Hearing Assessment for Children aged 2-5 years of age

Otoacoustic Emissions

Otoacoustic emissions testing is very quick and takes just a few minutes and can be used on children of all ages. It involves putting a soft tip into your child’s ear while they are quietly playing or stilling. It measures a robust response from a healthy inner ear and is useful as a screening tool to rule out a significant hearing loss (greater than 35dB) as part of a battery of tests and information.

Play / performance

This hearing test can be carried out on children with a developmental age of 2 years to 5 years. It involves your child actively listening for a sound and doing something in response, e.g. putting a peg on the board. This test can be carried out using both ears together, or each ear separately using headphones or insert earphones.


This test involves putting a soft tip into your child’s ear. They will experience a slight change in pressure in their ears. Tympanometry measures the ear canal volume, pressure and degree of movement of the eardrum. The results are interpreted as part of a battery of tests to assess the health of the ear drum and middle ear and can be used to monitor glue ear, grommets or perforations, for example.

Speech Testing

This test involves your child listening to (age-appropriate) words or sentences with or without their hearing aids / listening devices. Their response may be pointing to a corresponding picture or toy, or repeating the word or sentence back to the audiologist. The test can be carried out at different hearing levels/noise to simulate more difficult listening environments. Speech testing gives the child or parent an opportunity to evaluate how well their child is able to perceive speech in different listening situations.