Management of unilateral hearing loss

Krishnan, Lata A.; Hyfte, Shannon Van

doi:10.1016/j.ijporl.2016.06.048

Cited by 31 publications

(81 citation statements)

References 124 publications

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“…Of the studies we reviewed, the results of Kishon-Rabin et al [64] suggest that development of auditory and vocalization skills may be delayed already in children with UHI who are younger than 12 months of age. Close monitoring for speech and language difficulties would therefore be needed in UHI, as also suggested by Krishnan and Van Hyfte [46]. In counseling parents can be instructed to provide good spoken language models and pay attention to the typical developmental milestones in auditory and speech development to be attained.…”

Section: Discussionmentioning

confidence: 99%

“…In addition to the systematic reviews or meta-analyses introduced in Table 1, other summaries on the effects of children's UHI or current state of management of UHI have also been recently published [46][47][48][49][50][51][52][53]. However, they represent more opinion papers or unstructured summaries because of severe shortcomings, including a very limited publishing time range of the original articles or a lack of description of any systematic methodology or review protocol used to search and review the articles.…”

Section: Accepted Manuscriptmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

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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“…Difficulties in language oral and reading skills and the worst results in the recognition of words and language, although improving over time, it has been observed that adolescents with SSD continue to present worse results in language tests compared to normal hearing [27].…”

Section: Speech and Languagementioning

confidence: 99%

“…Studies reveal a decrease in the quality of life in children with SSD in different domains especially in school activities and social interactions, which are especially important for development and learning. Problems in the field of social and emotional behavior continue even in adulthood [2,27]. [19].…”

Section: School Performance and Quality Of Lifementioning

confidence: 99%

Cochlear Implant in Single-Sided Deafness Children and Adults

Macías¹,

Barreiro²,

González³

et al. 2020

Advances in Rehabilitation of Hearing Loss

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Binaural hearing in humans ensures our effective communication as it improves the sound localization, the speech understanding in noise, the spatial awareness, the listening easiness, and the development of spoken language. The majority of the literature on patients with single-sided deafness and cochlear implantation involves adult patients; the cochlear implant is a viable and cost-effective treatment option for this population. So in this chapter, we will emphasize the importance of early treatment of unilateral hearing loss in the pediatric age and the emerging indication of the cochlear implant as a treatment.

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“…Unilateral hearing loss (UHL) was historically underestimated, but nowadays it is the subject of several studies [1][2][3][4][5] , due to its occurrence being more common and because it presents the most adverse effects of what was previously believed. According to these studies, the traditional thought that only the normal ear would be enough to supply the needs of daily communication, is giving up space for the valorization and real importance of the effects of UHL.…”

Section: Introductionmentioning

confidence: 99%

Unilateral hearing loss and the use of hearing aid: speech recognition, benefit, self-perception of functional performance and satisfaction

2019

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Purpose: to investigate speech recognition in silence and in noise in subjects with unilateral hearing loss with and without hearing aids, and to analyze the benefit, self-perception of functional performance, satisfaction and the use of hearing aids in these subjects. Methods: eleven adults with unilateral, mixed and sensorineural, mild to severe hearing loss participated in this study. Speech recognition was evaluated by the Brazilian Portuguese sentences lists test; functional performance of the hearing was assessed by using the Speech Spatial and Qualities of Hearing Scale questionnaire; satisfaction was assessed by the Satisfaction with Amplification in Daily Life questionnaire, both in Brazilian Portuguese; and to assess the use of hearing aids, the patient's report was analyzed. Results: the adaptation of hearing aids provided benefits in speech recognition in all positions evaluated, both in silence and in noise. The subjects did not report major limitations in communication activities with the use of hearing aids. They were satisfied with the use of sound amplification. Most of the subjects did not use hearing aids, effectively. The discontinuity of hearing aids use can be justified by the difficulty on perceiving participation’s restriction caused by hearing loss, as well as the benefit of the hearing aid, besides the concern with batteries’ costs and aesthetic aspects. Conclusion: although showing benefits in speech recognition, in silence and in noise, and satisfaction with sound amplification, most subjects with unilateral hearing loss do not effectively use hearing aids.

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Management of unilateral hearing loss

Cited by 31 publications

References 124 publications

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

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

Cochlear Implant in Single-Sided Deafness Children and Adults

Unilateral hearing loss and the use of hearing aid: speech recognition, benefit, self-perception of functional performance and satisfaction

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