Title: 'EHDI: What do we expect from our local otolaryngologist?'
Track: 5 - Medical Home
Keyword(s): Hearing loss, otitis media, surgery, otolaryngologist
Learning Objectives:
  1. Understand the role of the local otolaryngologist in infants after hearing screening
  2. Understand the diagnostic and surgical management of children's middle ear disease
  3. Understand the various surgical options available for hearing rehabilitation in infants and children


This course will briefly review the role of the otolaryngologist in infant hearing screening programs. The EHDI timetable requires screening by 1 month, audiologic evaluation by 3 months and intervention by 6 months of age. Hearing screening and testing may be affected by many otologic problems including otitis media, ear canal stenosis, or other congenital anomalies. Otolaryngology evaluation should occur early in the evaluation process. The otolaryngologist’s role in management of OME and other causes of conductive hearing loss will be discussed. Middle ear effusion is present in up to 65% of screening failures and should be treated. Myringotomy and tubes may be necessary in up to 35% of these patients. A search for the cause of the hearing loss should be pursued by physical examination, CT scanning, and/or genetic testing. Assessment for associated medical problems that could affect diagnostic testing and treatment outcome is also important. Once hearing loss is confirmed, amplification and referral for speech and language assessment and early intervention is appropriate. Follow-up otolaryngology evaluation to assess for progressive hearing loss, development of new medical problems, and the degree of success of intervention should be performed. The lecture will briefly discuss surgical rehabilitation options including BAHA and cochlear implantation. Family and patient counseling is also essential. Strategies for managing families with newly diagnosed infants will be discussed.
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Charles Bower - POC,Primary Presenter,Author
Arkansas Children's Hospital
     Credentials: Professor and Vice Chairman of the Department of Otolaryngology – Head and Neck Surgery at the University of Arkansas for Medical Sciences, and Chief of Pediatric Otolaryngology at Arkansas Children's Hospital
      Dr. Bower completed medical school and residency at UAMS, and fellowship in Pediatric Otolaryngology in Cincinnati. Dr. Bower is board certified in Otolaryngology and is a fellow of the American Academy of Otolaryngology – Head and Neck Surgery as well as a fellow of the American Academy of Pediatrics. Dr. Bower is a member of ASPO and the American Cleft Palate-Craniofacial Association. Dr. Bower has received numerous awards including being named one of the Best Doctors in America (1996-2012), and the Red Sash and Otolaryngology teaching awards. Dr. Bower has published numerous articles and book chapters on topics including infant hearing screening, sleep apnea, and airway problems.

Financial - No relevant financial relationship exist.

Nonfinancial - No relevant nonfinancial relationship exist.