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Speech, Language and Audiology
5/11/2012 3:22:21 PM

Speech Pathology

Speech Pathology services include complete assessment and treatment as needed for the following areas/disorders:

•  Dysphagia (Swallowing Disorders) and/or Feeding

Difficulties: includes Modified Barium Swallow Study (MBSS), Clinical Feeding/Swallowing Evaluation, and Nippling Therapy.

•  Oral Motor Deficits: includes assessment and treatment for weak or uncoordinated mouth muscles.

Speech Deficits:

•  Articulation includes omissions, distortions, or substitutions of speech sounds

•  Fluency of speech includes stuttering and/or increased rate 

•  Voice includes pitch, intensity, quality and resonance 

•  Motor speech disorders includes apraxia (difficulty sequencing speech sounds) and dysarthria (slurred, slowed speech)

•  Language Delays/Disorders includes expressive and receptive language skills as well as Aphasia (language loss relating to brain injury)

•  Cognitive/linguistic functioning includes problem-solving, memory, abstract reasoning

•  Augmentative Communication includes an alternative form of communication (i.e. picture boards, electronic devices, etc).

• Tracheostomy

The speech-language pathologists collaborate with various departments and clinics, including Cleft Lip and Palate/ Craniofacial Clinic, Down Syndrome Clinic, Ear, Nose, and Throat Clinics, Cochlear Implant Program, Psychology, Physical Therapy, Occupational Therapy, Music and Recreation Therapy, Radiology, and Rehabilitation Center.

The speech pathologists provide services to inpatients and outpatients. Our department may accept referrals from schools, physicians, other professionals and families. A physician referral/ consult is required for all inpatients and patients with voice disor- ders and swallowing disorders.

Audiology

We provide comprehensive diagnostic hearing evaluations for patients from birth to 21 years of age and all developmental levels.

Risk factors for hearing loss include hospitalization in a neonatal intensive care unit (NICU), family history of hearing loss, meningitis or other illness with a sustained high fever, ear infections, chronic upper respiratory infections, ototoxicity, and speech and language delays.

Tests provided by the audiologist may include one or more of the following:

•  Brainstem Auditory Evoked Response (BAER) testing with or without sedation

•  Auditory Steady State Response (ASSR) with or without sedation

•  Oto-Acoustic Emissions (OAE) 

•  Tympanometry Testing: both high and low frequency testing is available. 

•  Behavioral Observation Audiometry 

•  Visual Reinforcement Audiometry 

•  Pure Tone Audiometry 

• Acoustic Reflexes 

• Acoustic Reflex Decay 

• Central Auditory Processing (CAP) Testing

Additional services provided include hearing aid evaluations and fittings. Medical clearance for amplification by the patient’s physician is required.

The audiologists collaborate with various Children’s Hospital of New Orleans departments and clinics, including Cleft Lip and Palate/Craniofacial Clinic, Down Syndrome Clinic, Ear, Nose, and Throat Clinics, Cochlear Implant Program, Psychology, Neonatal Intensive Care Unit (NICU), and Rehabilitation Center.

The audiologists provide services to inpatients and outpa- tients. Generally, a referral from the child’s physician, teacher or parent for evaluation is accepted. A physician referral is required for all inpatients.

Cochlear Implant Center

The Cochlear Implant Center is a collaborative service between Children’s Hospital and the LSU Department of Otolaryngology. The center works closely with a variety of resources to aid in providing services to children receiving cochlear implants.

A multidisciplinary team of otolaryngologists, audiologists, and speech-language pathologists will work together to assess a child’s need for a cochlear implant and will help the child adjust to the cochlear implant following surgery. Cochlear implantation is a surgical intervention which is highly success- ful in restoring hearing, permitting mainstream education and full participation in academic, linguistic, social and economic advantages available to normal hearing children. A cochlear implant has two basic components: a surgically-placed internal implanted portion and an external component. While cochlear implants first became available in the mid-1980s, they have become an accepted standard of care for children who have severe to profound hearing loss.

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