I very much appreciated Dr Angeli's summary article assessing—as they stand in 2002—the pros and cons of early vestibular screening in children with documented SNHL. It is obviously true that the detection of sensory deficits at the earliest possible time permits better rehabilitation for children who might not compensate on their own for their developmental deficit. As I see it, the issue breaks down into 3 questions: (1) How feasible is early childhood screening? (2) What is the expected incidence of finding abnormalities by routinely screening all children with SNHL? and (3) What can be done with the information received?
Goebel JA. Should We Screen Hearing-Impaired Children for Vestibular Dysfunction?. Arch Otolaryngol Head Neck Surg. 2003;129(4):482-483. doi:10.1001/archotol.129.4.482