Hearing function of 35 institutionalized persons with Down syndrome, age 35 to 62 years, was assessed by means of otoscopy, impedance audiometry, brainstem evoked response audiometry, and pure tone audiometry. Using brainstem evoked response audiometry, we determined response thresholds for 59 ears, which compares favorably with pure tone audiometry (20 ears). We found hearing losses of 20 dB to over 90 dB in 56 of these ears. Hearing loss should be considered and, whenever feasible, excluded as a contributing factor in social and mental deterioration in middle-age persons with Down syndrome.
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