Auditory Outcomes with Hearing Rehabilitation in Children with Unilateral Hearing Loss: A Systematic Review

Appachi, Swathi; Specht, Jessica; Raol, Nikhila; Lieu, Judith E. C.; Cohen, Michael S.; Dedhia, Kavita; Anne, Samantha

doi:10.1177/0194599817726757

Cited by 59 publications

(45 citation statements)

References 20 publications

(72 reference statements)

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“…Two recent systematic reviews have summarized studies of hearing rehabilitation for children with UHL. Appachi et al evaluated auditory outcomes from various modalities of hearing rehabilitation, including FM systems, conventional hearing aids, CROS hearing aids, and bone-conduction hearing devices [ 36 ••]. FM systems were found to be beneficial for speech recognition in noise, conventional hearing aids demonstrated trends toward improvement in speech perception, and CROS aids had mixed auditory outcomes.…”

Section: Interventions In Children With Uhlmentioning

confidence: 99%

Permanent Unilateral Hearing Loss (UHL) and Childhood Development

Lieu

2018

Curr Otorhinolaryngol Rep

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Purpose of ReviewThe aim of this study is to summarize the consequences of permanent unilateral hearing loss (UHL) on the development of children as documented in the recent literature.Recent FindingsCongenital and early-identified UHL places young children at risk for delays in speech-language development. School-aged children with UHL score lower on standardized tests of language and cognition and need increased assistance in school for educational and behavioral issues than siblings with normal hearing, and report lower hearing-related quality of life, similar to children with bilateral hearing loss (HL). Early intervention, including use of hearing amplification devices, might ameliorate some of those affects. For a child with mild to severe UHL at presentation, the risk of progression of HL in the worse-hearing ear may be as high as 40%, and the risk of progression to bilateral HL approaches 20%.SummaryAlthough UHL can adversely affect the development of children, how to mitigate those effects requires investigation.

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Section: Interventions In Children With Uhlmentioning

confidence: 99%

Permanent Unilateral Hearing Loss (UHL) and Childhood Development

Lieu

2018

Curr Otorhinolaryngol Rep

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“…16,30 Appropriate ENT treatment and follow-up for hearing loss including hearing aids from early childhood can help address these concerns, particularly in language development. 31 As learning difficulties are also known to be a concern, the importance of supporting families in school advocacy was highlighted, such as ensuring children have preferential seating accommodations, auditory support, and FM system use. 3,5 Correspondingly, speech and language difficulties were also described as impacting participants in multiple settings.…”

Section: Discussionmentioning

confidence: 99%

In Their Own Words: Caregiver and Patient Perspectives on Stressors, Resources, and Recommendations in Craniofacial Microsomia Care

Johns

Luquetti

Brajcich

et al. 2018

Journal of Craniofacial Surgery

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This study describes stressors, resources, and recommendations related to craniofacial microsomia (CFM) care from the perspective of caregivers of children with CFM and adults with CFM in order to inform improved quality of healthcare delivery. A mixed method design was used with fixed-response and open-ended questions from an online survey in English. The survey included demographics, CFM phenotypic information, and items about CFM-related experiences across settings. Themes were identified by qualitative analysis of responses to open-ended questions. Respondents (N = 51) included caregivers (n = 42; 90% mothers) and adults with CFM (n = 9; 78% female), who had a mean age of 45±6 years. Most children were male (71%) with an average age of 7±4 years. Respondents were primarily white (80%), non-Hispanic (89%), from the United States (82%), had a college degree (80%), and had private health insurance (80%). Reflecting the high rate of microtia (84%) in the sample, themes centered on the impact of hearing difficulties across settings with related language concerns. Negative social experiences were frequently described and school needs outlined. Multiple medical stressors were identified and corresponding suggestions included: providers need to be better informed about CFM, treatment coordination among specialists, and preference for a family-centered approach with reassurance, empathy, and clear communication. Advice offered to others with CFM included positive coping strategies. Overall, caregivers’ and patients’ responses reflected the complexity of CFM treatment. Incorporating these perspectives into routine CFM care has the potential to reduce family distress while improving their healthcare.

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“…It is noteworthy that the scope of these three systematic reviews [42,[44][45] was limited either to auditory outcomes of hearing rehabilitation or consequences of UHI to IQ or speech and language development of children. Further, in some reviews, articles were included in which not only UHI but also bilateral HI was covered.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

The impact of permanent early-onset unilateral hearing impairment in children – A systematic review

Huttunen

Erixon

Löfkvist

et al. 2019

International Journal of Pediatric Otorhinolaryngology

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Background: Decision-making on treatment and (re)habilitation needs to be based on clinical expertise and scientific evidence. Research evidence for the impact of permanent unilateral hearing impairment (UHI) on children's development has been mixed and, in some of the reports, based on fairly small, heterogeneous samples. Additionally, treatment provided has been highly variable, ranging from no action taken or watchful waiting up to single-sided cochlear implantation. Published information about the effects of treatment has also been heterogeneous. Moreover, earlier reviews and meta-analyses published on the impact of UHI on children's development have generally focused on select areas of development. Objectives: This systematic review aimed to summarize the impact of children's congenital or early onset unilateral hearing impairment on listening and auditory skills, communication, speech and language development, cognitive development, educational achievements, psycho-social development, and quality of life. Methods: Literature searches were performed to identify reports published from inception to February 16th, 2018 with the main electronic bibliographic databases in medicine, psychology, education, and speech and hearing sciences as the data sources. PubMed, CINALH, ERIC, LLBA, PsychINFO, and ISI Web of Science were searched for unilateral hearing impairment with its synonyms and consequences of congenital or early onset unilateral hearing impairment. Eligible were articles written in English, German, or Swedish on permanent unilateral hearing impairments that are congenital or with onset before three years of age. Hearing impairment had to be of at least a moderate degree with PTA ≥ 40 dB averaged over frequencies 0.5 to 2 or 0.5 to 4 kHz, hearing in the contralateral ear had to have PTA 0.5-2 kHz or PTA 0.5-4 kHz ≤ 20 dB, and consequences of unilateral hearing impairment needed to be reported in an unanimously defined population in at least one of the areas the review focused on. Four researchers independently screened 1,618 abstracts and 566 full-text articles for evaluation of study eligibility. Eligible full-text articles were then reviewed to summarize the results and assess the quality of evidence. Additionally, data from 13 eligible case and multi-case studies, each having less than 10 participants, were extracted to summarize their results. Quality assessment of evidence was made adapting the Grades of Recommendations, Assessment, Development, and Evaluation (GRADE) process, and reporting of the results adheres to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards. Results: Three articles with the quality of evidence graded as very-low to low, fulfilled the eligibility criteria set. Due to the heterogeneity of the articles, only a descriptive summary could be generated from the results. Unilateral hearing impairment was reported to have a negative impact on preverbal vocalization of infants and on sound localization and speech perception both in quiet and in n...

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Auditory Outcomes with Hearing Rehabilitation in Children with Unilateral Hearing Loss: A Systematic Review

Cited by 59 publications

References 20 publications

Permanent Unilateral Hearing Loss (UHL) and Childhood Development

Permanent Unilateral Hearing Loss (UHL) and Childhood Development

In Their Own Words: Caregiver and Patient Perspectives on Stressors, Resources, and Recommendations in Craniofacial Microsomia Care

The impact of permanent early-onset unilateral hearing impairment in children – A systematic review

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