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Hearing aid review clinics

We use a range of measures and assessments when fitting or reviewing your child hearing aid(s). Not all of these will be done at every appointment. They are designed to be age/developmentally appropriate for your child and usually children enjoy attending the appointments.

Hearing Tests

At the beginning of each appointment, we will usually try to test your child's hearing across the important speech frequency range. For babies (8 months+) and young children, we may use the test with moving toys and lights in the cabinet and as your child gets older we may play a hearing game.  For school age children, we may ask them to press a button in response to the sounds we present.

We may use your child's earmoulds, which are connected to the audiometer, so that your child can listen for the different pitches of sound that we test.

Otoscopy and Tympanometry

We will look in your child's ears (otoscopy) and takes measurements from the  eardrum (tympanometry). These help in identifying middle ear congestion, perforations, wax blockages all  which may affect your child's hearing.

Fine tuning of the hearing aid(s)

We try to fit hearing aids as accurately as possible. To do this, we take a measurements from your child's ear using a small probe tube (these are called real ear measurements). The tube picks up the sound going through the earmould and from this we are able to get a measure of the size of the ear. This is especially important for babies, who have very small ears.  Knowing the size of your child's ear helps us to set up the level of sound that is needed from the hearing aid.

For babies and young children, this can be a very quick measure - we put the probe tube in the ear, then the earmould, press a button and then your child is free to go and play.  For older children, we may try to carry out the measurements whilst they sit in front of a speaker.

Speech tests

It is important to check how your child's hearing aid(s) help them to hear speech sounds.

  • For young children, we use a test where we play different speech sounds to them whilst wearing their hearing aids. These are sounds like "shh", "ssss", "eeee", "oooh" and "aaah"; we check to see if they are able to hear the difference between the sounds.  We may also try an interactive game(McCormick Toy Test),  involving small  toys which can sound similar (e.g. horse and house). Children are required to point to different toys when asked. 
  • For older children, we may use a computerised speech test and ask them to repeat single words or sentences that are heard through a speaker whilst wearing their hearing aid(s). 

Checking for loudness discomfort

If changes are made to the hearing aids, we may play some loud toys (e.g. musical instruments) or loud noises to your child to check that the hearing aids are set correctly and are not causing distress to your chilld. 

Hearing and listening questionnaires

We may ask you to fill in a questionnaire about your child's hearing and listening. This allows us to monitor your child's hearing and communication development with hearing aids.