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Arch Otolaryngol Head Neck Surg. 2003;129:482-483.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

I very much appreciated Dr Angeli's summary article assessing—as they stand in 2002—the pros and cons of early vestibular screening in children with documented SNHL. It is obviously true that the detection of sensory deficits at the earliest possible time permits better rehabilitation for children who might not compensate on their own for their developmental deficit. As I see it, the issue breaks down into 3 questions: (1) How feasible is early childhood screening? (2) What is the expected incidence of finding abnormalities by routinely screening all children with SNHL? and (3) What can be done with the information received?

Figure appears in full text version. Joel A. Goebel, MD

HOW FEASIBLE IS EARLY CHILDHOOD SCREENING?

I believe that the article clearly outlines a number of bedside and laboratory tests for VOR and vestibular-spinal functions. I agree with Dr Angeli that a tiered approach to testing is better than subjecting children with SNHL to formalized vestibular function testing even if their motor . . . [Full Text of this Article]

WHAT IS THE EXPECTED INCIDENCE OF FINDING ABNORMALITIES?

WHAT CAN BE DONE WITH THE INFORMATION?



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