Hearing loss in the young is very
tragic, it will greatly influence the education and development of the
child. Early detection is important if milestones of learning language are
not be missed. The goal is to diagnose a hearing loss and intervene before
the child is 6 months of age. The most common cause of childhood hearing
loss is ear fluid. This usually causes a mild hearing loss. More
severe losses can occur from inheritance, problems encountered at birth, serious
infections or toxic medications. Many States are now setting as a goal to
screen 100% of all newborns.
to Who Is At Risk
Go To Speech & Hearing
Age Specific Behavior
Helen Keller: Address before
the section of Otolaryngology, British Medical Association Centenary
Meeting. London, July 27, 1932. "I am just as deaf as I am
blind. The problems of deafness are deeper and more complex, if not more
important, than those of blindness. Deafness is a much worse misfortune.
For it means the loss of the most vital stimulus-the sound of the voice that
brings language, sets thoughts astir and keeps us in the intellectual company of
man." Helen Keller in
Scotland A Personal Record Written By Herself. Methuen & Co.
Ltd. 36 Essex Street W.C. London Page 68.
"Deafness in the young is a much
worse misfortune than blindness..... It should not be forgotten that often
the young deaf child has speech, and can be helped to preserve it by timely
instruction; whereas, if years elapse before he is taught, the difficulties of
teaching him are multiplied." Helen
Keller in Scotland A Personal Record Written By Herself. Methuen
& Co. Ltd. 36 Essex Street W.C. London Page 203-204.
Children with a mild to moderately severe
hearing loss in one ear may benefit from hearing aid placement and a
hearing aid trial should be considered.
is At Risk
- Family history of hearing loss.
- Congenital infections such as
toxoplasmosis, syphilis, rubella, cmv, and herpes.
- Head & face abnormalities.
- Birth weight less than 1500 grams or
- Hyperbilirubinemia at level to need
- Bacterial meningitis (brain
- Ototoxic medications such as
aminoglycosides (strong antibiotic).
- Severe depression of Apgar scores.
- Mechanical ventilation or intubation
to aid in breathing.
& Hearing Age Specific Behavior
months Child should respond to your voice or speech.
Does he react to your voice when he cannot see you?
months Should react when he hears, but cannot see, the dog
barking, telephone ringing, footsteps, someone's voice, refrigerator
opening, microwave ringing etc.
- 11-15 months Can he
point to or find familiar objects or people, when he is asked to? Does
he respond to different sounds differently? Does he enjoy listening to
music and other sounds and try to imitate them.
- Most children by 12
months of age are starting to say single words.