OBJECTIVE: The early detection of hearing impairment is extremely important. In this study, we sought to highlight the importance of the family in the rehabilitation process of hearing-impaired children, since the child's progress also depends on systematic stimulation by the family. MATERIALS AND METHODS: When a baby came to our clinic for newborn hearing screening (around the 20th day of life), changes were observed in the pinna on both sides (anotia and microtia). The child was referred to our STIMULATION OF HEARING, SPEECH AND LANGUAGE SERVICE - SEAFL. The child was referred to an ENT who ordered imaging and laboratory tests, among others, and assessment by a plastic surgeon. In speech therapy, the child was subjected to audiological, speech, and language assessment as well as therapy once a week, lasting 30 min. RESULTS: Currently, this child has a clinical picture suggestive of mixed hearing loss. In phonemic examination, a slight phonological change occurred (unsystematic). In the assessment of language, there was a lag of 6 months (Rating L. Terman; Einet; Watson & Lowrey service protocol). The child is scheduled to undergo plastic surgery at 7 years of age. CONCLUSION: The child has good speech quality, as well as good overall development. Within the audiological assessment, our expectations were exceeded. We emphasize the reliable participation of the 2 parents, aware of their extra-therapy responsibilities.
