June 23 Slides Flashcards
What is the primary goal of audiologic testing and monitoring?
Ascertain whether peripheral hearing is adequate for the acquisition of speech and language skills
Name one thing that children with cleft palate are at high risk for.
Middle ear issues
What is comprised in children with cleft palate?
Musculature affecting Eustacian tube function
Do new born babies with cleft palate usually fail or pass new born hearing screenings?
Fail
If a child with cleft palate passes a hearing screening, what is still possible in early childhood?
Frequent ear infections and middle ear effusion
If a child with cleft palate fails a hearing screening, what will this trigger?
More diagnostic testing
Name an audiologic diagnostic test that will be administered if a newborn with a cleft palate fails a hearing screening.
Diagnostic auditory brainstem response test.
What step should be taken prior to a diagnostic auditory brainstem test for a child that is 3 months or under?
deprive baby of sleep
What step needs to be taken if more ABR testing needs to be administered?
- may need sedation in later stages of ABR testing
In what 2 instances should a child be referred to an ENT for follow up testing?
- if hearing loss is identified
2. Tympanograms are abnormal
What does an ENT monitor?
ENTs focus on middle ear status.
An ENT determines if what 2 placements are made?
- myringotomy
- tubes
M&T
myringotomy (BY-lat-er-ull my-ring-GOT-a-mee) and tubes is a surgery in which a small opening is made in the eardrum and a small tube is placed in the opening on each side
BMT
Bilateral myringotomy (BY-lat-er-ull my-ring-GOT-a-mee) and tubes is a surgery in which a small opening is made in each eardrum and a small tube is placed in the opening on each side.
When are tubes usually placed?
in conjunction with another surgury
Children with ear tubes need careful monitoring. Name 3 ways how careful monitoring is carried out.
- post op audiogram
- follow up every 6 mos: ENT and audio
- know that tubes tend to extrude after 12 - 18 mos
When can behavioral hearing testing begin?
- later in infancy
2. often begins in the sound field
What is a big kind of hearing problem with in children with cleft?
fluctuant hearing loss
How does fluctuant hearing loss occur?
- middle ear fluid can change over time and make hearing fluctuate.
What is a problem relating to speech that can occur with fluctuant hearing?
Child will not hear all components of speech at “equal” intensity levels
Name a reason relating to the brain why fluctuant hearing loss can be a problem?
The brain has to process and reprocess acoustic information.
What might be constantly changing for children with fluctuant hearing loss?
acoustic set
What kind of monitoring do children with cleft need?
regular and frequent audiologic hearing monitoring
What kind of hearing loss do children with middle ear effusion usually have?
mild conductive loss in lower frequencies
How is the hearing in children with perforated tympanic membranes affected? What does it depend on?
- mild conductive loss across the speech frequencies
- it depends on the size and location on the eardrum
What frequencies does perforations typically affect?
lower and higher frequencies
What might happen to hearing in children with tubes?
might have slight roll off in higher and lower frequencies
Do tubes make a difference in hearing?
Yes, hearing is usually markedly better than before the tubes.
When going over IEP and meeting with the parents. What are 3 things you should always ask for/include?
- most recent hearing test
- ask if student with tubes is seeing the ENT every six months
- hearing information in the present level of functioning
True or False: You should assume that hearing status has NOT changed since the last hearing test.
FALSE
In regards to hearing, what should you be alert to when working with a child with cleft palate?
be alert to behaviors that suggest hearing has changed
Who should you collaborate with?
teachers
What should you do if you are struggling with teaching a consonant sound?
Consider if it falls within the problem area for the child’s hearing.
