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Ear Pediatric Hearing Disorders Pediatric Audiology
Built from Behrbohm — Ear, Nose and Throat Diseases with Head and Neck Surgery
What’s inside
7 sections · 38 slides
Why Hearing Matters in a Child
Hearing is the doorway to speech
- What this topic is about
- Why early detection is the whole game
- By the numbers
What Causes It
Genetic versus acquired - and when the damage happens
- Two big families of cause
- Prenatal (in-utero) causes of deafness
- Prenatal causes - toxic and other exposures
- Perinatal (around-birth) causes
- Postnatal (after-birth) causes
- Reading the cause list clinically
Spotting the Problem Early
Speech milestones and the trap of 'audimutism'
- Audimutism - a term used with care
- Why a speech timetable is a hearing screening tool
- Normal speech development - first year
- Normal speech development - toddler years
How Bad Is It?
The WHO grades of hearing loss
- Grading hearing loss - what and why
- WHO grades - normal to moderately severe
- WHO grades - severe to total, plus unilateral
Living With Deafness
Total deafness, multiple handicap, and speech effects
- Bilateral complete deafness
- The multiply-handicapped deaf child
- How deafness distorts voice and speech
- The completely deaf child - the core problem
- Four pillars of rehabilitating the deaf child
The Cochlear Implant
Bypassing dead hair cells to reach the nerve
- What a cochlear implant actually does
- Who is a candidate - the indications
- Why implant as early as possible
- Step 1 - preoperative work-up
- Steps 2 and 3 - surgery and switch-on
- Learning to hear again - two very different journeys
Summary
What to carry away
- Key takeaways
- Why must a cochlear implant in a deaf child be done as early as possible - ideally before the first birthday?
- Ear, Nose, and Throat Diseases: With Head and Neck Surgery