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Hearing outcomes in children with single sided deafness: Our experience at a tertiary paediatric otorhinolaryngology
B Chandrasekar1, E S Hogg1, A Patefield2
1ENT Department, Alder Hey Children's NHS Foundation Trust, Eaton Road, Liverpool, UK.
Insights
Bone conduction devices (BCDs) significantly improved hearing outcomes for children with single-sided deafness (SSD). However, low device compliance indicates complex audiological choices requiring further investigation.
Area of Science:
- Pediatric Otolaryngology
- Audiology
- Rehabilitation Medicine
Background:
- Single-sided deafness (SSD) management involves contralateral routing of sound (CROS) aids and bone conduction devices (BCDs).
- Review of SSD management in children at a tertiary pediatric otolaryngology unit over 15 years.
Purpose of the Study:
- To review the management of children with SSD.
- To evaluate the effectiveness of bone conduction devices (BCDs) in pediatric SSD cases.
Main Methods:
- Retrospective cohort study.
- Children's Home Inventory for Listening Difficulties (CHILD) questionnaire and speech-in-noise thresholds used for outcome measurement.
- Outcomes assessed pre- and post- BCD trial.
Main Results:
- 49 children with SSD identified; 20 trialed BCDs.
- Statistically significant improvement in CHILD scores and speech-in-noise testing post-BCD.
- Mean BCD usage was 1.3 hours/day.
Conclusions:
- Bone conduction devices (BCDs) offer statistically significant benefits for pediatric single-sided deafness (SSD) hearing outcomes.
- Low device compliance suggests complexity in audiological choices for this population.
- Further research is warranted to understand and improve device adoption.
Introduction:
Hearing rehabilitation options for single sided deafness (SSD) include contralateral routing of sound (CROS) aids and bone conduction devices (BCDs). This study aimed to review the management of children with SSD at our tertiary paediatric otolaryngology unit over the last 15 years.
Material And Methods:
A retrospective cohort study was performed. Primary hearing outcomes were measured using the Children's Home Inventory for Listening Difficulties (CHILD) questionnaire score and secondary hearing outcomes were measured using hearing thresholds for speech in noise. Outcomes were measured pre and post bone conduction device (BCD) trial.
Results:
49 patients with SSD were identified. 20 children had trial of a BCD. 16 patients had pre- and post- BCD trial CHILD scores available for analysis. There was a statistically significant improvement in CHILD scores and speech in noise testing at +5 dB and +0 dB following amplification with a BCD. The mean use of BCD was 1.3 h per day.
Discussion:
We have described the management of children with SSD in our unit. This study demonstrated a statistically significant benefit of BCD use on hearing outcomes. However, device compliance is low suggesting hearing advice choice in the population is complex and further research is warranted.
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