So my five-year-old daughter failed her hearing screening at the pediatrician. Today she went to the ENT and audiologist, where she was discovered to have the following audiogram:
The audiologist did a great job, so I’m pretty confident in the result. As you can see, she has mild bilateral LF loss. Her tymps were fine. No evidence of fluid in the ear. Bone conductivity readings are fine (although they were done with masking because she was getting pretty tired by that point). They also did OAE, which both ears passed, suggesting normal outer hair cell function. As one might expect, she had excellent speech discrimination at 40 dB.
The ENT suggested two courses of action:
Test again in 6 weeks and if the results are unchanged get a CT, or
Get a CT now.
Her thought is that it’s probably a congenital issue. A cholesteatoma might cause the same pattern of loss, but probably not bilaterally. She says she’s never seen bilateral ones in someone her age.
So…what do people think? I confess that it’s even more nerve-wracking when it’s my child with hearing issues than when it’s me. Intellectually I know that it’s a mild loss, probably something she’s always had and been happy and healthy with. Still…it’s my kid.