Paediatric Hearing assessment differ greatly from adult hearing assessment as objective test are needed to assess a child’s hearing properly, either exclusively or to verify subjective tests results.
Depending on the age of your child and the ability to actively partake in the individual tests more or less emphasis will be given to objective clinical assessments.
In general the clinical assessment will start with otoscopy to ensure there is no obstruction or other contraindication to proceed with the tests. This will be followed by tympanometry. Tympanometry gives a status of the ear functions. A normally functioning middle is the prerequisite for all other hearing tests.
Next we will do Optoacoustic (OAE) test. This test measures the functions of the outer haircells in the cochlear. It can be done very frequency specific. In the absence of otoacustic emissions, a hearing loss greater than 40 – 50 dB may be assumed. Both, Tympanometry and OAE are quick and easy to administer, typically just take a few minutes and can be done without your child’s cooperation.
Depending on age and cooperation we will now proceed with an ABR/ASSR or Pure Tone Audiogram. ABR or ASSR we will select in cases if your child is too young to give a reliable response to heard sounds. If your child is a bit older, or to substantiate the ABR/ASSR test, we might do Pure Tone Visual reinforced or Play Audiometry, in FreeField or with headphones.
In case your child is a is undergoing cochlear implant candidacy assessment we are able to do promontory stimulation/eABR test. This test can electrically verify the conductive pathway from the cochlear to the brain, before Cochlear Implantation.
Cochlear implant candidacy depends of many factors, getting not enough benefit from hearing aids is chief among them. Depending on the age of implantation more or less intensive therapy will be necessary to get the best benefit out of the implant system. To keep you hearing your best with your cochlear implant regular evaluations and programming are necessary.View
Children have very different hearing needs from adults. Their whole auditory system is still developing and every intervention must always keep this in mind. Also whereas adult hearing services are often centered around bring back something which has been lost, with children it’s about helping abilities to develop. With today’s technology it is possible to help almost all children to a degree of hearing which enables them to lead a normal life.View
Getting hearing devices and starting on a therapy is the first step of an ongoing process. We will be with you along the way with ongoing support and services to ensure that your journey to better hearing is successful and comfortable.View