A one-year-old child has poor hearing. How can I measure his hearing more accurately?

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I believe that parents with babies know that the baby’s hearing must be tested soon after birth, because the incidence of congenital hearing loss is very high now. Poor hearing of babies will cause great trouble to the body and future life.


My one-year-old child has poor hearing. How can I measure his hearing more accurately?

Deaf children will have slow auditory responses and delayed speech development. Children will not be able to actively search for sound sources and will be unable to keep up with the beat when singing or doing exercises. Parents should understand the symptoms of their children’s deafness. If their children If any abnormality occurs, it is best to go to a regular hospital for appropriate examination.


Since children are not as able to cooperate with subjective hearing tests as adults, it is more difficult to make correct judgments about children's hearing. Generally speaking, it is necessary to combine the subjective and objective hearing test results with each other, verify each other's objective hearing results, and combine the characteristics of children of different ages to conduct a comprehensive analysis before making a diagnosis, rather than drawing a conclusion based on one result alone. The examination includes:
1) Objective hearing test: It needs to be performed while sleeping and is suitable for children who cannot cooperate with subjective tests. There are auditory brainstem response (ABR), 40Hz auditory related potential (40Hz-AERP), auditory steady-state evoked response (ASSR), otoacoustic emissions (OAE), and middle ear acoustic impedance.

2) Subjective hearing test (pediatric behavioral audiometry): conducted in a awake state, using different testing methods for children of different ages, which can reflect the condition of the entire auditory pathway. Behavioral observation audiometry (BOA): suitable for children within 2 months; visual reinforcement audiometry (VRA): suitable for 6 months - 2.5 years old; game audiometry (PA): suitable for 2.5 - 5 years old.

Abnormal manifestations of deafness in children
1. Sluggish auditory response: The child is unusually quiet when sleeping and is rarely awakened by loud sounds. When the child's name is called, the child turns around less often and is more sensitive to the sound. Basically unresponsive and unable to actively seek out the surrounding students. If a child appears in these situations, parents should be alert to whether the child has hearing impairment or deafness.
2. Delayed speech development: babies around ten months old cannot make sounds, babies around one and a half years old cannot call mom or dad, and cannot understand what others are saying, nor can they understand what others are saying.The child will not repeat what others say. If the child has these symptoms, it may be caused by deafness or hearing impairment.
3. Abnormal daily behavior and communication: Children usually have irritable temperaments and do not listen to their parents’ instructions. Children with general inattention often answer questions incorrectly and cannot keep up with the rhythm when singing or doing exercises. Parents should pay more attention to their children. If the child has abnormal behavior, it is best to take the child for a detailed examination as soon as possible.


After the baby is born, the hearing must be tested. During the baby's growth process, parents should also check and observe the baby to see if there are any abnormalities in the baby. , if there is any abnormality, be sure to take the baby for examination and treatment, and pay attention to protecting the baby's hearing at ordinary times, otherwise it will cause a lot of trouble for the baby's future life.