Selective Hearing Loss: Clues to Early Identification

PEDIATRICS ◽  
1971 ◽  
Vol 47 (2) ◽  
pp. 447-451
Author(s):  
Vanja A. Holm ◽  
Gary Thompson

The child in this report was thought at various times to be mentally retarded, emotionally disturbed, and brain damaged before his selective hearing loss was discovered at age 53¼ years. He had developed puzzling behavior secondary to the confusing verbal messages he received and his unpredictability in turn had had a disturbing effect on his environment. Physicians will assist in the early identification of these children if they: (1) Recognize conditions in infancy associated with high risk of hearing handicap. (2) Listen to parents' observations about their child's language development and take their concerns seriously. (3) Pay attention to language development in the 2-year old; delay can easily be demonstrated on the Denver Developmental Screening Test. (4) Remember that prolonged jargoning, poor enunciation, and excessive use of gestures are suspicious symptoms of hearing loss. (5) Are aware of the fact that informal hearing screen may fail to identify partial hearing loss. (6) Refer the child suspected of hearing impairment to the audiologist regardless of the child's age, developmental level, and behavior. The audiologist is the professional best qualifled to determine the degree of testing accuracy that can be obtained.

Author(s):  
Mauriceia Cassol ◽  
Maria Inês Dornelles da Costa Ferreira ◽  
Deise Maria De Azevedo Poglia

Resumo: Este estudo objetiva identificar a importância do questionário Hearing Handicap Inventory for the Elderly — Screening Version (HHIE-S) como indicador da necessidade de avaliação audiológica em um grupo de idosos, relacionando as perdas auditivas às possíveis alterações vocais. Fizeram parte deste estudo cinco indivíduos idosos do gênero feminino, na faixa etária de 57 a 75 anos. Primeiramente, foi aplicado o questionário HHIE-S seguido da avaliação audiológica básica e da avaliação perceptivo-auditiva da voz. Nos resultados, os cinco indivíduos idosos apresentaram alteração em um ou mais aspectos vocais. As alterações das características vocais puderam ser correlacionadas às perdas auditivas em três dos cinco casos. Salienta-se a importância da avaliação vocal e da utilização de escalas de auto-avaliação, como o questionário HHIE-S, como indicadores da identificação precoce da deficiência auditiva. Palavras-chave: Perda Auditiva. Presbiacusia. Saúde do Idoso. Qualidade Vocal. Abstract: This study aimed at identifying the importance of the Hearing Handicap Inventory for the Elderly —Screening Version (HHIE-S) questionnaire as an indicator of the need for an audiological evaluation in a group of elderly, and verifying the relation between hearing loss and possible vocal change in 5 elderly females with ages ranging from 57 to 75 years.The HHIE-S questionnaire was applied, followed by a basic audiological evaluation and auditory-perceptive vocal evaluation. In the results, 5 elderly individuals presented changes in one or more vocal aspects. The changes in vocal characteristics may be correlated to hearing loss in 3 of the 5 cases. The importance of vocal evaluation and use of self-evaluation scales as the HHIE-S questionnaire as indicators for early identification of hearing impairment is highlighted. Keywords: Hearing Loss. Presbycusis. Aging. Health. Voice Quality.


2021 ◽  
Vol 9 ◽  
Author(s):  
Hannah Walsh ◽  
Jillian Zuwala ◽  
Jessica Hunter ◽  
Yonghee Oh

Prenatal infections can have adverse effects on an infant's hearing, speech, and language development. Congenital cytomegalovirus (CMV) and human immunodeficiency virus (HIV) are two such infections that may lead to these complications, especially when left untreated. CMV is commonly associated with sensorineural hearing loss in children, and it can also be associated with anatomical abnormalities in the central nervous system responsible for speech, language, and intellectual acquisition. In terms of speech, language, and hearing, HIV is most associated with conductive and/or sensorineural hearing loss and expressive language deficits. Children born with these infections may benefit from cochlear implantation for severe to profound sensorineural hearing losses and/or speech therapy for speech/language deficits. CMV and HIV simultaneously present in infants has not been thoroughly studied, but one may hypothesize these speech, language, and hearing deficits to be present with potentially higher severity. Early identification of the infection in combination with early intervention strategies yields better results for these children than no identification or intervention. The purpose of this review was to investigate how congenital CMV and/or HIV may affect hearing, speech, and language development in children, and the importance of early identification for these populations.


1981 ◽  
Vol 12 (1) ◽  
pp. 26-35 ◽  
Author(s):  
Donald L. McCanna ◽  
Giacinto DeLapa

This report reviews 27 cases of children exhibiting functional hearing loss. The study reveals that most students were in the upper elementary grades and were predominantly females. These subjects were functioning below their ability level in school and were usually in conflict with school, home, or peers. Tests used were selected on the basis of their helping to provide early identification. The subjects' oral and behavioral responses are presented, as well as ways of resolving the hearing problem. Some helpful counseling techniques are also presented.


2010 ◽  
Vol 20 (1) ◽  
pp. 3-11 ◽  
Author(s):  
Christine Yoshinaga-Itano

Abstract It is possible for children who are deaf or hard of hearing to attain language development comparable to their hearing peers, but these outcomes are not guaranteed. The population of children with hearing loss is a diverse population and although the variable of the age of identification is less variable, there are numerous variables that could potentially and have historically impacted language outcomes of children who are deaf or hard of hearing. Variables such as hearing loss, maternal level of education, and maternal bonding can overcome the benefits of earlier identification and intervention.


1969 ◽  
Vol 35 (7) ◽  
pp. 523-529 ◽  
Author(s):  
Frank M. Hewett ◽  
Frank D. Taylor ◽  
Alfred A. Artuso

Six public school classrooms of children with learning and behavior problems were studied to assess the effectiveness of an engineered classroom design. The experimental condition consisted of rigid adherence to the design while the control condition provided any type program the teacher chose except use of token and tangible rewards. Task attention and achievement gains in arithmetic fundamentals were found to be significantly correlated with the presence of the engineered design.


2002 ◽  
Vol 13 (03) ◽  
pp. 160-168 ◽  
Author(s):  
Michael Stewart ◽  
Rebecca Pankiw ◽  
Mark E. Lehman ◽  
Thomas H. Simpson

This investigation sought to establish the prevalence of hearing loss and hearing handicap in a population of 232 recreational firearm users. Hearing handicap was calculated based on four methods using pure-tone threshold data from the American Academy of Ophthalmology and Otolaryngology, American Academy of Otolaryngology-Head and Neck Surgery, National Institute of Occupational Safety and Health, and American Speech-Language and Hearing Association in addition to the self-report Hearing Handicap Inventory for Adults-Screener (HHIA-S). Subjects (45 female and 187 male) ranging in age from 13 to 77 years (mean = 40 years, SD = 15.1) completed a short questionnaire regarding demographics and shooting practices followed by pure-tone air audiometry at Occupational Safety and Health Administration test frequencies of 500 to 6000 Hz. A total of 177 who exhibited varying degrees of hearing loss also received a face-to-face administration of the HHIA-S. Audiometric and HHIA-S results revealed that both high-frequency hearing loss and hearing handicap varied significantly as functions of age and occupation. Significant gender effects were observed audiometrically but not as a function of hearing handicap. HHIA-S scores varied significantly as a function of high-frequency (1000–4000 Hz) hearing loss. Correlation coefficients between the four different pure-tone methods of calculating hearing handicap and the self-reported HHIA-S were highest for pure-tone methods that do not employ 500 Hz in the calculation.


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