[Clinical features of sudden hearing loss in children]

Xiaoya Wang1, Renzhong Luo1, Yanqiu Chen1

  • 1Deparrment of Otolaryngology, Guangzhou Women and Children's Medical Center, Guang-zhou, 510623, China.

Insights

Sudden hearing loss in children often has a clear cause and severe presentation, with most cases showing poor prognosis despite treatment. CT scans are recommended to rule out inner ear malformations.

Area of Science:

  • Pediatric Otolaryngology
  • Auditory Medicine
  • Diagnostic Imaging

Context:

  • Sudden hearing loss (SHL) in children is a critical condition requiring prompt evaluation.
  • Etiologies and prognostic factors in pediatric SHL are not fully elucidated.
  • This study focuses on the clinical characteristics and outcomes of SHL in hospitalized children.

Purpose:

  • To investigate the clinical features and prognosis of sudden hearing loss in children.
  • To guide clinical diagnosis and treatment strategies for pediatric SHL.
  • To identify potential underlying causes and associated symptoms.

Summary:

  • A retrospective review of 12 children (21 ears) with SHL revealed a mean age of 6.28 years, with 75% experiencing bilateral hearing loss.
  • Common etiologies included upper respiratory infections (6 cases), mumps (2 cases), trauma (1 case), ototoxic drug use (1 case), and large vestibular aqueduct syndrome (5 cases).
  • Profound hearing loss was prevalent (14 ears), and the overall effective treatment rate was low (33.3%), indicating a generally poor prognosis.

Impact:

  • Highlights the need for comprehensive evaluation, including CT scans, to detect inner ear malformations in children with SHL.
  • Emphasizes the severe nature of pediatric SHL and its often unfavorable outcomes.
  • Informs clinical practice regarding the diagnosis and management of sudden hearing loss in pediatric populations.
Abstract

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