No child is too young to have a hearing evaluation. Screening should start at birth and continue on a regular basis throughout life.
A child’s hearing should be tested immediately if there are any risk factors for hearing loss such as:
family history of hearing loss
ear, head, or neck malformations
history of anoxia or infection at birth
history of the use of ototoxic medications (when a medication damages
the inner ear)
recurrent ear infections
speech and language developmental delays
changes in hearing (for example: listening to the television at high volume,
talking loudly, or not responding when the child's name is called)
In addition, certified audiologists can also help diagnose and develop treatment plans for children with auditory processing disorders (APD), auditory neuropathy spectrum disorders (ANSD), and balance (vestibular) disorders.
Some people are born with hearing impairments, while others incur hearing loss through injuries, infections, or even loud noises. About 28 million Americans are deaf or hearing impaired.
Some students may use hearing aids, which come in various forms that fit inside or behind the ear. Cochlear implants are surgically implanted devices that bypass the damaged inner ear and send signals directly to the auditory nerve. New technologies are making it possible for more hearing-impaired students to attend school and participate in activities with their hearing peers.
Students with hearing impairments may:
wear hearing aids, have cochlear implants, or use FM systems, which include a microphone/transmitter worn by the teacher and a receiver worn by the student
need to use real-time captioning for any audio-visual videos used in the classroom
need voice-recognition software on their computers, which can help with note-taking
understand speech by watching the speaker's mouth movements, facial expressions, and gestures, within context. This skill is called speech-reading or lip-reading.
use ASL (American Sign Language), Cued Speech, or other sign languages
require speech therapy due to delayed speech or language development
need to sit closer to the front of the class to read lips or hear more clearly
need quiet areas
need instructions repeated
Kids and teens with hearing impairments may be self-conscious about their condition, especially around classmates.
What Teachers Can Do
Encourage your hearing-impaired students to participate in all classroom and extracurricular activities.
Most hearing-impaired students can lip-read to some extent, but try to determine how well. To help your hearing-impaired students lip-read, make sure to face them when you talk, talk slowly and clearly, and do not yell. As long as they have their amplifiers on, you can speak in a normal tone. Consider arranging chairs in your classroom in a circle so your hearing-impaired students can interact with classmates.
Use lots of pictures, graphics, and text labels. Try not to turn your back and speak while writing on a board. Remember: Many hearing-impaired students are visual learners.
Check with a special education teacher, speech–language pathologist, or school nurse to see if any assistive hearing devices or other technology might be helpful.
Reviewed by: Mary L. Gavin, MD
Date reviewed: April 28, 2017