From New Born Screening to Hearing Implantation – An Update on Paediatric Hearing Loss Management

Dr Jafri Kuthubutheen1 , Hayley Herbert1

Princess Margaret Hospital For Children, Subiaco, Australia

Hearing loss in children continues to be a significant health issue in Australia. Since the implementation of universal newborn hearing screening, the diagnosis of congenital hearing loss has been made earlier than ever before. With the increasing evidence for early intervention including early cochlear implantation, the management of these patients presents a unique set of challenges for the treating professional. Patients with progressive or delayed onset sensorineural hearing loss, single sided deafness and complex conductive hearing losses also present with their own unique set of challenges.

At Princess Margaret Hospital (PMH), the Children’s Hearing Implant Program (CHIP) is faced with a unique challenge of having to manage a wide variety of patients in conjunction with multitude of subspecialties. This has led to a focus on ways to improve the diagnostic and treatment pathway. This has also led to research into areas such as early diagnostic MRI scanning without the need for a general anaesthetic, cytomegalovirus neonatal screening, congenital single sided deafness, and early bone conduction hearing implantation. This presentation will provide an overview of the activities of CHIP as well as some insights into how paediatric hearing loss management is evolving in Western Australia.


Hayley is a NZ-trained ENT surgeon with dual Fellowships in Laryngology and Paediatric ENT and a member of the Childrens Hearing Implant Program (CHIP) at Princess Margaret Hospital in Perth.