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Impact of unilateral congenital aural atresia on academic Performance: A systematic review

C V A van Hövell Tot Westerflier1, J A A van Heteren2, C C Breugem1

  • 1Department of Pediatric Plastic Surgery, Wilhelmina Children's Hospital, University Medical Center Utrecht, Lundlaan, 6, 3584, EA, Utrecht, The Netherlands.

International Journal of Pediatric Otorhinolaryngology
|September 29, 2018
PubMed

Insights

Academic performance in children with unilateral congenital aural atresia (CAA) is poorly understood. Current evidence is limited and biased, highlighting the need for high-quality studies on this hearing loss condition.

Area of Science:

  • Otolaryngology
  • Pediatric Audiology
  • Developmental Pediatrics

Background:

  • The academic performance of children with unilateral congenital aural atresia (CAA) is not well-documented.
  • Unilateral hearing loss due to CAA may impact a child's educational development.

Purpose of the Study:

  • To systematically review existing literature on the academic performance of children with unilateral CAA.
  • To provide recommendations for clinicians managing these children.

Main Methods:

  • A systematic search of PubMed, EMBASE, and Cochrane Library was conducted.
  • Included observational studies on academic achievement in patients with unilateral conductive hearing loss from CAA.
  • Outcome measures included grade retention, special education, and individualized education plans.

Main Results:

  • Only two studies reported academic performance data for unilateral CAA, both with significant risk of bias.
  • One study indicated 3.6% grade retention, 15.7% special education, and 36.4% individualized education program use.
  • The second study found 29.9% received school intervention and 25.4% had learning problems.

Conclusions:

  • Evidence on the academic impact of unilateral CAA is sparse, inconclusive, and prone to bias.
  • High-quality observational studies are needed to accurately assess the effects of CAA on academic performance.
Abstract

Keywords:
Academic performanceCongenital aural atresiaMicrotiaUnilateral hearing loss

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