Hearing loss in children

Children up to the age of 18 presenting with suspected hearing loss.

Assessment

Signs and Symptoms

  • Hearing loss for more than 4 weeks
  • Speech delay suspected to be secondary to hearing loss

Red flags

Patient with any of the following in addition to hearing loss need to be referred to ENT

  • Combination of nose or throat issues

Management

Hearing loss up to 4 weeks may follow upper respiratory tract infections or acute suppurative otitis media. In the absence of red flags watchful waiting is appropriate in these cases.

Referral

Referral Criteria

Refer to Paediatric Audiology

Patients with:

  • Hearing loss for more than 4 weeks
  • No gross abnormality of tympanic membranes
  • The majority of these patients will have glue ear and are appropriate for the paediatric audiology pathway
Refer to ENT

Patients with:

  • Abnormal tympanic membranes
  • Nose or throat issues in addition to hearing loss

Referral Instructions

Paediatric Audiology referrals

Are made via e-Referral Service:

  • Speciality: Children's & Adolescent Services
  • Clinic Type: Audiology
  • Service: DRSS-Northern-Children's & Adolescent Services-NEW Devon CCG- 99P
ENT referrals

Are made via e-Referral Service:

  • Speciality: Children's & Adolescent Services
  • Clinic Type: ENT
  • Service: DRSS-Northern-Children's & Adolescent Services-NEW Devon CCG- 99P

Referral Forms

DRSS Referral Proforma

Supporting Information

Evidence

NICE surgical management of otitis media with effusion in children CG60

Pathway Group

This guideline has been signed off by the Northern Locality on behalf of NEW Devon CCG.

Publication date: November 2017

 

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