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Late Effects

Hearing

 

Therapy

 

Management of established hearing impairments

If hearing loss is detected following cancer treatment, it is important to have it assessed, monitored, and managed by an audiologist.  Hearing loss can interfere with a person's ability to communicate and carry out daily activities socially, educationally, and vocationally.  Younger children with hearing loss for example are at a higher risk for school, learning, speech and language problems, and social difficulties than their age appropriate peers.  As such, it is beneficial that a hearing loss, if present, is diagnosed and managed promptly and effectively so that delays in these areas are less likely.  Further, listening and communication difficulties should be managed in efforts to help maintain quality of life.

Often there are a team of professionals, particularly with children and or young adults, involved to assist a person with the communication difficulties and challenges arising from a hearing loss.  These professionals may include an otologist, physician, audiologist, educational audiologist, teacher of the deaf and hard of hearing, speech language pathologist, social worker, and psychologist. All members of a team work collaboratively to help support and assist a person with hearing loss and help manage communication issues related to the hearing loss.  The amount of care and support needed varies from one person to the next.

Hearing loss classification system used for management:

Brock Grading System For Pediatric Patients23

Description27

Assistance Needed23

Grade 0

Hearing thresholds less than 40 dB HL at all frequencies

Could possibly benefit from sitting closer to the front of the class or other classroom modifications to help their hearing in class

Grade 1

Thresholds 40 dB or greater at 8,000 Hz

Grade 2

Thresholds 40 dB or greater at 4,000-8,000 Hz

Could benefit from assistive devices (ie. Hearing aids), treatment modifications and close monitoring of speech and language

Grade 3

Thresholds 40 dB or greater at 2,000-8,000 Hz

Would for sure benefit from assistive devices [such as hearing aids or cochlear implant] and speech and language evaluations 

Grade 4

Thresholds at 40 dB or greater at 1,000-8,000 Hz

 

 

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