THERE ARE MANY MOMENTS OF MEDICAL DEPISAGE DEAFNESS ...
In addition to consultations spontaneous parenting, there are mandatory testing of health status of the child. The hearing shall be inspected during these examinations. Screening is performed at birth and a second in the ninth month and the last 24 months. Note that newborn screening is important but that some deafness develop only after a few weeks. When tuition school doctors also conduct regular hearing tests.
Some cases "at risk" require special attention: family history of deafness, premature birth, taking medication during pregnancy, Rh incompatibility of mother / child infection during pregnancy, trauma or infection at a young age ... etc.
Deafness in children can be a major handicap and should be diagnosed early. A hearing assessment revealed an abnormality is usually completed by a speech therapy and psychological assessment.
Conductive Hearing Loss CHILDREN ...
This is the most common deafness in children. Recall that the hearing loss is due to a disturbance of the outer ear: Pavilion, ear canal or middle ear: eardrum, ossicles and Eustachian tube.
Deafness due to ear disease:
Deafness after an ear infection:
The origin of this disease and its frequency:
Deafness can be a sequela of acute otitis media poorly supported or chronic otitis media. Otitis media is inflammation of viral, bacterial or allergic. This is a common cause of deafness.
What are the possible consequences of severe or poorly treated ear infections?
The inflammatory process in otitis media may affect the operation of the eardrum and ossicles. Inflammatory fluids, purulent debris can accumulate in the middle ear, alter the pressures on both sides of the eardrum and cause chronic infection. The eardrum can be altered and contribute to the chronicity and recurrence of infections. The pus can gradually destroy the bones (bone loss), scarring can cause retraction of structures and lead to decreased mobility of small bones, yet mobility necessary for the transmission of sound. The eustachian tube can also be altered and no longer provide proper ventilation of the middle ear.
What are the symptoms of these effects?
Most often there is a mild or moderate hearing loss, unilateral, non-progressive (except in certain cases). This deafness may be at any age child, adolescent, adult, following an ear infection.
Can we mitigate the effects of an ear infection?
When perforated eardrum can heal without surgical treatment can be offered: it is the tympanoplasty which is to "reconstruct" a healthy tympanic membrane. Restoring a proper hearing (but rarely excellent) varies from 50 to 70%. In other cases we propose an external hearing aid.
The aplasia or malformations of the ear:
What are the aplasia?
These are birth defects, that is to say, present at birth, which are genetic or the result of a disease (rubella, toxoplasmosis mother during pregnancy) or embryo toxicity (medication or drug during pregnancy). These are congenital anomalies more or less identifiable and more or less severe malformation or absence of the flag or the ear canal, malformed ossicles ... etc.
What are their consequences?
These abnormalities are unilateral or bilateral, which do not evolve in time. The consequences in terms of hearing loss vary widely in features of the malformation. The functional impact is rarely important and it should be noted that the inner ear remains intact.
Can we treat aplasia?
Certain malformations, especially those that are bilateral and are very disabling, surgery can achieve a resolution. The surgeries are offered from the age of 7. Before this age it is important to use an external prosthesis so as not to create disability in language acquisition, socialization and schooling.
Deafness following an earwax ...
In recent appearance more or less, often after swimming, conductive hearing loss due to the presence of u earwax is very well resolved after lavage of the ear canal done by a professional.
Deafness associated with other pathologies:
Deafness following acute or chronic otitis media:
When otitis media is generally observed at the same time, a decrease in hearing.
This decreased hearing fades with the resolution of inflammation.
Note that an inadequately treated acute otitis or chronic otitis can have sequelae for deafness.
Hearing loss related to trauma:
During a physical trauma:
In an accident, a fall, a cotton swab pressed too far ... you can sometimes notice a sudden onset of deafness, usually unilateral.
What are the possible injuries and their consequences?
During hemorrhage tympanic deafness is reversible, it fades with the decongestion of the tympanic membrane.
In violation of the integrity of the middle ear (eardrum ruptures, dislocation of bones ...) hearing loss is irreversible.
Can you solve the deafness resulting from physical trauma?
In some cases surgery, including reconstruction tympanoplasty or tympanic, and may be tempted to give good results.