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Eye Tracking Young Children with Autism
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Hyperacusis in children: The Edinburgh experience.

Ida Amir1, Dawn Lamerton2, Mary-Louise Montague1

  • 1Department of ENT Surgery, Royal Hospital for Sick Children, University Department of Otolaryngology, Edinburgh, UK.

International Journal of Pediatric Otorhinolaryngology
|July 30, 2018
PubMed
Summary

Hyperacusis in children is more common in boys and those with autistic spectrum disorder (ASD). A treatment combining behavioral therapy and a sound-ball shows high success rates for pediatric hyperacusis.

Keywords:
HyperacusisPaediatricTinnitus

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Area of Science:

  • Pediatric Audiology
  • Neurodevelopmental Disorders
  • Clinical Outcomes

Background:

  • Hyperacusis is a common audiological condition in children.
  • Identifying associated factors and effective management is crucial for pediatric care.
  • Paediatric tertiary centres manage a significant number of hyperacusis referrals.

Purpose of the Study:

  • To determine factors associated with pediatric hyperacusis.
  • To identify current management strategies and their outcomes in a specialized clinic.
  • To analyze referral patterns and treatment success in children with hyperacusis.

Main Methods:

  • Retrospective cohort study.
  • Review of case notes and AuditBase® data over a 5-year period (March 2010-March 2015).
  • Analysis of data from a tertiary Paediatric ENT and Audiology service.

Main Results:

  • 412 children referred; median age 7 years; 76% boys.
  • Commonly associated with autistic spectrum disorder (ASD) (60%), ADHD, and neurodevelopmental issues.
  • 91% received behavioral therapy and a sound-ball; 50% improved after one review; only 2% needed >3 sessions.

Conclusions:

  • Pediatric hyperacusis is more prevalent in boys and children with ASD.
  • A combined approach of behavioral therapy and sound-ball provision is highly effective.
  • Rapid symptom resolution is achievable with this management strategy in most cases.