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Hyperacusis in children: A clinical profile.

Shibani Myne1, Veronica Kennedy1

  • 1Paediatric Audiology Department, Bolton NHS Foundation Trust, Bolton, UK.

International Journal of Pediatric Otorhinolaryngology
|March 5, 2018
PubMed
Summary
This summary is machine-generated.

Hyperacusis in children often presents by age 3-4, with normal hearing common. Nearly half of cases involve middle ear issues or neurodevelopmental conditions like autism.

Keywords:
Conductive hearing lossHyperacusisOtitis media with effusionSensorineural hearing lossSensory gatingSensory processing disorderWilliams syndrome

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Area of Science:

  • Paediatric audiology
  • Clinical otolaryngology
  • Neurodevelopmental disorders

Background:

  • Hyperacusis is a frequent and distressing condition in pediatric audiology.
  • Understanding its clinical profile and underlying mechanisms in children is crucial for effective management.

Purpose of the Study:

  • To investigate the clinical characteristics of children presenting with hyperacusis in a pediatric audiology service.
  • To review potential underlying mechanisms and associated medical conditions in these pediatric patients.

Main Methods:

  • A retrospective study analyzed case notes of 61 children with troublesome hyperacusis.
  • Data collected included clinical presentation and co-occurring medical conditions.

Main Results:

  • Hyperacusis was the primary complaint in 51% of cases, most common in 3-4 year olds.
  • Normal hearing was noted in 67%, while 48% had middle ear issues (glue ear/OME) and 46% had neurodevelopmental conditions (autism spectrum disorder most common).
  • Tinnitus accompanied hyperacusis in 11% of patients.

Conclusions:

  • Hyperacusis frequently presents in young children, often by age 3-4.
  • Clinicians should be aware of diverse presentations, co-existing conditions (middle ear problems, neurodevelopmental disorders), and potential mechanisms.
  • This awareness aids in prognosis, counseling, and personalized management plans for pediatric hyperacusis.