THE CHILD under 3 years in whom a hearing loss is suspected or whose speech is poor, perhaps absent, is usually taken by his parents to the family physician, pediatrician, otologist or, occasionally, to a psychiatrist. The parents, of course, are deeply concerned and are anxious to know whether or not their child is, in fact, hard of hearing and, if so, what caused the defect, as well as, finally, what they can do about it. With regard to such a child, the physician finds it extremely difficult to provide the answers, especially to the first question. The diagnosis of hearing loss in the young child is a formidable problem, and the ordinary physician's office is not equipped to measure the extent of hearing impairment.
The child does not cooperate well. He is fussy, frightened and inattentive. The tests of hearing used for adults are not applicable to the child
MARCUS RE. HEARING AND SPEECH PROBLEMS IN CHILDREN: Observations and Use of Electroencephalography. AMA Arch Otolaryngol. 1951;53(2):134–146. doi:10.1001/archotol.1951.03750020008002
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