Hearing (peads) Flashcards
Why is identifying hearing loss important?
It is common HOW COMMON?
It has a big impact on QoL - if left unchecked, lots of sequelae e.g. educational/learning difficulties and mental health problems
Associated with lots of diseases and other complex needs - either underlying cause identified and fixed or hearing corrected so other doesn’t exacerbate other complex needs
Not paying attention can be mistaken for absence seizures (even though hearing impairment more common) - need to ensure not incorrectly treating
In what conditions is it important to routinely monitor hearing?
CF Chemotherapy (ototoxic drugs) Children born with CMV - will be on metronidazole (ototoxic) Head trauma patients Cleft lip and palate Downs
What things are measured on a hearing test?
Hearing threshold (dB)
Frequencies
Speech sounds (within speech banana)
Single ear info
Sensorineural vs conducive vs mixed deafness; fluctuating or progressive
What do the tests involve?
MORE INFO ON SLIDES AND IN NOTE BOOK
Objective test - otoacoustic emissions - if no response then evoked response audiology (auditory brainstem responses) ..
Subjective test - distraction test …
What kinds of hearing loss and their causes are present in children?
(More on ENT deck)
Conducive loss: (most common in paeds)
Glue ear, otitis externa and media, perforated drum
- most resolve over time, possible grommets, hearing aids etc
Sensorineural loss:
??
- usually permanent, hearing aids increasingly up to cochlear implants
Mixed - treat conducive first then tryn sort sensorineural
