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Published on: January 23, 2017
Characteristics of sensorineural hearing loss in children with inner ear anomalies
James M Coticchia1, Abhay Gokhale, Josh Waltonen
1Department of Otolaryngology Head and Neck Surgery, Wayne State University School of Medicine, Detroit, MI 48202, USA. jcoticch@med.wayne.edu
Insights
Children with inner ear anomalies and sensorineural hearing loss often present with unilateral and stable hearing loss. These children are also less likely to have a family history of hearing loss compared to peers without anomalies.
Area of Science:
- Pediatric audiology
- Otolaryngology
- Medical imaging
Background:
- Sensorineural hearing loss (SNH) is a common condition in children.
- Inner ear anomalies can be a contributing factor to SNH.
- Understanding the characteristics of SNH in children with inner ear anomalies is crucial for diagnosis and management.
Purpose of the Study:
- To investigate distinctive features of sensorineural hearing loss in children with inner ear anomalies.
- To compare hearing loss characteristics between children with and without inner ear anomalies.
Main Methods:
- Temporal bone CT scans were used to identify inner ear abnormalities in 69 patients with SNH.
- 17 patients with identified inner ear anomalies were compared to age-matched controls.
- Medical histories were reviewed for hearing loss presentation, natural history, and family history.
Main Results:
- Children with inner ear anomalies showed a higher incidence of unilateral hearing loss (42.9%) compared to controls (28.6%).
- Hearing loss was more frequently stable in children with anomalies (85.7%) versus controls (71.4%).
- A positive family history of hearing loss was more common in children with inner ear anomalies (56%) than in controls (14.3%).
Conclusions:
- Inner ear anomalies are associated with specific patterns of SNH in children, including unilateral and stable loss.
- The genetic component of hearing loss may differ between children with and without inner ear anomalies.
- These findings aid in differentiating hearing loss etiologies in pediatric populations.
Purpose:
To determine whether hearing loss in children with inner ear anomalies has some distinctive characteristics when compared to children with hearing loss but without inner ear anomalies.
Methods:
Temporal bone computed tomography scans of 69 patients with sensorineural hearing loss were examined for inner ear abnormalities of which 17 were identified. The medical histories of these patients were reviewed for the characteristics of their hearing loss, including initial presentation, natural history, and nature of loss, as well as the family history of hearing loss and risk factors for hearing loss. These were compared to age-matched controls with hearing loss but without inner ear anomalies.
Results:
Seventeen patients had inner ear anomalies. Records of 14 of these patients were compared to patients without inner ear anomalies. Regarding age of onset, 71.4% of patients with anomalies had onset of their hearing loss at less than 2 years old vs 78.6% without anomalies. Regarding unilateral vs bilateral, 42.9% of patients with anomalies were unilateral vs 28.6% of patients without anomalies. For patients with anomalies, 85.7% were stable and 14.3% were progressive; without anomalies, 71.4% were stable, 21.4% were progressive, and 7.1% were fluctuating. Regarding family history, only 14.3% of patients without anomalies had a positive family history vs 56% of patients with anomalies.
Conclusions:
Children with inner ear anomalies and sensorineural hearing loss have an increased incidence of unilateral hearing loss and stable hearing loss as compared to controls with sensorineural hearing loss without inner ear anomalies. In addition, children with inner ear anomalies and sensorineural hearing loss are less likely to have a family history of hearing loss.
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