June 23 Slides

Question 1

What is the primary goal of audiologic testing and monitoring?

Answer 1

Ascertain whether peripheral hearing is adequate for the acquisition of speech and language skills

Question 2

Name one thing that children with cleft palate are at high risk for.

Answer 2

Middle ear issues

Question 3

What is comprised in children with cleft palate?

Answer 3

Musculature affecting Eustacian tube function

Question 4

Do new born babies with cleft palate usually fail or pass new born hearing screenings?

Answer 4

Fail

Question 5

If a child with cleft palate passes a hearing screening, what is still possible in early childhood?

Answer 5

Frequent ear infections and middle ear effusion

Question 6

If a child with cleft palate fails a hearing screening, what will this trigger?

Answer 6

More diagnostic testing

Question 7

Name an audiologic diagnostic test that will be administered if a newborn with a cleft palate fails a hearing screening.

Answer 7

Diagnostic auditory brainstem response test.

Question 8

What step should be taken prior to a diagnostic auditory brainstem test for a child that is 3 months or under?

Answer 8

deprive baby of sleep

Question 9

What step needs to be taken if more ABR testing needs to be administered?

Answer 9

• may need sedation in later stages of ABR testing

Question 10

In what 2 instances should a child be referred to an ENT for follow up testing?

Answer 10

1. if hearing loss is identified

2. Tympanograms are abnormal

Question 11

What does an ENT monitor?

Answer 11

ENTs focus on middle ear status.

Question 12

An ENT determines if what 2 placements are made?

Answer 12

• myringotomy

- tubes

Question 13

M&T

Answer 13

myringotomy (BY-lat-er-ull my-ring-GOT-a-mee) and tubes is a surgery in which a small opening is made in the eardrum and a small tube is placed in the opening on each side

Question 14

BMT

Answer 14

Bilateral myringotomy (BY-lat-er-ull my-ring-GOT-a-mee) and tubes is a surgery in which a small opening is made in each eardrum and a small tube is placed in the opening on each side.

Question 15

When are tubes usually placed?

Answer 15

in conjunction with another surgury

Question 16

Children with ear tubes need careful monitoring. Name 3 ways how careful monitoring is carried out.

Answer 16

1. post op audiogram
2. follow up every 6 mos: ENT and audio
3. know that tubes tend to extrude after 12 - 18 mos

Question 17

When can behavioral hearing testing begin?

Answer 17

1. later in infancy

2. often begins in the sound field

Question 18

What is a big kind of hearing problem with in children with cleft?

Answer 18

fluctuant hearing loss

Question 19

How does fluctuant hearing loss occur?

Answer 19

• middle ear fluid can change over time and make hearing fluctuate.

Question 20

What is a problem relating to speech that can occur with fluctuant hearing?

Answer 20

Child will not hear all components of speech at “equal” intensity levels

Question 21

Name a reason relating to the brain why fluctuant hearing loss can be a problem?

Answer 21

The brain has to process and reprocess acoustic information.

Question 22

What might be constantly changing for children with fluctuant hearing loss?

Answer 22

acoustic set

Question 23

What kind of monitoring do children with cleft need?

Answer 23

regular and frequent audiologic hearing monitoring

Question 24

What kind of hearing loss do children with middle ear effusion usually have?

Answer 24

mild conductive loss in lower frequencies

Question 25

How is the hearing in children with perforated tympanic membranes affected? What does it depend on?

Answer 25

- mild conductive loss across the speech frequencies | - it depends on the size and location on the eardrum

Question 26

What frequencies does perforations typically affect?

Answer 26

lower and higher frequencies

Question 27

What might happen to hearing in children with tubes?

Answer 27

might have slight roll off in higher and lower frequencies

Question 28

Do tubes make a difference in hearing?

Answer 28

Yes, hearing is usually markedly better than before the tubes.

Question 29

When going over IEP and meeting with the parents. What are 3 things you should always ask for/include?

Answer 29

1. most recent hearing test 2. ask if student with tubes is seeing the ENT every six months 3. hearing information in the present level of functioning

Question 30

True or False: You should assume that hearing status has NOT changed since the last hearing test.

Answer 30

FALSE

Question 31

In regards to hearing, what should you be alert to when working with a child with cleft palate?

Answer 31

be alert to behaviors that suggest hearing has changed

Question 32

Who should you collaborate with?

Answer 32

teachers

Question 33

What should you do if you are struggling with teaching a consonant sound?

Answer 33

Consider if it falls within the problem area for the child's hearing.