OME Pathway - Audiometry
Audiometry is best reserved for uncomplicated clinical OME without corroborating history of hearing loss.
Audiometry is not needed where there is reported hearing loss.
Child is <3 years old. Refer to Audiology (Whakatane or Tauranga Hospital)
Child is >3 years old. Refer to VHT
- The above age is a guildeline. Children seeing VHT need to be able to undertand and follow instructions.
- Audiology assessment is much more time intensive, so best kept for very young children or suspicion of pre-existing hearing loss.
Clinical Knowledge Summaries (CKS) define hearing loss and expected auditory behaviours in children with otitis media with effusion (OME) within the following thresholds of hearing levels (decibels [dB]) :
- threshold more than 40 dB:
- communication, learning, and socialisation significantly affected
- child understands conversational speech only within a distance of 1-1.5 metres (face-to-face)
- threshold of 25-39 dB:
- has difficulty with selective hearing and background noise
- has significant difficulty with faint or distant speakers
- may mimic attention problems
- threshold less than 25 dB:
- may exhibit fatigue due to listening effort
- may have difficulty with faint or distant speakers
 Clinical Knowledge Summaries (CKS). Otitis media with effusion. Version 1.0. Newcastle upon Tyne: CKS; 2007.
Last updated : Thursday, May 18, 2017
Next review date : Friday, May 18,2018
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