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Amplification for infants: selection and verification.

M Winter·L Eisenberg
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Abstract

Hearing aid fittings for children under the age of 1 year provide many challenges to the audiologist. This article offers guidelines for assessment, hearing aid selection, verification, and follow-up for infants with hearing loss. The importance of early intervention and the consideration of new technologies are emphasized in this article. Case studies illustrate various aspects of infant hearing aid fittings.

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Correction of Hearing ImpairmentDeafnessHearing AidsHumansInfantInfant, NewbornMaleProsthesis FittingCase ReportsJournal ArticleResearch Support, U.S. Gov't, P.H.S.Review

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M Winter, L Eisenberg. 1999. Amplification for infants: selection and verification.. https://doi.org/10.1016/s0030-6665(05)70194-8

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PubMed2006

[The tasks of the ENT specialist by hearing aid fitting. Part 2: checking the fit, subjective satisfaction, ear mold and hearing aid].

The second part of this series deals with the tasks of the ENT-specialist, who must not endorse the prescription before making sure that the hearing aid recommended by the acoustician will bring sufficient hearing improvement, and that the suggested hearing aid is suitable. The report and audiograms of the acoustician must be compared to his own results, and a check of whether at least three hearing aids from different companies have been compared must be made. The primary aim of patient satisfaction can be checked by means of the "Oldenburger Inventar" (Oldenburg questionnaire), which determines the improvement of hearing ability in quiet and noise, and of auditory localization. Since the otoplastic substantially effects the amplification of the hearing aid, the ENT specialist should make sure that it does not produce feedback, that it has a second boring, and, in case of need, a Libby horn. He should also consider whether an open fitting would be more appropriate. A free-field measurement--with and without noise--shows whether the dB(opt) has been reached. The in situ measurement and the loudness rating by the Würzburger Hörfeld (Wuerzburg auditory field) are of great help in detecting fitting errors. Additional procedures, such as auditory speech training, lip reading, or technical devices, for instance FM-communication or a light alarm clock, are often employed in elderly patients.

Correction of Hearing Impairment↗
PubMed2005

A multisite study to examine the efficacy of the otoacoustic emission/automated auditory brainstem response newborn hearing screening protocol: recommendations for policy, practice, and research.

PURPOSE: This article examines whether changes in hearing screening practices are warranted based on the results of the recent series of studies by J. L. Johnson, K. R. White, J. E. Widen, J. S. Gravel, B. R. Vohr, M. James, T. Kennalley, A. B. Maxon, L. Spivak, M. Sullivan-Mahoney, Y. Weirather, and S. Meyer (Johnson, White, Widen, Gravel, James, et al., 2005; Johnson, White, Widen, Gravel, Vohr, et al., 2005; White et al., 2005; Widen et al., 2005) that found a significant number of infants who passed an automated auditory brainstem response (A-ABR) screening after failing an initial otoacoustic emission (OAE) screening later were found to have permanent hearing loss in one or both ears. METHOD: Similar to the approach used by F. H. Bess and J. Paradise (1994), this article addresses the public health tenets that need to be in place before screening programs, or in this case, a change in screening practice (use of a 2-step screening protocol) can be justified. RESULTS: There are no data to suggest that a 2-step OAE/A-ABR screening protocol should be avoided. CONCLUSION: Research is needed before any change in public policy and practice surrounding current early hearing detection and intervention programs could be supported.

Correction of Hearing Impairment↗