A 13-month-old child has been diagnosed with severe-profound hearing loss. The audiologist discusses options with the parents, who have read online information. What should be the recommended first step for the parents?

• A. Continuing to search for information online
• B. Obtaining bilateral cochlear implants for the child
• C. Consulting with a pediatric otolaryngologist to obtain medical clearance for amplification
• D. Joining a support group for parents of infants with hearing loss to gain insight into the issues they may face

Answer: (C)

Beginning with a pediatric otolaryngologist's medical clearance sets the stage for safe, effective management. For a 13-month-old with severe-profound hearing loss, the ENT evaluation checks that the ears and surrounding structures are healthy and determines if there are any medical issues that could affect amplification or future surgical options. This screening can identify conditions like middle-ear fluid, recurrent infections, or anatomical concerns that would influence how hearing devices are fitted or whether implants are being considered later. With medical clearance in hand, the audiologist can proceed with the appropriate amplification plan and coordinate further evaluations, such as CI candidacy, within a multidisciplinary framework.

Relying solely on online information or joining a support group, while valuable for context and support, cannot substitute for this medical assessment. Cochlear implant candidacy is assessed through a comprehensive evaluation by a team, and it typically follows medical clearance and audiological testing rather than being chosen as the first step. The focus at the outset is to confirm medical suitability so that amplification can be pursued safely and effectively.