Summary of the Clinical Practice Guideline

Article Citation

Audiology Clinical Practice Guideline: Cleft Palate/Craniofacial and Syndromic Patients

BC Children's Hospital. (2012).
Vancouver, BC (Canada): BC Children's Hospital, (Website Version), 2-44.
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BC Children's Hospital (Canada); Provincial Health Services Authority (Canada)

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Description

This guideline provides recommendations for the audiologic assessment of children with cleft palate or craniofacial anomalies, and children with syndromes, including CHARGE, Usher, and Down syndrome.

Recommendations from This Guideline

What are Recommendations?

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Screening

All children with cleft palate or craniofacial anomalies, and children with syndromes should receive newborn hearing screening.

Keywords: Hearing, Infants, Early Intervention, Comorbid Diseases and Disorders, Craniofacial Disorders

Assessment

Children should receive audiologic assessment following insertion of myringotomy and/or ventilating tubes.

Keywords: Hearing, Children, Early Intervention, Craniofacial Disorders, Craniofacial Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Craniofacial Disorders, Risk Factors, Risk Factors, Risk Factors

It is recommended that children with aided permanent hearing loss receive audiologic assessment every 6 months through age 4, then annually at 5, 6, 7, 8, and 10 years of age.

Keywords: Hearing, Infants, Children, Early Intervention, Devices, Craniofacial Disorders, Craniofacial Disorders, Amplification, Follow-Up/Timing, Follow-Up/Timing, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Devices, Comorbid Diseases and Disorders, Follow-Up/Timing, Craniofacial Disorders, Devices

If hearing status remains unknown after two infant diagnostic ABR tests, the child should be referred for a consultation with a clinical audiologist. For older children, sedated ABR testing should be considered if hearing status remains unknown after repeated assessments.

Keywords: Hearing, Infants, Children, Early Intervention, Craniofacial Disorders, Auditory Brainstem Response (ABR), Auditory Brainstem Response (ABR), Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Craniofacial Disorders, Referral, Referral

If conductive hearing loss is observed at any time, children should be referred to a general practitioner or otolaryngologist.

Keywords: Hearing, Early Intervention, Craniofacial Disorders, Craniofacial Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Craniofacial Disorders, Provider, Provider, Referral, Referral, Provider, Referral

Since children with cleft palate are at a high risk for conductive hearing loss, these children should receive a full diagnostic ABR [auditory brainstem response test] prior to 3 months of age, then should receive audiologic assessments at 9 months, and at age 2, 3, 4, 5, and 6.

Keywords: Hearing, Infants, Children, Early Intervention, Craniofacial Disorders, Craniofacial Disorders, Auditory Brainstem Response (ABR), Auditory Brainstem Response (ABR), Auditory Brainstem Response (ABR), Follow-Up/Timing, Follow-Up/Timing, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Follow-Up/Timing, Craniofacial Disorders, Risk Factors, Risk Factors, Risk Factors

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Assessment

Children should receive audiologic assessment following insertion of myringotomy and/or ventilating tubes.

Keywords: Hearing, Children, Early Intervention, Craniofacial Disorders, Craniofacial Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Craniofacial Disorders, Risk Factors, Risk Factors, Risk Factors

If hearing status remains unknown after two infant diagnostic ABR tests, the child should be referred for a consultation with a clinical audiologist. For older children, sedated ABR testing should be considered if hearing status remains unknown after repeated assessments.

Keywords: Hearing, Infants, Children, Early Intervention, Craniofacial Disorders, Auditory Brainstem Response (ABR), Auditory Brainstem Response (ABR), Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Craniofacial Disorders, Referral, Referral

Since children with cleft palate are at a high risk for conductive hearing loss, these children should receive a full diagnostic ABR [auditory brainstem response test] prior to 3 months of age, then should receive audiologic assessments at 9 months, and at age 2, 3, 4, 5, and 6.

Keywords: Hearing, Infants, Children, Early Intervention, Craniofacial Disorders, Craniofacial Disorders, Auditory Brainstem Response (ABR), Auditory Brainstem Response (ABR), Auditory Brainstem Response (ABR), Follow-Up/Timing, Follow-Up/Timing, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Follow-Up/Timing, Craniofacial Disorders, Risk Factors, Risk Factors, Risk Factors

For older children, sedated auditory brainstem response (ABR) testing should be considered if hearing status remains unknown after repeated assessments.

Keywords: Craniofacial Disorders, Craniofacial Disorders, Auditory Brainstem Response (ABR), Auditory Brainstem Response (ABR), Comorbid Diseases and Disorders, Comorbid Diseases and Disorders

Additional audiologic assessments (after initial assessments in the first year) may be recommended at age 2, 3, 3½, 4, 5, 6, 7, 8, and/or 10 for children with cleft palate or craniofacial anomalies.

Keywords: Craniofacial Disorders, Craniofacial Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Follow-Up/Timing, Follow-Up/Timing, Follow-Up/Timing, Craniofacial Disorders

Treatment

It is recommended that children with aided permanent hearing loss receive audiologic assessment every 6 months through age 4, then annually at 5, 6, 7, 8, and 10 years of age.

Keywords: Hearing, Infants, Children, Early Intervention, Devices, Craniofacial Disorders, Craniofacial Disorders, Amplification, Follow-Up/Timing, Follow-Up/Timing, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Devices, Comorbid Diseases and Disorders, Follow-Up/Timing, Craniofacial Disorders, Devices

Service Delivery

It is recommended that children with aided permanent hearing loss receive audiologic assessment every 6 months through age 4, then annually at 5, 6, 7, 8, and 10 years of age.

Keywords: Hearing, Infants, Children, Early Intervention, Devices, Craniofacial Disorders, Craniofacial Disorders, Amplification, Follow-Up/Timing, Follow-Up/Timing, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Devices, Comorbid Diseases and Disorders, Follow-Up/Timing, Craniofacial Disorders, Devices

If hearing status remains unknown after two infant diagnostic ABR tests, the child should be referred for a consultation with a clinical audiologist. For older children, sedated ABR testing should be considered if hearing status remains unknown after repeated assessments.

Keywords: Hearing, Infants, Children, Early Intervention, Craniofacial Disorders, Auditory Brainstem Response (ABR), Auditory Brainstem Response (ABR), Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Craniofacial Disorders, Referral, Referral

If conductive hearing loss is observed at any time, children should be referred to a general practitioner or otolaryngologist.

Keywords: Hearing, Early Intervention, Craniofacial Disorders, Craniofacial Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Craniofacial Disorders, Provider, Provider, Referral, Referral, Provider, Referral

Since children with cleft palate are at a high risk for conductive hearing loss, these children should receive a full diagnostic ABR [auditory brainstem response test] prior to 3 months of age, then should receive audiologic assessments at 9 months, and at age 2, 3, 4, 5, and 6.

Keywords: Hearing, Infants, Children, Early Intervention, Craniofacial Disorders, Craniofacial Disorders, Auditory Brainstem Response (ABR), Auditory Brainstem Response (ABR), Auditory Brainstem Response (ABR), Follow-Up/Timing, Follow-Up/Timing, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Follow-Up/Timing, Craniofacial Disorders, Risk Factors, Risk Factors, Risk Factors

Additional audiologic assessments (after initial assessments in the first year) may be recommended at age 2, 3, 3½, 4, 5, 6, 7, 8, and/or 10 for children with cleft palate or craniofacial anomalies.

Keywords: Craniofacial Disorders, Craniofacial Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Follow-Up/Timing, Follow-Up/Timing, Follow-Up/Timing, Craniofacial Disorders

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Screening

All children with cleft palate or craniofacial anomalies, and children with syndromes should receive newborn hearing screening.

Keywords: Hearing, Infants, Early Intervention, Comorbid Diseases and Disorders, Craniofacial Disorders

Assessment

Children should receive audiologic assessment following insertion of myringotomy and/or ventilating tubes.

Keywords: Hearing, Children, Early Intervention, Craniofacial Disorders, Craniofacial Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Craniofacial Disorders, Risk Factors, Risk Factors, Risk Factors

If hearing status remains unknown after two infant diagnostic ABR tests, the child should be referred for a consultation with a clinical audiologist. For older children, sedated ABR testing should be considered if hearing status remains unknown after repeated assessments.

Keywords: Hearing, Infants, Children, Early Intervention, Craniofacial Disorders, Auditory Brainstem Response (ABR), Auditory Brainstem Response (ABR), Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Craniofacial Disorders, Referral, Referral

Since children with cleft palate are at a high risk for conductive hearing loss, these children should receive a full diagnostic ABR [auditory brainstem response test] prior to 3 months of age, then should receive audiologic assessments at 9 months, and at age 2, 3, 4, 5, and 6.

Keywords: Hearing, Infants, Children, Early Intervention, Craniofacial Disorders, Craniofacial Disorders, Auditory Brainstem Response (ABR), Auditory Brainstem Response (ABR), Auditory Brainstem Response (ABR), Follow-Up/Timing, Follow-Up/Timing, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Follow-Up/Timing, Craniofacial Disorders, Risk Factors, Risk Factors, Risk Factors

Additional audiologic assessments (after initial assessments in the first year) may be recommended at age 2, 3, 3½, 4, 5, 6, 7, 8, and/or 10 for children with cleft palate or craniofacial anomalies.

Keywords: Craniofacial Disorders, Craniofacial Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Follow-Up/Timing, Follow-Up/Timing, Follow-Up/Timing, Craniofacial Disorders

Treatment

It is recommended that children with aided permanent hearing loss receive audiologic assessment every 6 months through age 4, then annually at 5, 6, 7, 8, and 10 years of age.

Keywords: Hearing, Infants, Children, Early Intervention, Devices, Craniofacial Disorders, Craniofacial Disorders, Amplification, Follow-Up/Timing, Follow-Up/Timing, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Devices, Comorbid Diseases and Disorders, Follow-Up/Timing, Craniofacial Disorders, Devices

Service Delivery

It is recommended that children with aided permanent hearing loss receive audiologic assessment every 6 months through age 4, then annually at 5, 6, 7, 8, and 10 years of age.

Keywords: Hearing, Infants, Children, Early Intervention, Devices, Craniofacial Disorders, Craniofacial Disorders, Amplification, Follow-Up/Timing, Follow-Up/Timing, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Devices, Comorbid Diseases and Disorders, Follow-Up/Timing, Craniofacial Disorders, Devices

If hearing status remains unknown after two infant diagnostic ABR tests, the child should be referred for a consultation with a clinical audiologist. For older children, sedated ABR testing should be considered if hearing status remains unknown after repeated assessments.

Keywords: Hearing, Infants, Children, Early Intervention, Craniofacial Disorders, Auditory Brainstem Response (ABR), Auditory Brainstem Response (ABR), Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Craniofacial Disorders, Referral, Referral

If conductive hearing loss is observed at any time, children should be referred to a general practitioner or otolaryngologist.

Keywords: Hearing, Early Intervention, Craniofacial Disorders, Craniofacial Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Craniofacial Disorders, Provider, Provider, Referral, Referral, Provider, Referral

Since children with cleft palate are at a high risk for conductive hearing loss, these children should receive a full diagnostic ABR [auditory brainstem response test] prior to 3 months of age, then should receive audiologic assessments at 9 months, and at age 2, 3, 4, 5, and 6.

Keywords: Hearing, Infants, Children, Early Intervention, Craniofacial Disorders, Craniofacial Disorders, Auditory Brainstem Response (ABR), Auditory Brainstem Response (ABR), Auditory Brainstem Response (ABR), Follow-Up/Timing, Follow-Up/Timing, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Follow-Up/Timing, Craniofacial Disorders, Risk Factors, Risk Factors, Risk Factors

Additional audiologic assessments (after initial assessments in the first year) may be recommended at age 2, 3, 3½, 4, 5, 6, 7, 8, and/or 10 for children with cleft palate or craniofacial anomalies.

Keywords: Craniofacial Disorders, Craniofacial Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Follow-Up/Timing, Follow-Up/Timing, Follow-Up/Timing, Craniofacial Disorders

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Assessment

Children should receive audiologic assessment following insertion of myringotomy and/or ventilating tubes.

Keywords: Hearing, Children, Early Intervention, Craniofacial Disorders, Craniofacial Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Craniofacial Disorders, Risk Factors, Risk Factors, Risk Factors

Since children with cleft palate are at a high risk for conductive hearing loss, these children should receive a full diagnostic ABR [auditory brainstem response test] prior to 3 months of age, then should receive audiologic assessments at 9 months, and at age 2, 3, 4, 5, and 6.

Keywords: Hearing, Infants, Children, Early Intervention, Craniofacial Disorders, Craniofacial Disorders, Auditory Brainstem Response (ABR), Auditory Brainstem Response (ABR), Auditory Brainstem Response (ABR), Follow-Up/Timing, Follow-Up/Timing, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Follow-Up/Timing, Craniofacial Disorders, Risk Factors, Risk Factors, Risk Factors

For older children, sedated auditory brainstem response (ABR) testing should be considered if hearing status remains unknown after repeated assessments.

Keywords: Craniofacial Disorders, Craniofacial Disorders, Auditory Brainstem Response (ABR), Auditory Brainstem Response (ABR), Comorbid Diseases and Disorders, Comorbid Diseases and Disorders

Additional audiologic assessments (after initial assessments in the first year) may be recommended at age 2, 3, 3½, 4, 5, 6, 7, 8, and/or 10 for children with cleft palate or craniofacial anomalies.

Keywords: Craniofacial Disorders, Craniofacial Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Follow-Up/Timing, Follow-Up/Timing, Follow-Up/Timing, Craniofacial Disorders

Treatment

It is recommended that children with aided permanent hearing loss receive audiologic assessment every 6 months through age 4, then annually at 5, 6, 7, 8, and 10 years of age.

Keywords: Hearing, Infants, Children, Early Intervention, Devices, Craniofacial Disorders, Craniofacial Disorders, Amplification, Follow-Up/Timing, Follow-Up/Timing, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Devices, Comorbid Diseases and Disorders, Follow-Up/Timing, Craniofacial Disorders, Devices

Service Delivery

It is recommended that children with aided permanent hearing loss receive audiologic assessment every 6 months through age 4, then annually at 5, 6, 7, 8, and 10 years of age.

Keywords: Hearing, Infants, Children, Early Intervention, Devices, Craniofacial Disorders, Craniofacial Disorders, Amplification, Follow-Up/Timing, Follow-Up/Timing, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Devices, Comorbid Diseases and Disorders, Follow-Up/Timing, Craniofacial Disorders, Devices

If conductive hearing loss is observed at any time, children should be referred to a general practitioner or otolaryngologist.

Keywords: Hearing, Early Intervention, Craniofacial Disorders, Craniofacial Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Craniofacial Disorders, Provider, Provider, Referral, Referral, Provider, Referral

Since children with cleft palate are at a high risk for conductive hearing loss, these children should receive a full diagnostic ABR [auditory brainstem response test] prior to 3 months of age, then should receive audiologic assessments at 9 months, and at age 2, 3, 4, 5, and 6.

Keywords: Hearing, Infants, Children, Early Intervention, Craniofacial Disorders, Craniofacial Disorders, Auditory Brainstem Response (ABR), Auditory Brainstem Response (ABR), Auditory Brainstem Response (ABR), Follow-Up/Timing, Follow-Up/Timing, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Follow-Up/Timing, Craniofacial Disorders, Risk Factors, Risk Factors, Risk Factors

Additional audiologic assessments (after initial assessments in the first year) may be recommended at age 2, 3, 3½, 4, 5, 6, 7, 8, and/or 10 for children with cleft palate or craniofacial anomalies.

Keywords: Craniofacial Disorders, Craniofacial Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Comorbid Diseases and Disorders, Follow-Up/Timing, Follow-Up/Timing, Follow-Up/Timing, Craniofacial Disorders

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