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Updated: Jun 29, 2025

Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss
Published on: January 25, 2016
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.
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.
Abstract:
The aim of this study was to evaluate audiological characteristics and parents' opinions on hearing device use in children with unilateral sensorineural hearing loss (USNHL) who attended a tertiary-level audiologic center. The medical charts of 70 children aged 6 to 12 years with USNHL were reviewed. In 51.4% of cases, the children were diagnosed with USNHL after the age of 2 years. The main causes of USNHL were congenital cytomegalovirus infection (21.4%) and unilateral cochlear nerve hypoplasia (12.9%). The percentage of patients wearing a hearing device was 45.7% (32/70); of these, 28 (87.5%) wore a conventional hearing aid, 2 (6.3%) a CROS device, and 2 (6.3%) a cochlear implant. Regarding the choice to use a hearing device, no significant differences were found between the subcategories of hearing loss degree (p = 0.55) and audiometric configuration (p = 0.54). Most parents of children with mild-to-severe USNHL observed improved attention (90.9%), and reduced fatigue and restlessness (86.4%) using the hearing aid. These children performed significantly better on all audiological tests (speech perception in quiet and in noise conditions, and sound localization) while wearing the hearing aid (p < 0.001). More efforts should be made to raise awareness among professionals and parents about the negative consequences of uncorrected USNHL.
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