Consensus practice parameter: audiological assessment and management of unilateral hearing loss in children

Bagatto, Marlene; DesGeorges, Janet; King, Alison; Kitterick, Pádraig T.; Laurnagaray, Diana; Lewis, Dawna E.; Roush, Patricia; Sladen, Douglas P.; Tharpe, Anne Marie

doi:10.1080/14992027.2019.1654620

Cited by 44 publications

(52 citation statements)

References 66 publications

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“…These systematic reviews indicate that, despite the increased number of publications on children with UHL, it is difficult to draw any firm conclusions regarding the outcomes or options open to them due to the limited availability of quality studies. The consensus practice parameter for the audiological assessment and management of children with UHL has identified a number of key areas where consistency in study design and reporting could address the current knowledge gaps about outcomes and management options for children identified with UHL [10].…”

Section: Introductionmentioning

confidence: 99%

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Decision-making following identification of an infant's unilateral hearing loss: Parent and professional perspectives

Porter

Sheeran

Hood

et al. 2021

International Journal of Pediatric Otorhinolaryngology

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Background: Parents of infants identified with unilateral hearing loss (UHL) make decisions about managing their infant's hearing loss based on limited evidence and before knowing whether their infant will require additional support.Objectives: The decision-making processes of parents and clinicians regarding the management of UHL following newborn hearing screening were examined.Procedure: Two convenience samples were recruited: 15 parents of children with permanent UHL aged under 4 years, and 14 clinicians. Applied thematic analysis of the semi-structured interviews elicited insight into the complexities surrounding decision-making from a parent and clinician perspective.Results: Three main themes captured the decision-making process: motivation for decisionmaking, limited evidence creates uncertainty, and available evidence builds certainty. The diverse experiences and opinions of parents and clinicians highlight the complexity of decision-making when there are contested opinions and no clear best management option.Conclusions: The choices parents make about the management of their child's UHL can have lifelong implications for their child. Many questions need answering before parents can effectively evaluate the short-and long-term consequences of their options and whether the advantages outweigh the disadvantages in the long-term. This uncertainty is challenging for professionals and parents and risks cognitive biases influencing clinical and parental decision-making.

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Section: Introductionmentioning

confidence: 99%

“…This consensus practice paper [10] has provided guidance on management and rehabilitative options for babies identified with UHL. Four areas for the management of hearing loss were discussedaudiological monitoring, developmental monitoring, early childhood intervention services, and hearing assistive technology management.…”

Section: Introductionmentioning

confidence: 99%

Decision-making following identification of an infant's unilateral hearing loss: Parent and professional perspectives

Porter

Sheeran

Hood

et al. 2021

International Journal of Pediatric Otorhinolaryngology

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“…A solid view on which children with UCHL benefit from interventions is needed (45,46). Objective tests demonstrate that some children with UCHL improve their directional hearing while others hardly benefit or even deteriorate (9, 33, 47).…”

Section: Causes For Limited Benefit Of a Bcd For Congenital Unilateral Aural Atresiamentioning

confidence: 99%

Toward Optimal Care for Children With Congenital Unilateral Aural Atresia

2021

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“…Currently, the Brazilian Unified Health System (UHS) provides for individuals with UHL, the conventional hearing aid and the Contralateral Routing of Signal (CROS) adaptation system (10) .Conventional hearing aid is poorly recommended by otorhinolaryngologists, as they offer few benefits to speech amplification, especially if the level of UHL is profound. Even for severe hearing losses, this device does not enable speech recognition in noise and improvement in SL due to the large asymmetry between the sides (11) . The CROS system has the advantage of speech detection on the side with UHL in silent situations and a better understanding of speech in noise, when speech is transmitted predominantly on the side without hearing loss.…”

Section: Introductionmentioning

confidence: 99%

“…However, this device does not allow for improvement in the SL, an ability that these individuals present the most difficulty (12) . Probably, for this reason, the device is often not well accepted, not to mention the aesthetic issue related to the stigma of hearing loss due to the need to use two hearing aids, although the loss is only on one side (11,12) .…”

Section: Introductionmentioning

confidence: 99%

Treinamento auditivo acusticamente controlado como opção de intervenção em transtorno do processamento auditivo central em perda auditiva unilateral severa/profunda

Vieira

Pereira

2020

Audiol., Commun. Res.

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RESUMO Objetivo Verificar a efetividade do treinamento auditivo acusticamente controlado em pessoas com distúrbio do processamento auditivo central e perda auditiva unilateral de grau severo a profundo. Métodos Participaram do estudo 16 indivíduos, de 13 a 21 anos de idade, diagnosticados com perda auditiva unilateral de grau severo a profundo e transtorno do processamento auditivo central, divididos em dois grupos, com oito indivíduos cada, pareados por idade, sexo e escolaridade: grupo estudo, submetido ao programa de treinamento auditivo acusticamente controlado, em oito sessões, realizadas uma vez por semana; grupo comparação, que não foi submetido a nenhum tipo de intervenção. Ao final de oito semanas, os grupos foram reavaliados quanto ao potencial evocado auditivo de longa latência (P300) e quanto às habilidades auditivas alteradas, observadas nos testes Localização Sonora, Identificação de Sentenças Sintéticas, Fala no Ruído e Randon Gap Detection Test. Resultados Não houve influências do lado da perda auditiva na avaliação inicial, para nenhum dos grupos. Na avaliação final, verificou-se, somente no grupo estudo, aprimoramento de todas as habilidades auditivas, diminuição da latência e aumento da amplitude no P300. Indivíduos com perda auditiva à direita apresentaram maior aumento da amplitude do P300. Não foram observadas modificações no grupo comparação. Conclusão O treinamento auditivo acusticamente controlado foi eficaz, pois possibilitou o aprimoramento das habilidades auditivas e a modificação na atividade neurobiológica quanto à velocidade de processamento auditivo. Sugere-se essa opção de intervenção em pessoas com transtorno do processamento auditivo central e perda auditiva unilateral.

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Consensus practice parameter: audiological assessment and management of unilateral hearing loss in children

Cited by 44 publications

References 66 publications

Decision-making following identification of an infant's unilateral hearing loss: Parent and professional perspectives

Decision-making following identification of an infant's unilateral hearing loss: Parent and professional perspectives

Toward Optimal Care for Children With Congenital Unilateral Aural Atresia

Treinamento auditivo acusticamente controlado como opção de intervenção em transtorno do processamento auditivo central em perda auditiva unilateral severa/profunda

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