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 screening tests 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 Test 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 screening tests for children and teens, from 18 months to 18 years.
The hearing screening test aims to determine whether a child can hear within the normal range. If a child has a hearing loss, a hearing test will inform their parents which portions of hearing (high, middle, or low frequencies) are affected and to what degree. The hearing test can also inform parents which of the three parts of the ear are contributing to the hearing loss (outer, middle or inner ear). The testing takes approximately 15 minutes.
The hearing test 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 assessment 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 test 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).
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 assessment of the outer hair cells of 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 Test, including a review of results and recommendations – $40.00