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Updated: Aug 15, 2026

Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss
Published on: January 25, 2016
Progressive sensorineural hearing loss in childhood
1Department of Audiology, Manchester University.
Insights
Progressive sensorineural hearing loss affects at least 9% of school-aged children. This hearing impairment tends to worsen over time, particularly in the better ear, impacting audiological assessments.
Area of Science:
- Audiology
- Pediatric Otolaryngology
- Public Health
Background:
- Bilateral sensorineural hearing loss is a significant concern in school-aged children.
- Understanding the progression and causes of hearing impairment is crucial for early intervention.
Purpose of the Study:
- To investigate the prevalence of progressive sensorineural hearing loss in children.
- To identify causes, age of onset, and progression patterns of hearing deterioration.
- To discuss the implications for audiological assessment and hearing aid use.
Main Methods:
- Retrospective review of audiological assessment records from 1984-1986.
- Analysis of children with bilateral sensorineural hearing loss.
- Examination of audiogram data for patterns of progression and symmetry.
Main Results:
- Prevalence of progressive sensorineural hearing loss estimated at a minimum of 9%.
- Hearing deterioration was often more pronounced in the better-hearing ear.
- Identified age-related trends in hearing loss progression.
Conclusions:
- The 9% prevalence figure is likely an underestimation.
- Progressive hearing loss in children requires ongoing monitoring.
- The pattern of deterioration impacts the interpretation of hearing aid efficacy.
Abstract:
Examination was made of the records of school-aged children with a bilateral sensorineural hearing loss who were seen for audiological assessment in the period 1984 to 1986. These records formed the basis of an investigation, reported in this paper, into the prevalence of progressive sensorineural hearing loss, the causes of hearing impairment in these children, the ages at which deterioriation occurs and the patterns of progression in terms of audiogram shape and symmetry. A figure of 9% was found for prevalence, but arguments are put forward to show that this is probably a minimum figure and that most studies are likely to under-estimate the number of children with progressive sensorineural hearing loss. There is a tendency for the deterioration to be greater in the better ear. The implications of this when assessing the role of hearing aids in causing deterioration is discussed.
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