Title: 'ENT, Audiology and Hearing Impaired Children'
Track: 5 - Medical Home
Keyword(s): Hearing loss, diagnosis, multidisciplinary, surgery
Learning Objectives:
  1. Develop a cooperative working relationship between ENT and audiology
  2. Understand the great potential of developing an interdisciplinary hearing impaired clinic.
  3. Understand the diagnostic workup and surgical options available for treating hearing loss


Following referral from a failed newborn screening, relationships between audiologists, otolaryngologists and early interventionists/SLPs are critical. Smooth transition through diagnosis may be affected by many problems including otitis media, ear canal stenosis, or other congenital anomalies that require otolaryngology evaluation early in the evaluation process. The otolaryngologist’s role in management of these issues will be discussed, as well as a process for determining timing and safety for sedation for ABR through collaborative effort by Audiology and Otolaryngology. Results from a recently implemented clinic model for children newly identified and their families will be highlighted. The goals of the “Hearing Impaired Clinic” are to determine etiology of the hearing loss, assess for associated medical, psycho-social and behavioral problems that could affect diagnostic testing and treatment outcome, and provide for interdisciplinary decision making and consultation. Families rotate in one visit through ENT, Audiology, Speech Pathology, Genetics, Family Support and Early Intervention. Case studies will be used to enhance understanding of the value of collaborative effort among all providers and how this model yields valuable information from both a provider and parental view point.
Presentation: 1203CharlesBower.pdf


Handouts: Handout is not Available
Charles Bower - Primary Presenter
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.
Patti Martin - Co-Presenter
Arkansas Children's Hospital
     Credentials: Ph.D. CCC-A F-AAA
     Other Affiliations: NCHAM
      Patti Martin, Ph.D., is the Director of Audiology and Speech Language Pathology at Arkansas Children’s Hospital (ACH). Her areas of expertise include infant screening/assessment, family support and program development. Her efforts with infant hearing screening began with a collaboration project to investigate the efficacy of TEOAEs as a newborn screening tool in the early 1990s and continue through her work on the board of the American Speech-Language-Hearing Association Special Interest Division on Childhood Hearing Disorders and as the Family Support Consultant for NCHAM. She has chaired the Arkansas Board of Examiners in Speech Pathology and Audiology, the Arkansas Universal Newborn Hearing Screening, Tracking and Intervention Boardand the Natinoal Investing in Family Support Conference for the past four years. Dr. Martin’s ongoing passion centers around how professionals can help support families in improving the outcomes of children with hearing loss.

Financial - No relevant financial relationship exist.

Nonfinancial -