Audiology Services

Peyton Manning Children’s Hospital

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For information about ENT and Pediatric Audiology Services call 317-338-6815

St. Vincent Pediatric Communications Center

Located at the Peyton Manning Children’s Hospital
Ear, Nose and Throat Center
8402 Harcourt Road, Suite 400
On the St. Vincent Indianapolis campus
Map & Directions
Self-referrals accepted based on your health insurance.

With special recognition to the Fraternal Order of Eagles, Indiana State Aerie & Friends for their gift and support of this pediatric hearing center.

The ENT Center and Pediatric Communications Center provides a full range of audiology services from testing, non-surgical and surgical interventions (cochlear implants, bone-anchored hearing aids) to family-centered education. Our certified pediatric audiologists have extensive experience working with children of all ages. We specialize in best-in-care practices for the hearing impaired with a family-centered approach. Our ongoing care and support continues as your child grows and includes the coordination of related services such as speech therapy.

Hearing loss facts about children

  • Every 36 hours a baby with hearing loss is born.
  • Majority of children (92%) with permanent hearing loss are born to parents with normal hearing.
  • 2-3 per 1,000 children at birth are diagnosed with hearing loss bilaterally.

To learn more see – Signs of hearing loss in children below.

Signs of Hearing Loss in Children

Often parents and caregivers are the first to notice a hearing problem. Hearing loss can start at birth or develop throughout childhood. The critical period of speech and language development is from birth to 3 years of age. If you suspect a hearing problem, contact your physician, or call the St. Vincent Pediatric Communications Center directly.

Our pediatric ENTs and audiologists are professional yet approachable. As a team, we are focused on the importance of hearing and the impact it has on a child’s communication, learning development, social skills, and vocational choices.

Newborn Hearing Screenings

The 1-3-6 month approach is recommended by the Indiana State Department of Health, Early Hearing, Detection and Intervention (EHDI) https://secure.in.gov/isdh/26082.htm  In 2000, Indiana was one of the first states to mandate universal newborn hearing screenings, and we continue to be a leader in maintaining early identification and follow-up rates.

Best practice mandates that every child who does not pass this newborn hearing screening test should be seen for a diagnostic hearing evaluation.

  • By 1 month old — Have an initial newborn hearing screening
  • By 3 months old — Diagnostic auditory brainstem response (ABR)– this is a diagnostic tool for measuring hearing when more conventional hearing tests cannot be used.
  • By 6 months old — Begin appropriate hearing and speech interventions

To schedule hearing testing, call the Pediatric Communications Center at 317-338-6815. Throughout the testing sequence, we provide families with educational resources and will send results to your primary care physician.

Newborn/Baby Hearing Checklist

An infant with normal hearing should be able to do the following:

Around 2 months of age

  • Startles to loud sound
  • Quiets to familiar voices
  • Makes vowel sounds like “ohh”

Around 4 months of age

  • Looks for sound sources
  • Starts babbling
  • Makes squeals and chuckles

Around 6 months of age

  • Turns head toward loud sounds
  • Begins to imitate speech sound
  • Babbles sounds like “ba-ba”

Around 9 months of age

  • Imitates speech sounds of others
  • Understands “no-no” or “bye-bye”
  • Turns head toward soft sounds

Around 12 months of age

  • Correctly uses “ma-ma” or “da-da”
  • Gives toy when asked
  • Responds to singing or music

Adapted from the American Academy of Audiology (information sheet) Hearing Loss and Infant Hearing Screening. http://www.audiology.org/publications-resources/consumer-information/fact-sheets

Hearing Tests for Children

Our experienced audiologists administer tests specific to your child’s needs and age group. We offer the following tests:

Auditory brainstem evolved response (ABR) testing (sedated and non-sedated) is available for children of all ages. This is an objective test of auditory (hearing) function that looks for a specific pattern of brainwaves to detect the softest level of sound a child can hear. For ABR instructions click here…

Behavioral audiometry – This subjective behavioral test is used to detect the softest level at which a child can hear across different frequencies and to speech.

Extended high-frequency audiometry – A subjective test used to monitor the hearing status of children who have been exposed to potentially ototoxic medications such as chemotherapy.

Otoacoustic emissions testing –This objective test measures sounds to the level of the hearing organ, the cochlea.

Tympanometry – This objective test is used to determine the status of the middle ear.

 

Hearing Aid Devices for Children (Amplification Options)

There are several types of hearing aid options available to families that may be recommended by the audiologist based on the degree, type and configuration of the hearing loss. These include traditional behind-the-ear hearing aids, bone-anchored hearing aids (BAHA), and cochlear implants.

Digital Hearing Aids

Behind-the-ear hearing aids are commonly recommended for most hearing losses. Following an appropriate diagnostic evaluation, hearing aids will be fit as young as infancy.

children-hearing-cochlear-implant
Bone-Anchored-Hearing-Aids

Bone-anchored Hearing Aids (BAHA)

This device allows stimulation via bone conduction to the inner ear for patients with conductive hearing loss or single-sided deafness. Although the surgical approach is recommended for children over five years of age, a non-surgical option is available for younger children.

Child with anchored hearing aids

Cochlear Implant (CI)

Children who are candidates for a cochlear implant will receive a surgically implanted electrode array that is inserted into the cochlea as an external device. The internal and external devices working together send electrical current to the hearing nerve.

Loaner Hearing Aid Program

Through this program and generous donations from Psi Iota Xi, our audiologists also help children and families navigate the financial aspects of acquiring the hearing aid device.

  • Amplification for a trial period of 3 months prior to cochlear implant surgery which is required by insurance.
  • Amplification for patients while their personal hearing aids are off for repair/cleaning so that the child is never without sound.

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