Hearing assessment is done in both on children and adults depending on the hearing loss. Children are assessed for hearing loss depending on their speech deficit, poor academic performance and emotional difficulties. Hearing assessment treatment begins when the child or adult shows signs of not being to hear. The ENT specialist initially does a physical exam of the head and neck region, associated with hearing loss that include heterochromia of the irises, malformation of the auricle or ear canal, dimpling or skin tags around the auricle etc. Abnormal pigmentation of the skin, hair or eyes may also be associated with hearing loss. Abnormalities of the eardrum will also lead to hearing loss. He would also screen the patient for auditory skills. Middle ear tympanometry is done for further assessing the loss. They will also be assessed for acoustic signals generated by the cochlea that travel in a reverse direction through the middle ear space and the tympanic membrane out to the ear canal. Children with hearing loss will also be monitored for behavioural problems. Children will be evaluated periodically for these concerns. After diagnostic evaluation, the ENT would suggest fitting hearing aids depending on the severity of the loss in each ear. Treatment for children with hearing loss is continuous in each stage of their development. The doctor will test auditory skills regularly and will help adjust the hearing aid and hearing capacity for the child.
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