Recent reports suggest that early onset, severe unilateral sensorineural hearing loss (USNHL) in children may be associated with significant deficits in auditory and psycholinguistic skills and school performance. This report reviews a consecutive series of 324 children and adolescents (202 males, 122 females) with documented USNHL evaluated at the Boys Town National Research Hospital. The left ear was affected in 168 (52%) and the right ear in 156 (48%). Based on speech frequency threshold averages (i.e., 500, 1000, and 2000 Hz), the losses were classified by severity as follows: borderline, 43 (13%); mild, 51 (16%); moderate, 40 (12%); severe, 19 (6%); profound, 31 (10%), and anacusic, 50 (15%). The remaining 90 children (28%) had high frequency losses (i.e, above 2000 Hz). The mean and median age of diagnosis were 8.78 years and 7.75 years. Temporal bone imaging studies, auditory brainstem responses (ABRs), and vestibular evaluations were performed on selected cases. Etiology was uncertain in 34.8% of cases, while hereditary factors (12.6%), head trauma (10.8%), and perinatal risk factors (10.7%) were the most commonly identified etiologies. Thirty‐one percent of the children had scholastic or behavioral problems in school. A concerted effort aimed at early identification and intervention in cases of USNHL is warranted.

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Occupational noise exposure remains the most commonly identified cause of noise-induced hearing loss (NIHL), but potentially hazardous noise can be encountered during leisure-time activities. NIHL in the pediatric population has received scant attention. This study focuses on 114 children and adolescents (ages 19 and under: 90.3% males) who were diagnosed as having probable NIHL on the basis of history and audiometric configuration. In 42 children the loss was unilateral, while the remaining 72 had sensorineural losses of varying configurations in the contralateral ear. The mean age of referral for evaluation was 12.7 years (range 1.2 to 19.8, SD 4.21), although 26% of these losses were diagnosed in children aged 10 years and younger. Such irreversible, but potentially preventable losses, should be given high priority on the public health agenda. Comprehensive, age-appropriate educational programs must be developed for elementary and secondary students and their parents to acquaint them with potentially hazardous noise sources in their environment.

Auditory brainstem responses (ABR) were obtained from graduates of an intensive care nursery (ICN) when those babies were in stable physiological states and ready for hospital discharge. Intensity ranged from ABR threshold to 80 dB nHL, and all recordings were made in a sound-isolated chamber. The data reviewed here are from 585 babies having presumably normal hearing, based upon bilateral ABR thresholds of 30 dB nHL or less. To insure that estimates of population statistics were not biased by high correlations between ears, only the data from the left ears were used in most analyses. Larger correlations were observed between conceptional age (CA) and ABR latencies than between either gestational age (GA) or chronological age (CHA) and the same latencies. Data were grouped into six CA groups for further analyses. Distributions of all response-component latencies were similar in shape and depended upon CA, showing orderly decreases in latency with increasing age. None of these distributions differed significantly from normal, and they were well fitted by normal ogives. Thus, accurate estimates of percentiles can be obtained from the means and standard deviations. The results indicate that it is important to take CA into account when evaluating ABR latencies.