The Handbook of Pediatric Audiology by Sanford Gerber

By Sanford Gerber

Now on hand in paperback; ISBN 1-56368-109-9

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They are prone to function significantly below their potential. They are "at risk" children. The interview is a time to trade information and assess attitudes. Let the parents share your experiences so that they can better understand your concern and your eventual conclusions. The history they relate to you must be evaluated carefully. Why are they focused on certain areas and not on others? What secondary family games are being played? What do they expect from you? Your assessment of the temperament of the involved parties can be exceptionally rewarding.

To genetic causes; it can be attributed to prenatal, perinatal, or postnatal causes. 2. Infectious Causes Maternal rubella has decreased dramatically in the western world, thanks to widespread immunization. This infection continues to be a problem in the developing countries, however. Hearing loss is the single most common abnormality resulting from congenital rubella. When sensorineural hearing loss is the sole manifestation, a link to rubella is difficult to confirm and depends upon maternal history and laboratory tests (Ruben and Rapin 1988).

The hearing loss begins by ten years of age and is progressive (Preus and Fraser 1971). If untreated, affected males frequently die by the third decade of life (Ruben 1983). Summary Because sensorineural hearing loss is often inherited, the relative importance of this condition is bound to increase, especially as defects due to other diseases decrease with advancement of medical care. With new developments in genetics and gene mapping, identification of genetic hearing loss is becoming more critical.

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