PPM –Evaluation of the Individual with Early Onset Hearing Loss-Early Onset Hearing Loss Checklist

Early Onset Hearing Loss Checklist

Pdf Summary

This document provides a checklist for evaluating individuals with early onset hearing loss. It emphasizes the importance of gathering medical and birth history, including prenatal and neonatal complications and exposures. It also emphasizes the need to document characteristics of the hearing loss, such as screening results, type of hearing loss, age of onset or diagnosis, progression, severity, configuration, and vestibular dysfunction. The document recommends conducting a three-generation pedigree and family history to determine if there is a pattern of hearing loss in the family. Physical exams should include a description of the outer ear and related dysmorphisms or abnormalities. Testing for cytomegalovirus is also recommended for infants under one month of age. Pre-test counseling for genetic testing is advised, as well as reviewing or recommending temporal bone imaging results. Other medical testing, such as thyroid, EKG, and renal ultrasound, may be necessary depending on the individual. It is important to document that the patient is receiving ENT, audiology, speech services, and school services. In addition, the document suggests discussing hearing support groups and reviewing genetic testing results if applicable. Follow-up evaluations every two years, or as needed based on clinical indications, are also recommended.

Keywords

early onset hearing loss

medical history

birth history

hearing loss characteristics

vestibular dysfunction

family history

cytomegalovirus testing

genetic testing counseling

temporal bone imaging

follow-up evaluations