Sensorineural Hearing Loss – Treatment in Children We have known that sensorineural hearing loss is quite prevalent among children in different ways. Some are inborn deficiencies while some are acquired through various causes. Whatever the cause may have been, what is important is getting the proper management and treatment for this ailment among children.
Treatment of Sensorineural Hearing Loss
One study says that the management and the treatment of sensorineural hearing loss is by large, involve the social welfare as well as the educational system of the entire community or society. It does not require much of the medical care system not like the usual clinical condition of a person. We may wonder how this is so.
The premise is based on the theory that early identification of the hearing impairment among children specifically new borns, can improve their speech and language and decrease its expected lifetime expenses caused by the sensorineural hearing loss. For this reason, hearing screening programs at the onset of the baby’s life after birth were established. The detection of children with hearing loss is recommended to fall at 6 months from birth or younger. And this has been made universal.
Children with Bilateral Sensorineural Hearing Loss Problems
For most cases, children with bilateral sensorineural hearing loss problems at a moderate degree find hearing aids or a frequency modulation device appropriate, however, for severe to intense hearing loss, management and habilitation may be more complex. For this kind of severe problem, parents play an important role on the process of development of the child’s hearing, thus, as early as possible, parents must decide focusing its choice on the kind of communication to be adopted on the child.
Usually, in this case, the options are considered generally as auditory-oral, including that of verbal training or oral training, also lip reading and the cued speech; the visual or manual training which employs gestural training such as the recognized sign language; and the combination of both speech and signs which is referred to as the total communication. These are possible and less-cost management and habilitation of sensorineural hearing loss of older children.
Cochlear Implantation Treatment in Children
Another possible treatment which can be considered is the cochlear implantation. This has become a standard treatment for infants who were diagnosed having the sensorineural hearing loss ailment in the areas where hearing aids that fit well and intensive auditory training are less feasible. This is usually done as a pediatric implantation for infants who display puretone average of not lower than 100 dB. Successful implantation shows that children treated and implanted at the age between 12 to 36 months old have better speech perception than those treated at the later ages like 37 to 60 months old. This only may mean that children perform a lot better after the implantation when it’s done at a very young and tender age.
Sensorineural Hearing Loss Studies
In some studies, there is a need to determine the onset of the hearing loss. Late detection accordingly, can adversely affect the habilitation options. Like meningitis, ossification of the coclea can only occur sooner as 2 months after meningitis. If this happens, complication makes the cochlear implantation difficult or impossible. Thus, it is vital that early identification of sensorineural hearing loss be made to prevent complications.
A varied analysis has showed that there are several important variables that predict bacterial meningitis that is associated with hearing loss. They are: the duration of its symptoms more than a couple of days, the absence of petechiae, glucose concentration in cerebrospinal fluid about .6 mmol/L or lower, and 2 others. So, all children diagnosed with bacterial meningitis most likely will be screened to determine the presence of sensorineural hearing loss in them.
Importance of Sensorineural Hearing Loss Treatment
What commonly happens if the child has sensorineural hearing loss is to treat him before reaching the school age. This is usually for children with moderate to profound ailment. Developing them in their speech and training them with the appropriate approach that is most applicable to them. Thus, it is more on the social, emotional and educational support treatment rather than the medical and physical management that counts on this matter.