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Cochleo-palpebral reflex test if necessary. This recommendation made by the Brazilian Committee on Hearing Loss in Children in 2000 should be reviewed so that we can implement neonatal hearing screening programs that do not bring excessive cost and professional stress, given that we may miss children that have cochlear mild to severe hearing loss and recruiting, in addition to unilateral hearing losses when we use this behavioral procedure in neonatal screening programs. After neonatal hearing screening, the cases that fail hearing screening are referred to diagnostic procedure within the first month of life. The diagnosis will then comprise medical and audiological assessment. Once again, we shall state that electrophysiology of hearing can bring great contribution to these cases. Even though the neonate is still in the process of maturational development, ABR is a procedure that may clarify whether there is a hearing loss that should be managed. Audiological assessment counts on a battery of tests: behavioral assessment with calibrated sounds, immittanciometry with tympanometry and acoustic reflex with 1000 Hz probe, evoked transient and distortion product otoacoustic emissions, evoked brainstem response either by air and bone conduction, plus specific frequencies tested with tone burst; currently, much has been said about steady-state evoked potential that can objectively assess both ears in frequencies 500, 1000, 2000 and 4000 Hz in very young children, such as in the case of neonatal hearing screening. The test may be performed in free field to collect information with and without hearing aids. Information obtained about hearing status of the neonate or the infant with deafness allows the attending professional to precisely define the type and regulation of hearing aids because he is aware of the child's residual hearing potential. By doing so, we realize it is feasible to have an intervention approach on maturation of peripheral and central auditory pathways, sensorial deprivation and neuronal plasticity, and electrophysiology of hearing plays its role both in identifying and diagnosing, as well as in following up the development of these children. Recommended reading 1. Hood LJ. Clinical Applications of the Auditory Brainstem Response, Singular Publishing Group, Inc., San Diego, 1998. 2. JOINT COMMITTEE ON INFANT HEARING, Year 2000 Position Statement: Principles and Guidelines for Early Hearing Detection and Intervention Programs, American Journal of Audiology, Vol 9, 9-29, June 2000. 3. Lewis DR. As habilidades auditivas do Recm-Nascido e a Triagem Auditiva Neonatal, in Andrade, C.R.F. org. ; - Fonoaudiologia em Berrio Normal e de Risco, Ed. Lovise, 1996. 4. NATIONAL INSTITUTES OF HEALTH CONSENSUS STATEMENT, Early Identification of Hearing Impairment in Infants and Young Children, NIH, 11 1 ; : 1-23, 1993. 5. Spivak LG. Universal Newborn Hearing Screening. Thieme, New York, 1998 and cafergot and atarax, for instance, aharax indications.
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