Do children need to undergo re examination if their hearing screening fails the physical examination

Children who fail the hearing screening during physical examination usually need to undergo re examination. The failure of hearing screening may be related to factors such as interference from the testing environment, blockage of ear canal secretions, or hearing loss. It is recommended that parents follow medical advice to arrange a follow-up examination. When the initial hearing screening fails, common reasons are noise interference in the testing environment or insufficient cooperation from children. Newborns and infants have narrow ear canals, and residual earwax or amniotic fluid may temporarily affect sound wave transmission. Some children may experience inaccurate results during the screening process due to crying and movement. In this case, it is generally recommended to have a follow-up examination 1-2 weeks after the first screening. Before the follow-up examination, the ear canal should be kept clean and the child should be tested when they are quiet and awake. In rare cases, failure to pass re examination may indicate conductive or sensorineural hearing loss. Premature birth, hyperbilirubinemia, and family genetic history are high-risk factors. If children have delayed sound response or language development, further diagnostic tests such as auditory brainstem response and acoustic impedance should be performed. Bilateral hearing loss should be diagnosed before 3 months of age and intervention should begin before 6 months of age. When parents notice that their children have no startle reflex to sudden sounds and are not easily awakened during sleep, they should promptly seek medical attention from an otolaryngologist. Avoid using cotton swabs to clean your ears in daily life, and prevent sewage from entering your ears when taking a shower. Children diagnosed with hearing impairment should wear hearing aids or undergo cochlear implants according to the doctor's advice, and receive regular auditory and speech rehabilitation training.