Hostname: page-component-cd9895bd7-dk4vv Total loading time: 0 Render date: 2024-12-24T13:19:12.291Z Has data issue: false hasContentIssue false

An improvement in hearing sensitivity following hearing-aid fitting in a child with an apparent sensorineural hearing impairment

Published online by Cambridge University Press:  29 June 2007

K. J. Munro*
Affiliation:
Regional Audiology Clinic, Hearing and Balance Centre, Institute of Sound and Vibration Research, University of Southampton, Highfield, Southampton, Hampshire, UK
D. Cafarelli Dees
Affiliation:
Regional Audiology Clinic, Hearing and Balance Centre, Institute of Sound and Vibration Research, University of Southampton, Highfield, Southampton, Hampshire, UK
*
Address for correspondence: Kevin J. Munro, Regional Audiology Clinic, Hearing and Balance Centre, Institute of Sound and Vibration Research, University of Southampton, Highfield, Southampton SO17 1BJ. Fax: 01703 594981

Abstract

This case describes an apparent improvement in hearing sensitivity in a young girl over a period of 12 months, after she was fitted with binaural hearing-aids. Discrepancies between objective and subjective test results are highlighted. Even if the underlying reason for the conflicting test results was due to poor listening skills or test error, this child behaved like a hearing-impaired child and her performance improved after hearing-aid use. The case also illustrates the application of earphone testing from six months of age. The importance of closely monitoring all children who are fitted with hearing-aids is highlighted.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bamford, J., McSporran, E. (1994) Visual reinforcement audiometry. In Paediatric Audiology, 0–5 years. (McCormick, B., ed.) Whurr Publishers, London, pp 124154.Google Scholar
Beynon, G. (1993) When is a decibel not a decibel? The application of decibel scales and calibration in clinical audiology. Journal of Laryngology and Otology 107: 985989.CrossRefGoogle Scholar
Cafarelli Dees, D., Munro, K. J. (1995) Improvement in hearing sensitivity in paediatrics after fitting of hearing aids (in preparation).Google Scholar
Clark, A. D., Richards, C. J. (1966) Auditory discrimination among economically disadvantaged and non-disadvantaged preschool children. Exceptional Children 33: 259262.Google Scholar
Coats, A. C., Martin, J. L. (1977) Human auditory nerve reaction potentials and brainstem evoked responses. Archives of Otolaryngology 103: 605622.CrossRefGoogle Scholar
Deutsch, C. P. (1964) Auditory discrimination and learning: social factors. Journal of Behavioural Development 10: 277296.Google Scholar
Goldman, R., Saunders, J. W. (1969) Cultural factors and hearing. Exceptional Children 35: 489490.CrossRefGoogle ScholarPubMed
Haggard, M., Hughes, G. (1991) Screening children's hearing. A review of the literature and the implications of otitis media. H.M.S.O., London, pp 2941.Google Scholar
Hitchings, V., Haggard, M. P. (1983) Incorporation of parental suspicion in screening infants hearing. British Journal of Audiology 17: 7175.CrossRefGoogle ScholarPubMed
Latham, A. D., Haggard, M. P. (1980) A pilot study to detect hearing impairment in the young. Midwife, Health Visitor and Community Nurse 16: 370374.Google ScholarPubMed
Lilholdt, T., Courtois, J., Kortholm, B. (1980) The diagnosis of negative middle ear pressures in children. Acta Otolaryngologica 89: 459464.CrossRefGoogle Scholar
Mason, S. M. (1994) Electric response audiometry. In (McCormick, B., ed.) Pediatric Audiology 0–5years, Whurr Publishers, London, pp 167220.Google Scholar
Mason, S. M. (1985) Objective wave form detection in electric response audiometry, PhD Thesis, Nottingham University.CrossRefGoogle Scholar
McCormick, B. (1986) Evaluation of a warbler in hearing screening tests. Health Visitor 59: 143144.Google Scholar
Munro, K. J., Martin, A. M. (1991) A prescriptive model for estimating costs for a district audiology service. Presentation at the British Association of Audiological Scientist Professional Affairs Meeting, Leeds.Google Scholar
Nober, I. W.(1973) A study of classroom noise as a factor which affects the auditory discrimination performance of primary grade children. EdD thesis, University of Massachusetts, Amherst, M.A. Dissertation abstracts.Google Scholar
Northern, J. L., Downs, M. P. (1991) In Hearing in Children (4th Edition), Williams and Wilkins, Baltimore, pp 103136.Google Scholar
Wilson, W. R., Thompson, G. (1984) Behavioural audiometry. In Paediatric Audiology, (Jerger, J., ed.) Taylor and Francis, London, pp 144.Google Scholar