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Early Identification of Hearing LossImportance of Early Intervention
Early Identification of Hearing Loss
Dr. Ghulam SaqulainM.B.B.S., D.L.O, F.C.P.S
Head of Department of E.N.TCapital Hospital
Early Identification of HearingLoss is Important Because . . .
Hearing loss is the mostcommon birth defect
3 of every 1,000 babies born have permanent HL
InvisibleAverage age of diagnosis was
~3 yrs. before babies were screened Some were as old as 5 to 6 yrs.
Does EarlyIdentification of
Hearing Loss ReallyMatter?
Yoshinaga-ItanoLandmark Studies
Children identified with hearing loss before 6 months And who receive appropriate intervention demonstrate:
–Better receptive and expressive language–Better expressive vocabulary–Better personal-social skills
And maintain those skills within normal limits
When Hearing Loss isIdentified Early
More improvement in language scores for those with–Moderate hearing loss– Profound hearing loss
Less improvement in language scores for those with–Moderately-severe hearing loss–Severe hearing loss
When Hearing Loss isIdentified EarlyMore improvement in speech/articulation
skills for those withModerateModerately-severeProfound hearing loss
Little improvement in speech/articulation skills for those withSevere hearing
Why would children with severehearing loss have less benefit fromearly identification?
Less improvement in technology for this group
– Limitations of hearing aids:distance, noise
– Dependent on FM
Data Differs from previous data
Here’s what earlyidentification can do ;
Universal Newborn HearingScreening (UNHS)
Screen babies before 1 month of ageDiagnose HL by 3 months of ageAppropriate intervention by 6 mos.Culturally-competent family supportAll newborns have “medical home”
Early Identification of Hearing LossImportance of Early Intervention
Importance of Early Intervention
Total Language by Severity of Hearing Loss Before and After UNHS
Speech Percentile by Severity of Hearing Loss Before and After UNHS
Expressive Language Scores
Why Does it Still Take So Long to StartIntervention and to Fit Hearing Aids?
Grieving processHealth of baby Family crisisProgressive hearing lossOtologic clearanceMiddle ear problemsNot enough pediatric audiologistsLack of continuity of services
Early Identification of Hearing Loss
Early Identification of Hearing LossProtocol of Hearing Assessment according
to age