Paediatric ENT Flashcards
At what age can a foetus hear?
18 weeks
At which age can a foetus respond to sounds or voices?
26 weeks
In terms of speech, what stage of development will a 3 month infant be?
Cooing, recognising mother’s voice
In terms of speech, what stage of development will a 6 month infant be?
Babbling, turns head or eyes to sound
Can make happy and sad sounds
In terms of speech and language, what stage of development will a 12 month infant be?
- May make simple noises with purpose
- Follows instructions
What is the difference between syllable deletion and simplification when children try to speak?
- Deletion - Difficult parts (entire syllable) of a word are not said, but meaning is generally maintained e.g. (ba)nana
- Simplification - Difficult letters are missed e.g. (S)top
In terms of speech and language, what stage of development will a 18 month infant be?
- Can say a few words
- Can understand body parts
- Follow simple commands
In terms of speech and language, what stage of development will a 24-36 month child be?
- 3 word sentences
- Use of adjectives
After which length of time will a speech and language delay become a potential concern?
6 months
What is the most common hearing problem in children under 2 years?
Middle ear effusion
(e.g. glue ear)
Besides a middle ear effusion, what else may cause delayed speech and language in children?
- ADHD
- Autism
- Verbal dyspraxia
- Auditory processing disorder
- Any global developmental delay
How many children will have a profound hearing loss at birth?
1:1000
How many children will have a profound hearing loss at age 10?
An additional 1:1000 from the 1:1000 at birth
What percentage of profound hearing loss in children is genetic?
50%
(50% acquired)
Why are more children with profound hearing loss picked up early?
Universal neonatal screening
