Purpose: The current Joint Committee on Infant Hearing guidelines recommend that infants with syndromes or craniofacial abnormalities (CFAs) who pass the universal newborn hearing screening (UNHS) undergo audiological assessment by 9 months of age. However, emerging research suggests that children with these risk factors are at increased risk of…

This manuscript describes a pilot project in which infants in Guam who refer on newborn hearing screening receive diagnostic audiological evaluation conducted by audiologists in Colorado over the Internet (telepractice). The evaluation is completed in real time using commercially-available software and personal computers to control the diagnostic…

Because newborn hearing screening has become the standard of care in the United States, every state has established an early hearing detection and intervention (EHDI) program responsible for establishing, maintaining, and improving the system of services needed to serve children with hearing loss and their families. While significant developments…

The limitations of noisemakers and speech in detecting marked high-frequency hearing impairment in young children are illustrated by special analysis. (Author)

Infant hearing screening is emerging rapidly as a silent global revolution for the early detection of children with congenital or early onset hearing loss to ensure timely enrollment in family-oriented intervention programs for the development of spoken language. This article examines the overriding and interrelated scientific, ethical and…

Infants (n=34) were tested on a speech-sound discrimination-in-noise task using the visual reinforcement of infant speech discrimination procedure. An adult control group was also tested. The infant-adult difference in discrimination threshold in noise was 6.9 dB. Advantages of this adaptive threshold procedure and possible applications are noted.…

Study measures the precision of auditory localization in 26- to 30-week-old infants using the adult minimum audible angle test. Results show that infants discriminate sound displacements of about 19 degrees, considerably less accurate than adult values of one to two degrees. (Author/RWB)

Case study reports a case of Munchausen Syndrome by Proxy, a form of child abuse in which the mother presents a child for treatment for a condition she herself has invented or created. This case study describes the ways in which a mother obtained a diagnosis of sensorineural hearing loss as well as amplification for her normally hearing infant.…

Long-term effects on auditory electrophysiology from early fluctuating hearing loss were studied in 27 children, aged 5 to 7 years, who had been evaluated originally in infancy. Findings suggested that early fluctuating hearing loss disrupts later auditory brain stem electrophysiology. (Author/DB)

Response and reinforcement features of operant discrimination paradigms used in audiometric assessment were investigated with normal 17-month-old children. Findings indicated more responses prior to onset of habituation when response tasks involved complex central processing skills and a twofold increase in number of subject responses when…

A standard operant procedure, Visual Reinforcement Audiometry, was modified to enhance 16 infants' attention to impending auditory signals. The modified technique achieved an average 5.5 dB improvement in threshold over the conventional technique. Correction for adult performance in similar tasks indicated a 3.3 dB attentional effect between…

Information is presented about the auditory development of infants and toddlers with hearing impairments, the goals of amplification, and how amplification is selected and assessed. Practical points to enhance hearing aid use and adjustment are offered. (Author/DB)

A study of 44 infants who suffered asphyxia during the perinatal period examined the influence of perinatal asphyxia on the maturation of auditory pathways by serial recordings of the brainstem auditory evoked potentials (BAEP). The general maturational course of the BAEP following asphyxia was similar to a control group. (Author/CR)

The feasibility of using a community based high risk register to identify infants with hearing loss was evaluated. For all newborns at the hospital, information obtained from the hospital chart and from the mother Informed parents and physicians about children considered to be at risk for hearing loss. Testing was scheduled for 6 months from the…