Paeds Cases · investigations-procedures-and-technology
Interpret a referred newborn hearing screen — OSCE
OSCE investigation-interpretation and counselling station: a 5-week-old infant referred on the newborn hearing screen. Interpret the diagnostic audiogram, tympanogram, otoacoustic emissions and auditory brainstem response together, recognise the OAE-present-ABR-absent pattern of auditory neuropathy spectrum disorder, explain the 1-3-6 milestones, and counsel the anxious parents.
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You have this station to interpret a set of paediatric hearing-test results and to counsel the parents of a 5-week-old infant referred on the newborn hearing screen. Read the four tests together — the audiogram, the tympanogram, the otoacoustic emissions and the auditory brainstem response — identify the pattern they produce, explain the diagnosis and the next steps in plain language, and demonstrate that you understand why an OAE-only screen can miss the diagnosis and what the 1-3-6 timeline means for this family. [11] [2]
References4ShowHide
- [1]Harlor AD Jr, Bower C Hearing assessment in infants and children: recommendations beyond neonatal screening Pediatrics, 2009.PMID 19786460
- [11]Santarelli R, Scimemi P, Cama E, Domínguez-Ruiz M, et al Preservation of Distortion Product Otoacoustic Emissions in OTOF-Related Hearing Impairment Ear Hear, 2024.PMID 37677959
- [3]Gellrich D, Eder K, Echternach M, Gröger M, et al A Comparison of 226- and 1000-Hz Probe Tone Tympanometry With Myringotomy Findings in Infants Am J Audiol, 2024.PMID 39413047
- [2]Awad R, Oropeza J, Uhler KM Meeting the Joint Committee on Infant Hearing Standards in a Large Metropolitan Children's Hospital: Barriers and Next Steps Am J Audiol, 2019.PMID 31084570