Unilateral hearing loss in children: a retrospective study and a review of the current literature
Despite the introduction of universal newborn hearing screening (UNHS), unilateral hearing loss (UHL) is sometimes recognized late. This diagnostic delay has adverse repercussions, given the importance of binaural hearing for the development of normal auditory processing. It is incorrect to maintain...
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| Veröffentlicht in: | European journal of pediatrics 2017-04, Vol.176 (4), p.475-486 |
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| creator | Rohlfs, Anna-Katharina Friedhoff, Johannes Bohnert, Andrea Breitfuss, Achim Hess, Markus Müller, Frank Strauch, Anke Röhrs, Marianne Wiesner, Thomas |
| description | Despite the introduction of universal newborn hearing screening (UNHS), unilateral hearing loss (UHL) is sometimes recognized late. This diagnostic delay has adverse repercussions, given the importance of binaural hearing for the development of normal auditory processing. It is incorrect to maintain that unilateral hearing is the minimum requirement for adequate speech development and that hearing aid provision is consequently unnecessary. In our retrospective study, hearing aid provision resulted in improved directional and selective hearing (quiet
and
noisy environments) and, compared with their chronically ill counterparts, the children in our study displayed superior health-related quality of life (HRQoL) scores in all areas. On the basis of the results, the authors conclude that even mild hearing losses (from an auditory threshold of 30 to 40 dB) should have the opportunity for hearing aid provision. A selective literature review was conducted in PubMed and textbooks and with reference to national and international guidelines. Early diagnosis and treatment of UHL have a positive effect on verbal-cognitive, linguistic, communicative, and socio-emotional development, as demonstrated by neurophysiological studies. Among the treatment modalities with differing effects on the quality of binaural hearing, cochlear implants are now used increasingly in children with hearing loss bordering on deafness.
Conclusion
: Published evidence and clinical experience support early diagnosis and treatment. Wherever feasible, hearing aid provision before or at the end of the first year of life is recommended for children with UHL.
What is Known:
•
Almost 30 years ago, poor academic performance was reported in children with unilateral hearing loss (UHL)
.
•
Despite improvements in treatment options, it is traditionally held that unilateral hearing is the minimum requirement for adequate speech development and hearing aid provision is unnecessary
.
What is New:
•
Academic and behavioral deficits in children with UHL may be mediated by deficiencies in the default mode network
.
•
Published evidence supports the recommendation for hearing aid provision before or at the end of the first year of life in children with UHL
. |
| doi_str_mv | 10.1007/s00431-016-2827-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1862936816</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1862936816</sourcerecordid><originalsourceid>FETCH-LOGICAL-c438t-39e33d95978944ef59d48421d9aa822e197e0e9011c0e27b97a945baa89e684d3</originalsourceid><addsrcrecordid>eNp1kE1LAzEQhoMoWj9-gBcJePGymkmym8SbiF8geLHnkO5ObWS7W5Os0n9vaquI4CmHed53Mg8hx8DOgTF1ERmTAgoGVcE1VwXfIiOQghfAVLVNRkxIVlRgzB7Zj_GV5YwBvUv2uAbBmZEj4sadb13C4Fo6Qxd890LbPkbqO1rPfNsE7C6powFT6OMC6-TfkcY0NEvquuZr8u7xg_ZTmmZI6yHkRKKtX3WmIeAh2Zm6NuLR5j0g49ub5-v74vHp7uH66rGopdCpEAaFaExplDZS4rQ0jdSSQ2Oc05wjGIUMDQOoGXI1McoZWU7y0GClZSMOyNm6dxH6twFjsnMfa2xb12E_RAu64kZUGqqMnv5BX_shdPl3mVJK8ZKXKlOwpup8eQw4tYvg5y4sLTC78m_X_m32b1f-Lc-Zk03zMJlj85P4Fp4BvgbiYuUaw6_V_7Z-Aklyj3c</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1877725257</pqid></control><display><type>article</type><title>Unilateral hearing loss in children: a retrospective study and a review of the current literature</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Rohlfs, Anna-Katharina ; Friedhoff, Johannes ; Bohnert, Andrea ; Breitfuss, Achim ; Hess, Markus ; Müller, Frank ; Strauch, Anke ; Röhrs, Marianne ; Wiesner, Thomas</creator><creatorcontrib>Rohlfs, Anna-Katharina ; Friedhoff, Johannes ; Bohnert, Andrea ; Breitfuss, Achim ; Hess, Markus ; Müller, Frank ; Strauch, Anke ; Röhrs, Marianne ; Wiesner, Thomas</creatorcontrib><description>Despite the introduction of universal newborn hearing screening (UNHS), unilateral hearing loss (UHL) is sometimes recognized late. This diagnostic delay has adverse repercussions, given the importance of binaural hearing for the development of normal auditory processing. It is incorrect to maintain that unilateral hearing is the minimum requirement for adequate speech development and that hearing aid provision is consequently unnecessary. In our retrospective study, hearing aid provision resulted in improved directional and selective hearing (quiet
and
noisy environments) and, compared with their chronically ill counterparts, the children in our study displayed superior health-related quality of life (HRQoL) scores in all areas. On the basis of the results, the authors conclude that even mild hearing losses (from an auditory threshold of 30 to 40 dB) should have the opportunity for hearing aid provision. A selective literature review was conducted in PubMed and textbooks and with reference to national and international guidelines. Early diagnosis and treatment of UHL have a positive effect on verbal-cognitive, linguistic, communicative, and socio-emotional development, as demonstrated by neurophysiological studies. Among the treatment modalities with differing effects on the quality of binaural hearing, cochlear implants are now used increasingly in children with hearing loss bordering on deafness.
Conclusion
: Published evidence and clinical experience support early diagnosis and treatment. Wherever feasible, hearing aid provision before or at the end of the first year of life is recommended for children with UHL.
What is Known:
•
Almost 30 years ago, poor academic performance was reported in children with unilateral hearing loss (UHL)
.
•
Despite improvements in treatment options, it is traditionally held that unilateral hearing is the minimum requirement for adequate speech development and hearing aid provision is unnecessary
.
What is New:
•
Academic and behavioral deficits in children with UHL may be mediated by deficiencies in the default mode network
.
•
Published evidence supports the recommendation for hearing aid provision before or at the end of the first year of life in children with UHL
.</description><identifier>ISSN: 0340-6199</identifier><identifier>EISSN: 1432-1076</identifier><identifier>DOI: 10.1007/s00431-016-2827-2</identifier><identifier>PMID: 28132094</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Child ; Child, Preschool ; Cochlear implants ; Female ; Hearing Aids ; Hearing loss ; Hearing Loss, Unilateral - classification ; Hearing Loss, Unilateral - diagnosis ; Hearing Loss, Unilateral - epidemiology ; Hearing Loss, Unilateral - therapy ; Hearing Tests ; Humans ; Incidence ; Language Development ; Localization ; Male ; Medical diagnosis ; Medical screening ; Medicine ; Medicine & Public Health ; Original Article ; Otolaryngology ; Pediatrics ; Prevalence ; Quality of Life ; Retrospective Studies ; Speech ; Surveys and Questionnaires ; Transplants & implants</subject><ispartof>European journal of pediatrics, 2017-04, Vol.176 (4), p.475-486</ispartof><rights>Springer-Verlag Berlin Heidelberg 2016</rights><rights>European Journal of Pediatrics is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-39e33d95978944ef59d48421d9aa822e197e0e9011c0e27b97a945baa89e684d3</citedby><cites>FETCH-LOGICAL-c438t-39e33d95978944ef59d48421d9aa822e197e0e9011c0e27b97a945baa89e684d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00431-016-2827-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00431-016-2827-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28132094$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rohlfs, Anna-Katharina</creatorcontrib><creatorcontrib>Friedhoff, Johannes</creatorcontrib><creatorcontrib>Bohnert, Andrea</creatorcontrib><creatorcontrib>Breitfuss, Achim</creatorcontrib><creatorcontrib>Hess, Markus</creatorcontrib><creatorcontrib>Müller, Frank</creatorcontrib><creatorcontrib>Strauch, Anke</creatorcontrib><creatorcontrib>Röhrs, Marianne</creatorcontrib><creatorcontrib>Wiesner, Thomas</creatorcontrib><title>Unilateral hearing loss in children: a retrospective study and a review of the current literature</title><title>European journal of pediatrics</title><addtitle>Eur J Pediatr</addtitle><addtitle>Eur J Pediatr</addtitle><description>Despite the introduction of universal newborn hearing screening (UNHS), unilateral hearing loss (UHL) is sometimes recognized late. This diagnostic delay has adverse repercussions, given the importance of binaural hearing for the development of normal auditory processing. It is incorrect to maintain that unilateral hearing is the minimum requirement for adequate speech development and that hearing aid provision is consequently unnecessary. In our retrospective study, hearing aid provision resulted in improved directional and selective hearing (quiet
and
noisy environments) and, compared with their chronically ill counterparts, the children in our study displayed superior health-related quality of life (HRQoL) scores in all areas. On the basis of the results, the authors conclude that even mild hearing losses (from an auditory threshold of 30 to 40 dB) should have the opportunity for hearing aid provision. A selective literature review was conducted in PubMed and textbooks and with reference to national and international guidelines. Early diagnosis and treatment of UHL have a positive effect on verbal-cognitive, linguistic, communicative, and socio-emotional development, as demonstrated by neurophysiological studies. Among the treatment modalities with differing effects on the quality of binaural hearing, cochlear implants are now used increasingly in children with hearing loss bordering on deafness.
Conclusion
: Published evidence and clinical experience support early diagnosis and treatment. Wherever feasible, hearing aid provision before or at the end of the first year of life is recommended for children with UHL.
What is Known:
•
Almost 30 years ago, poor academic performance was reported in children with unilateral hearing loss (UHL)
.
•
Despite improvements in treatment options, it is traditionally held that unilateral hearing is the minimum requirement for adequate speech development and hearing aid provision is unnecessary
.
What is New:
•
Academic and behavioral deficits in children with UHL may be mediated by deficiencies in the default mode network
.
•
Published evidence supports the recommendation for hearing aid provision before or at the end of the first year of life in children with UHL
.</description><subject>Adolescent</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cochlear implants</subject><subject>Female</subject><subject>Hearing Aids</subject><subject>Hearing loss</subject><subject>Hearing Loss, Unilateral - classification</subject><subject>Hearing Loss, Unilateral - diagnosis</subject><subject>Hearing Loss, Unilateral - epidemiology</subject><subject>Hearing Loss, Unilateral - therapy</subject><subject>Hearing Tests</subject><subject>Humans</subject><subject>Incidence</subject><subject>Language Development</subject><subject>Localization</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical screening</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Otolaryngology</subject><subject>Pediatrics</subject><subject>Prevalence</subject><subject>Quality of Life</subject><subject>Retrospective Studies</subject><subject>Speech</subject><subject>Surveys and Questionnaires</subject><subject>Transplants & implants</subject><issn>0340-6199</issn><issn>1432-1076</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kE1LAzEQhoMoWj9-gBcJePGymkmym8SbiF8geLHnkO5ObWS7W5Os0n9vaquI4CmHed53Mg8hx8DOgTF1ERmTAgoGVcE1VwXfIiOQghfAVLVNRkxIVlRgzB7Zj_GV5YwBvUv2uAbBmZEj4sadb13C4Fo6Qxd890LbPkbqO1rPfNsE7C6powFT6OMC6-TfkcY0NEvquuZr8u7xg_ZTmmZI6yHkRKKtX3WmIeAh2Zm6NuLR5j0g49ub5-v74vHp7uH66rGopdCpEAaFaExplDZS4rQ0jdSSQ2Oc05wjGIUMDQOoGXI1McoZWU7y0GClZSMOyNm6dxH6twFjsnMfa2xb12E_RAu64kZUGqqMnv5BX_shdPl3mVJK8ZKXKlOwpup8eQw4tYvg5y4sLTC78m_X_m32b1f-Lc-Zk03zMJlj85P4Fp4BvgbiYuUaw6_V_7Z-Aklyj3c</recordid><startdate>20170401</startdate><enddate>20170401</enddate><creator>Rohlfs, Anna-Katharina</creator><creator>Friedhoff, Johannes</creator><creator>Bohnert, Andrea</creator><creator>Breitfuss, Achim</creator><creator>Hess, Markus</creator><creator>Müller, Frank</creator><creator>Strauch, Anke</creator><creator>Röhrs, Marianne</creator><creator>Wiesner, Thomas</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20170401</creationdate><title>Unilateral hearing loss in children: a retrospective study and a review of the current literature</title><author>Rohlfs, Anna-Katharina ; 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This diagnostic delay has adverse repercussions, given the importance of binaural hearing for the development of normal auditory processing. It is incorrect to maintain that unilateral hearing is the minimum requirement for adequate speech development and that hearing aid provision is consequently unnecessary. In our retrospective study, hearing aid provision resulted in improved directional and selective hearing (quiet
and
noisy environments) and, compared with their chronically ill counterparts, the children in our study displayed superior health-related quality of life (HRQoL) scores in all areas. On the basis of the results, the authors conclude that even mild hearing losses (from an auditory threshold of 30 to 40 dB) should have the opportunity for hearing aid provision. A selective literature review was conducted in PubMed and textbooks and with reference to national and international guidelines. Early diagnosis and treatment of UHL have a positive effect on verbal-cognitive, linguistic, communicative, and socio-emotional development, as demonstrated by neurophysiological studies. Among the treatment modalities with differing effects on the quality of binaural hearing, cochlear implants are now used increasingly in children with hearing loss bordering on deafness.
Conclusion
: Published evidence and clinical experience support early diagnosis and treatment. Wherever feasible, hearing aid provision before or at the end of the first year of life is recommended for children with UHL.
What is Known:
•
Almost 30 years ago, poor academic performance was reported in children with unilateral hearing loss (UHL)
.
•
Despite improvements in treatment options, it is traditionally held that unilateral hearing is the minimum requirement for adequate speech development and hearing aid provision is unnecessary
.
What is New:
•
Academic and behavioral deficits in children with UHL may be mediated by deficiencies in the default mode network
.
•
Published evidence supports the recommendation for hearing aid provision before or at the end of the first year of life in children with UHL
.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>28132094</pmid><doi>10.1007/s00431-016-2827-2</doi><tpages>12</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | European journal of pediatrics, 2017-04, Vol.176 (4), p.475-486 |
| issn | 0340-6199 1432-1076 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adolescent Child Child, Preschool Cochlear implants Female Hearing Aids Hearing loss Hearing Loss, Unilateral - classification Hearing Loss, Unilateral - diagnosis Hearing Loss, Unilateral - epidemiology Hearing Loss, Unilateral - therapy Hearing Tests Humans Incidence Language Development Localization Male Medical diagnosis Medical screening Medicine Medicine & Public Health Original Article Otolaryngology Pediatrics Prevalence Quality of Life Retrospective Studies Speech Surveys and Questionnaires Transplants & implants |
| title | Unilateral hearing loss in children: a retrospective study and a review of the current literature |
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