Congenital and acquired hearing loss
Ø Congenital Hearing Loss –
- About
1 in 1,000 babies are born with some degree of hearing loss. Congenital hearing
loss may be due to either genetic factors that occurred before, during or just
after the baby was born.
- Congenital
hearing loss means that hearing loss is present at birth.
- There is no cure of congenital hearing loss, early detection & treatment can help prevent speech & language delay.
· Causes of Congenital Hearing Loss –
- Genetic
causes
- Syndromic
causes
- Infection,
such as Rubella or Herps Simplex Virus
- Premature
birth
- Low
birth weight
- Maternal
diabetes
- Jaundice
& Rh factor
- High
blood pressure while pregnant (pre-eclampsia)
- Lack
of oxygen (Anoxia)
- Drugs & alcohol use while pregnant
· Symptoms of Congenital Hearing loss –
- Many
children get their hearing tested with a hearing screening when they are born.
This screening will identify many congenital hearing losses.
- It is difficult to identify a gearing loss among babies & toddlers, especially if the hearing loss is relatively mild
· Treatment of Congenital Hearing Loss –
- The
treatment of a congenital hearing loss depends on the causes of herring loss.
Some of types of conductive hearing loss can be treated or partially treated
with an operation.
- But
most of the cases of congenital hearing loss are treated with –
- Hearing
Aid
- Bone Conductive Devices
- Cochlear Implant
· Factors –
- Congenital hearing loss might be attributed to environmental & prenatal factors, which prevail in low-income settings, congenital infections, particularly Cytomegalo Viru are also common risk factors for hearing loss.
-
Environmental factor
-
Organic & non-organic factors
-
Genetic & non-genetic factors
-
Idiopathic factors
ØØAcquired Hearing Loss –
- Acquired
hearing loss is a hearing loss which appears after the birth at any time one’s
life perhaps as a result of a disorder, a condition or an injury.
- Children
can develop a hearing loss anytime, after birth. This can be due to illness,
such as meningitis, medication affects, infection or injury.
- If child develops a hearing loss after the birth they have learned to talk, the hearing loss may be referred to as a post-lingual hearing loss
· Causes of Acquired Hearing Loss –
- Genetic
- Ear infections
(otitis media, otitis extrema etc.)
- Otosclerosis
- Eustachian
tube dysfunction
- Tympanic
membrane perforation
- Meningitis
- Mumps
- Tumor
- Head
injury / Trauma
- Noise exposure
· Symptoms of Acquired Heading Loss –
- Localization
& laterization problems
- Problems
in perceiving sounds
- Problems
in understanding speech in noisy area
- Speech
and language development delay
- Lack
of confidence
- Does
not give attention
- Does
not talk too much
- Academic
problems
· Assessment –
- Pure
Tone Audiometry (PTA)
- Speech
Audiometry
- SISI
- TDT
(Tone Decay Test)
- Impedance
Audiometry
- ABR
- Reflex
Audiometry
etc.
· Management of Acquires Hearing Loss –
- Use
of Assistive listening devices
-
FM system
-
Infra red system
-
Induction loop
etc.
- Hearing
aids
- Bone Conduction
devices
- Cochlear Implant (if hearing aid don’t give benefits)