Call (905) 553-3155 or email for more information
We help find solutions to the management of your child's health and well-being.
Our hearing screenings are performed by an Audiologist (Sabrina DeToma). An Audiologist is a licensed practitioner that is concerned with the prevention, identification, assessment, treatment and (re)habilitation of auditory and balance difficulties and other related disorders in children and adults. Our audiologist is registered with the College of Audiologists and Speech-Language Pathologists in Ontario (CASLPO).
Signs that a Hearing Screening May Be Appropriate
When a child presents with:
- Delays in articulation (speech is not clear) or language skills (says or understands fewer words than other kids their age)
- Inconsistent response to his or her name
- Difficulty following verbal directions
- Poor academic performance
- Signs or diagnosis of a learning disorder
- Behavioural issues at home and/or at school
- Signs or diagnosis of attention deficit disorder
- Lack of response to whispers
- Need for repetition of statements or questions; says “what” or “hu” often
- Positions one ear towards the person speaking
- Need for television to be loud
- Tugs or rubs ear often
- Sensitivity to loud sounds
We provide hearing screenings for children and teens, from 18 months to 18 years.
The hearing screening aims to determine whether a child can hear within the normal range. If a child is identified with a hearing loss during the hearing screening, a full hearing test will be recommended. The hearing screening takes approximately 15 minutes to complete.
The hearing screening assesses the function of all three parts of the ear:
Outer ear – this is a visual inspection of the child’s pinna (outer ear flap), their ear canal and their eardrum using an otoscope (flashlight). This test rules out any abnormal growths on the ear or in the ear canal, earwax plug or foreign object in the canal, outer ear infection and large eardrum perforation (hole).
Middle ear – this is an objective screening of the middle ear health using a tympanometer machine. A probe is placed at the opening of the ear canal for a few seconds. A pressure and sound wave is emitted and the movement of the eardrum and the pressure in the middle ear space is recorded. This rules out any issues with the eardrum, bones behind the eardrum, eustachian tube (equalizes pressure with the environment), and any growths or fluid in the middle ear space. The child must stay still and quiet during this test to attain accurate results.
Inner ear – the hearing screening protocol for assessment of the inner ear is different based on the age of the child. This test assesses hearing thresholds and/or the function of the delicate hair cells in the cochlea (inner ear). The child must stay still and quiet during this test to attain accurate results.
We have a different testing process depending upon your child’s age. The guidelines below are based on your child’s developmental age which may be different from his/her chronological age.
For children 18 months to 3 years old:
An objective screening of the outer hair cells function in the inner ear is performed using a distortion product otoacoustic emmissions machine. A probe is placed in the opening of the child’s ear canal for approximately 30 seconds. A series of clicking sounds will be emitted and the response of the hair cells in the mid and high frequency range will be recorded. The child must stay still and quiet during this test to attain accurate results.
For children between the ages of 3 and 5:
Hearing threshold levels are attained for four frequencies (500, 1k, 2k and 4k Hz) using play audiometry. The child is conditioned to respond to a sound eg. throwing a block in a bucket. Thresholds are attained using headphones for ear specific information.
For children of ages 5 and older:
Hearing threshold levels are attained for four frequencies (500, 1k, 2k and 4k Hz). The child is instructed to raise their hand when they hear a sound. Thresholds are attained using headphones for ear specific information.
Audiology services are not covered by OHIP, but may be covered under your extended health insurance benefits. Check with your insurance provider for details.
Hearing Screening, including a review of results and recommendations – $40.00