Published online September 28, 2009
PEDIATRICS Vol. 124 No. 4 October 2009, pp. 1252-1263 (doi:10.1542/peds.2009-1997)
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CLINICAL REPORT

Hearing Assessment in Infants and Children: Recommendations Beyond Neonatal Screening

Allen D. Buz Harlor, Jr, MD, Charles Bower, MD Committee on Practice and Ambulatory Medicine the Section on Otolaryngology–Head and Neck Surgery

Congenital or acquired hearing loss in infants and children has been linked with lifelong deficits in speech and language acquisition, poor academic performance, personal-social maladjustments, and emotional difficulties. Identification of hearing loss through neonatal hearing screening, regular surveillance of developmental milestones, auditory skills, parental concerns, and middle-ear status and objective hearing screening of all infants and children at critical developmental stages can prevent or reduce many of these adverse consequences. This report promotes a proactive, consistent, and explicit process for the early identification of children with hearing loss in the medical home. An algorithm of the recommended approach has been developed to assist in the detection and documentation of, and intervention for, hearing loss.

Key Words: hearing screening • hearing loss • audiology

Abbreviations: AAP—American Academy of Pediatrics • OAE—otoacoustic emission • ABR—auditory brainstem response • VRA—visual reinforced audiometry


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The following policy statement has been revised:

Hearing Assessment in Infants and Children: Recommendations Beyond Neonatal Screening
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Pediatrics 111: 436-440. [Full Text]