Effects of Aural Atresia on Speech Development and Learning

Jensen, Daniel R.; Grames, Lynn Marty; Lieu, Judith E. C.

doi:10.1001/jamaoto.2013.3859

Cited by 68 publications

(20 citation statements)

References 31 publications

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“…In addition to its aesthetic impact, it can also affection function via meatal atresia and hearing loss (12,13). Microtia can therefore be associated with significant functional and psychosocial issues, such as impaired speech and language development (14), attention deficit disorders (15), and psychological implications for both the patient (16) and their careers (17).…”

Section: Introductionmentioning

confidence: 99%

Microtia: A Data Linkage Study of Epidemiology and Implications for Service Delivery

et al. 2021

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Introduction: Previous studies of microtia epidemiology globally have demonstrated significant geographical and ethnic variation, cited broadly as affecting 3–5 in 10,000 live births. The aim of this study was to determine the incidence of microtia in a largely homogeneous ethnic population in the United Kingdom (Wales) and to identify factors, such as distance and socioeconomic status, which may influence the access to surgical intervention.Materials and Methods: A retrospective cohort study was conducted using data linkage to identify patients born between 2000 and 2018 with a diagnosis of microtia. Microtia incidence was calculated using annual and geographic birth rates. Surgical operation codes were used to classify patients into those that had no surgery, autologous reconstruction or prosthetic reconstruction. Sociodemographic attributes were compared using descriptive statistics to determine differences in access to each type of surgical intervention.Results: A total of 101 patients were identified, 64.4% were male and the median age was 12 (8–16). The mean annual incidence was 2.13 microtia cases per 10,000 births over the 19-year study period. Both temporal and geographic variation was noted. The majority of patients undergoing surgery opted for autologous reconstruction (72.9%) at a median age of 9 (7–10) compared to 7 (5–8) for prosthetic reconstruction. Autologous reconstruction had a higher median number of surgeries (2, 1–3) than prosthetic (1.5, 1–2) and a higher median socioeconomic status of 3 (2–4) compared to 2 (1–4) for the prosthetic cohort. There were no statistically significant differences in the distance traveled for surgery.Discussion: This study highlights a role for data linkage in epidemiological analyses and provides a revised incidence of microtia in Wales. Although the majority of patients opted for autologous reconstruction, demographic disparities in socioeconomic status warrant further investigation, emphasizing the importance of striving for equity in accessibility to surgical intervention.

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Section: Introductionmentioning

confidence: 99%

Microtia: A Data Linkage Study of Epidemiology and Implications for Service Delivery

et al. 2021

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“…Early stimulation of the auditory system can be provided either with a behind-the-ear hearing aid or Baha device with a soft band providing stimulation through bone conduction. Additionally, Jensen and colleagues (2013) [1] argue that research should address the benefits of early amplification in children with UHI.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

“…As a part of counseling, one is advised to reduce or eliminate background noise when communicating with the child and, when needed, to speak close to the child on the side of the child's nonimpaired ear. Good acoustics in the learning environment has also been perceived to be very important but, traditionally, in most UHI cases, no hearing technology has been prescribed [1]. Treatment options have included hearing aid fitting in the impaired ear or use of contralateral routing of signal (CROS) or a FM system, surgery (in some of the cases of atresia and other malformations, or consequences of infections), or implantation (Baha device, middle ear implant, cochlear implant).…”

Section: Introductionmentioning

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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“…A recent study found high rates of speech therapy in children with aural atresia (Jensen, Grames, & Lieu, 2013): Eighty-six percent of those with bilateral atresia and 43% of those with unilateral atresia had speech therapy. It is interesting to note that a higher percentage of children with right-side aural atresia had greater problems in school compared with children with left-side or bilateral atresia (Jensen et al, 2013). Although some data on aural atresia and performance in school-age children are emerging, it remains unclear when delays are evident and whether children younger than 6 years of age already show speech and language delays.…”

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confidence: 97%

“…In a population of school-age children with aural atresia, only 12.5% used a hearing aid and 32% used an FM system, whereas 65% needed some resource such as speech therapy or were on an individualized education plan (Kesser, Krook, & Gray, 2013). A recent study found high rates of speech therapy in children with aural atresia (Jensen, Grames, & Lieu, 2013): Eighty-six percent of those with bilateral atresia and 43% of those with unilateral atresia had speech therapy. It is interesting to note that a higher percentage of children with right-side aural atresia had greater problems in school compared with children with left-side or bilateral atresia (Jensen et al, 2013).…”

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confidence: 99%