting hearing aids