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'Delayed Onset of Hearing Loss in Children'

Children whose onset of loss is delayed do not benefit from the safety net provided by neonatal hearing screening. Children at significant risk for progressive sensorineural hearing loss include those with inner ear malformations, Connexin 26 mutations, Charge syndrome, congenital CMV, auditory neuropathy spectrum disorder, history of congenital diaphragmatic hernia, and bacterial meningitis. Children with complex neonatal histories requiring neonatal intensive care unit care as also considered to be at risk for delayed onset hearing loss. However, children who have no identifiable risk factor or etiology that places them in a risk category also may experience delayed onset and progressive loss. Diagnoses and risk factors often associated with delayed onset hearing loss will be reviewed as well as our approach to monitoring children with hearing loss. The presentation will include case studies. The finding of a study done at our medical center which revealed that 30% of children who received a cochlear implant had passed newborn hearing screening will be presented. The average age of diagnosis of the implanted children who had passed newborn hearing screening was significantly older that those who had failed hearing screening. The implications of these findings will be discussed.

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Presented by Nancy Melinda Young and Lisa Weber


Nancy M Young is Professor of Otolaryngology Head and Neck Surgery at Northwestern University Feinberg School of Medicine. Head of the Section of Otology & Neurotology within the Division of Pediatric Otolaryngology and Medical Director of the Audiology and Coclear Implant Programs at Children's Memorial Hospital in Chicago, Illinois. A Fellow of the Hugh Knowles Hearing Center of Northwestern University School of Communication in Evanston, Illinois. Course Director of the 13th Symposium on Cochlear Implants in Children, a multidisciplinary international comference-Chicago, July 2011. Dr Young completed a fellowship in Neurotology prior to dedicating her clinical practice to the pediatric population. Areas of special interest include diagnosis and management of hearing loss, surgical implants to address hearing loss, congenital and acquired cholesteatoma, and management of children with Ushers syndrome, auditory neuropathy spectrum disorder, Charge syndrome and post-meningitic deafness. Currently serves as Co-Chair of the State of Illinois Newborn Hearing Screening Advisory Committee.

Lisa Weber Au.D, CCC-A is a licensed Audiologist and a graduate of Indiana University. She has practiced as a clinical Audiologist specializing in cochlear implants since June 2001. She served as the clinical director and cochlear implant program coordinator of a large ENT practice in Fort Wayne, Indiana prior to joining the staff at Children’s Memorial Hospital in October, 2008. Lisa completed her clinical doctorate in Audiology (AuD) through Salus University in December 2009. Lisa continues to specialize in cochlear implants, bone conduction hearing systems and electrophysiology testing.

Grand A
Sunday March 4, 2012
2:30 PM - 5:00 PM