Patient Story

ENT: Courtney
On the day she was born, Courtney failed a hearing test conducted by Nemours. She failed the test again before leaving the hospital. After more tests ...
Related Programs
Audiology and Hearing

An estimated three out of every 1,000 babies born in the United States each year have some degree of hearing loss. Even a mild hearing loss can affect a child’s ability to speak and understand language, as well as his or her social, emotional, and cognitive development.
Nemours audiologists use state-of-the-art technology and special testing techniques to assess a child’s hearing sensitivity. They can evaluate hearing at any age, beginning at birth. Testing will determine if the child has a hearing loss, as well as the nature of that loss. When audiologists do identify a hearing loss, they make appropriate recommendations for the earliest possible intervention and care.
We are dedicated to finding the best solutions to address each individual child’s hearing impairment. We’re committed to counseling and educating families so that they may serve as confident advocates for their child in every setting. We provide specific treatment recommendations, which may include at-home or school-based therapies, or Early Intervention services. We can also offer guidance about and referrals to agencies and educational programs that may be helpful to your child. We look forward to forming close relationships with our patients and monitoring their progress over time.
For children diagnosed with hearing impairment we provide:
- prescriptions for hearing aids and other assistive devices
- cochlear implant programming and audiological monitoring of implant performance
- auditory-verbal therapy sessions to maximize the benefits of cochlear implantation
- counseling for families regarding adjustment to hearing aids and cochlear implants
- instructions on the use, care, and maintenance of amplification systems
- a specialized program for children with auditory neuropathy spectrum disorders
- facilitation of the mainstream process, including teacher and peer education sessions and recommendations for classroom equipment and modifications
In addition to our work with children with hearing loss, Nemours audiologists also help diagnose and develop treatment plans for children with auditory processing disorders (APD). Children with APD can't process the information they hear in the same way as others because their ears and brain don't fully coordinate. APD is diagnosed through very specific testing, though usually not before age 8 or 9. Children with the disorder often benefit from speech therapy, in which they learn coping strategies and techniques to help them compensate for their auditory processing challenges.
The Center for Pediatric Auditory and Speech Sciences (CPASS) is dedicated to translational research in the audiological and speech sciences with the goal of advancing the practice of pediatric health care in related areas, while simultaneously advancing the underlying science.
Current research projects within the Auditory Physiology and Psychoacoustics Laboratory (APPL) within CPASS include three externally funded studies:
The first study examines auditory, speech and vestibular abilities in patients with Friedreich ataxia (an inherited disease that causes progressive damage to the nervous system and can result in gait disturbance and speech problems).
The second study will investigate the hearing aid and frequency modulation performance in children with auditory neuropathy spectrum disorder (ANSD: a problem with transmission of sound from the inner ear that makes sound disorganized by the time it reaches the brain).
The third study will investigate the medial olivocochlear bundle (a tract of nerve fibers that originate in the brainstem and transmit sounds from the ear) and speech-in-noise deficits in children with auditory processing disorders.
The APPL also runs a clinical program targeting the diagnosis and management of ANSD in infants and children, and maintains a database to help identify risk factors that can be helpful for early intervention.
Quick Links
Trusted Resources
- American Speech-Language-Hearing Association
- National Institute on Deafness and Other Communication Disorders
- American Academy of Audiology
- American Academy of Pediatrics (AAP)
- National Institute on Deafness and Other Communication Disorders
- American Academy of Family Physicians
- American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS)
- HandSpeak
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