Keypoints hearing. 31.01.01 DOWN'S SYNDROME HEARING PROBLEMS Key points (Based on DSMIG guidelines for basic essential medical surveillance) Hearing impairment can be successfully managed in the Down's population but if undiagnosed is a significant cause of preventable handicap. Neonatal screen 6-10 months ­ Review for all regardless of neonatal findings: Auditory thresholds/Impedance tests/Otoscopy Aim ­ By 10 months it will have been established whether or not there is permanent hearing loss with or without OME and a management plan will have been agreed and intervention instigated where necessary 15-18 months - Review for all. Auditory thresholds/Impedance tests/Otoscopy 2-5 years - Annual review as above. Thereafter 2 yearly for life, or more often if there are problems. -------------------------------------------------------------------------------------------------------------------------------------------------------------------------- DSMIG (UK) 2001 www.dsmig.org.uk 16.01.02