Unilateral Sensorineural Hearing Loss in Children: Etiology, Audiological Characteristics, and Treatment

Mirko Aldè1,2, Diego Zanetti1,2, Umberto Ambrosetti1

  • 1Department of Clinical Sciences and Community Health, University of Milan, 20122 Milan, Italy.

PubMed

Insights

Children with unilateral sensorineural hearing loss (USNHL) benefit from hearing devices, showing improved attention and audiological test performance. Increased awareness is needed regarding the consequences of uncorrected USNHL.

Area of Science:

  • Audiology
  • Pediatric Otolaryngology
  • Neuroscience

Background:

  • Unilateral sensorineural hearing loss (USNHL) affects children's auditory development.
  • Early diagnosis and intervention are crucial for managing USNHL.
  • Understanding parental perspectives on hearing device use is vital.

Purpose of the Study:

  • To assess audiological characteristics in children with USNHL.
  • To evaluate parental opinions on hearing device use in this population.
  • To highlight the benefits of hearing devices for children with USNHL.

Main Methods:

  • Retrospective review of medical charts for 70 children (6-12 years) with USNHL.
  • Analysis of audiological data, including hearing loss degree and audiometric configuration.
  • Assessment of hearing device usage patterns and parental-reported outcomes.

Main Results:

  • Congenital cytomegalovirus infection and cochlear nerve hypoplasia were primary causes of USNHL.
  • 45.7% of children used hearing devices, primarily conventional hearing aids.
  • Parents reported improved attention and reduced fatigue with hearing aid use.
  • Children demonstrated significant improvements in speech perception and sound localization with hearing aids.

Conclusions:

  • Hearing devices significantly enhance audiological performance in children with USNHL.
  • Parental observations confirm the positive impact of hearing aids on attention and behavior.
  • Increased professional and parental awareness of uncorrected USNHL consequences is essential.

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