Even mild hearing loss can affect a child’s ability to speak and understand language, as well as impact behavioral development. Nemours' audiologists use state-of-the-art technology and innovative testing techniques to assess your child’s hearing sensitivity. We can evaluate and treat hearing at any age, beginning at birth.
Hearing loss in children occurs in an estimated three out of every 1,000 babies born in the United States each year. At Nemours, we are dedicated to finding the best solutions to address each child’s hearing impairment, and we’re committed to counseling and educating families to be advocates for their children in the community.
We have board certified audiologists who are licensed with specialized experience in pediatric audiology.
Our audiologists help diagnose and develop treatment plans for children with hearing disorders such as:
- hearing loss
- (central) auditory processing disorder (APD)
- auditory neuropathy spectrum disorder (ANSD)
- balance (vestibular) and dizziness disorders
At Nemours/Alfred I. duPont Hospital for Children and a number of Nemours Children’s Clinic locations in the Delaware Valley and North and Central Florida, we are also able to provide children with hearing impairment special services.
These services include:
- prescriptions for hearing aids and other assistive and/or amplification devices as well as instruction on the use, care and maintenance of these devices
- cochlear implant, programming and therapy
- counseling for families regarding adjustment to hearing aids and cochlear implants
- specialized programs for children diagnosed with central auditory processing disorder or auditory neuropathy spectrum disorder
- working with a child’s school and teacher to ensure proper classroom equipment and modifications are in place
We look forward to forming close relationships with our patients and monitoring their progress over time.
The Alfred I. duPont Hospital for Children Surgery Center, Bryn Mawr at Nemours duPont Pediatrics, Bryn Mawr
Bryn Mawr Medical Arts Pavilion
825 Old Lancaster Road, Suite 250
Bryn Mawr, PA 19010
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For Appointments: (888) 495-5218
Hours: Wednesdays, 1 p.m. to 4 p.m. Additional hours as needed; please call.
Parking: Valet parking at entrance. Garage parking with convenient skywalk to our suite. Validated parking available for patients and families.
- Susanne Abate, AuD., CCC-A
- Jessica Loson, AuD., CCC-A
- Sarah Zavala, AuD., CCC-A
- photo ID
- medical and pharmacy insurance cards
- preferred pharmacy name and phone number
- names and dosage of all medications, including over-the-counter medication, your child is currently taking
- guardianship and custody papers, if a legal guardian rather than a parent accompanies your child
You may also bring (if available):
- any past test results related to hearing
Auditory disorders and hearing loss in children can cause delays in speech, language and cognitive development. So it's important to diagnose and treat these problems early on.
Audiologists (specialists in pediatric audiology) from Nemours/Alfred I. duPont Hospital for Children come here to Bryn Mawr to perform sedated auditory brainstem response (or "ABR") testing on children who are suspected of having hearing loss, but who can’t participate in the full evaluation. This specialized test evaluates the functioning of the auditory (hearing) nerve and can be used as a predictor of hearing level. For children older than 3 months, we perform this test under sedation to get the most accurate results.
Sedated ABR testing is done at The Alfred I. duPont Hospital for Children Surgery Center, Bryn Mawr, located within Nemours duPont Pediatrics, Bryn Mawr. Here, you and your child can access the same high-level, compassionate care you’ve come to expect from Nemours in a convenient Main Line location.
Auditory Brainstem Response (ABR)
An auditory brainstem response measures whether the auditory nerve transmits sound from the inner ear to the lower part of the brain, and how loud sounds have to be for the brain to detect them. At The Alfred I. duPont Hospital for Children Surgery Center, Bryn Mawr, sedated ABR testing is commonly performed for:
- babies older than 3 months who have failed their newborn hearing screening two times and have been medically cleared of middle ear fluid
- children who are uncooperative for behavioral testing
- children who can’t be reliably tested in a behavioral manner (e.g., developmental delay, syndrome-related, etc.)
The ABR test is not painful. We perform it by placing soft electrodes on your child and a soft tip in the ear canal, which sends a "click" sound to the ear. Our audiologists then measure the neural (nerve) response and determine your child’s threshold of hearing. This testing itself lasts approximately one to two hours; however, your child will remain with us until he or she is fully recovered from the sedative medications.
Because this test is performed under sedation, your child will be under the care of a board-certified Nemours anesthesiologist throughout.
Any time sedation is needed, your child will need to follow some special rules beforehand. For example, your child will need to stop eating and drinking for a certain number of hours before the procedure. Our nurse coordinator will go over all of the specifics with you prior to your appointment. Please note that if these rules aren’t followed, your child’s test will need to be rescheduled.
Rehabilitation and Treatment
If ABR testing reveals that your child has hearing loss or other hearing impairment, our pediatric audiology specialists will make appropriate recommendations based on your child’s specific needs. Your child’s audiologist at The Alfred I. duPont Hospital for Children Surgery Center, Bryn Mawr will work with our extended Nemours pediatric audiology team to provide comprehensive rehabilitation and treatment.