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Semin Hear 2010; 31(4): 275-289
DOI: 10.1055/s-0030-1268030
© Thieme Medical Publishers

Children with Unilateral Hearing Loss

Judith E.C Lieu1
  • 1Department of Otolaryngology–Head and Neck Surgery, Washington University School of Medicine, St. Louis, Missouri
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Publication History

Publication Date:
07 December 2010 (online)

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ABSTRACT

In the United States alone, unilateral hearing loss (UHL) affects 0.1 to 5% of school-aged children and 0.04 to 3.4% of infants at birth. Several studies from the 1980s and 1990s raised the specter that UHL in children was not as benign as common wisdom suggested. In children 6 to 12 years old, UHL is associated with significantly poorer oral language skills and vocabulary intelligence quotient scores. Children with UHL are at higher risk of receiving individualized educational plans in school and speech therapy. Quality of life in children also may be negatively affected by UHL, similar to children with bilateral hearing loss. Although a growing number of audiologists, deaf educators, and otolaryngologists acknowledge the problems that many children with UHL experience, the larger medical and educational communities still tend to discount UHL as a problem for children. Further research is necessary to identify the children with UHL who may benefit from interventions and to determine which interventions are most effective in children with UHL.

KEYWORDS

Unilateral hearing loss - children - speech language delay - quality of life

REFERENCES

  • 1 Oyler R F, Oyler A L, Matkin N D. Warning: a unilateral hearing loss may be detrimental to a child's academic career.  The Hearing Journal. 1987;  40(9) 18-22
    PubMedGoogle Scholar
  • 2 Bess F H. Children with unilateral hearing loss.  J Acad Rehab Audiol. 1982;  15 131-144
    PubMedGoogle Scholar
  • 3 Mild and Unilateral Hearing Loss: National Workshop. Beaver Run Resort, Breckenridge, CO; Centers for Disease Control and Prevention July 26–27, 2005
    Google Scholar
  • 4 Wazen J J, Spitzer J B, Ghossaini S N et al. Transcranial contralateral cochlear stimulation in unilateral deafness.  Otolaryngol Head Neck Surg. 2003;  129(3) 248-254
    CrossrefPubMedGoogle Scholar
  • 5 Barsky-Firkser L, Sun S. Universal newborn hearing screenings: a three-year experience.  Pediatrics. 1997;  99(6) E4
    PubMedGoogle Scholar
  • 6 Finitzo T, Albright K, O'Neal J. The newborn with hearing loss: detection in the nursery.  Pediatrics. 1998;  102(6) 1452-1460
    CrossrefPubMedGoogle Scholar
  • 7 Everberg G. Etiology of unilateral total deafness studied in a series of children and young adults.  Ann Otol Rhinol Laryngol. 1960;  69 711-730
    PubMedGoogle Scholar
  • 8 Mehra S, Eavey R D, Keamy Jr D G. The epidemiology of hearing impairment in the United States: newborns, children, and adolescents.  Otolaryngol Head Neck Surg. 2009;  140(4) 461-472
    CrossrefPubMedGoogle Scholar
  • 9 Niskar A S, Kieszak S M, Holmes A, Esteban E, Rubin C, Brody D J. Prevalence of hearing loss among children 6 to 19 years of age: the Third National Health and Nutrition Examination Survey.  JAMA. 1998;  279(14) 1071-1075
    CrossrefPubMedGoogle Scholar
  • 10 Ross D S, Visser S N, Holstrum W J, Qin T, Kenneson A. Highly variable population-based prevalence rates of unilateral hearing loss after the application of common case definitions.  Ear Hear. 2010;  31(1) 126-133
    CrossrefPubMedGoogle Scholar
  • 11 Martínez-Cruz C F, Poblano A, Conde-Reyes M P. Cognitive performance of school children with unilateral sensorineural hearing loss.  Arch Med Res. 2009;  40(5) 374-379
    CrossrefPubMedGoogle Scholar
  • 12 American Academy of Pediatrics, Joint Committee on Infant Hearing . Year 2007 position statement: principles and guidelines for early hearing detection and intervention programs.  Pediatrics. 2007;  120(4) 898-921
    CrossrefPubMedGoogle Scholar
  • 13 Kenna M A, Wu B L, Cotanche D A, Korf B R, Rehm H L. Connexin 26 studies in patients with sensorineural hearing loss.  Arch Otolaryngol Head Neck Surg. 2001;  127(9) 1037-1042
    PubMedGoogle Scholar
  • 14 Lee K H, Larson D A, Shott G et al.. Audiologic and temporal bone imaging findings in patients with sensorineural hearing loss and GJB2 mutations.  Laryngoscope. 2009;  119(3) 554-558
    CrossrefPubMedGoogle Scholar
  • 15 Morton C C, Nance W E. Newborn hearing screening—a silent revolution.  N Engl J Med. 2006;  354(20) 2151-2164
    CrossrefPubMedGoogle Scholar
  • 16 Rødningen O K, Prescott T, Eriksson A S, Røsby O. 1.4Mb recurrent 22q11.2 distal deletion syndrome, two new cases expand the phenotype.  Eur J Med Genet. 2008;  51(6) 646-650
    CrossrefPubMedGoogle Scholar
  • 17 Dikkers F G, Verheij J B, van Mechelen M. Hereditary congenital unilateral deafness: a new disorder?.  Ann Otol Rhinol Laryngol. 2005;  114(4) 332-337
    PubMedGoogle Scholar
  • 18 Dodson K M, Kamei T, Sismanis A, Nance W E. Familial unilateral deafness and delayed endolymphatic hydrops.  Am J Med Genet A. 2007;  143A(14) 1661-1665
    CrossrefPubMedGoogle Scholar
  • 19 Patel N, Oghalai J S. Familial unilateral cochlear nerve aplasia.  Otol Neurotol. 2006;  27(3) 443-444
    CrossrefPubMedGoogle Scholar
  • 20 Smith A B. Unilateral hereditary deafness.  Lancet. 1939;  2 1172-1173
    PubMedGoogle Scholar
  • 21 Bamiou D E, Savy L, O'Mahoney C, Phelps P, Sirimanna T. Unilateral sensorineural hearing loss and its aetiology in childhood: the contribution of computerised tomography in aetiological diagnosis and management.  Int J Pediatr Otorhinolaryngol. 1999;  51(2) 91-99
    CrossrefPubMedGoogle Scholar
  • 22 Laury A M, Casey S, McKay S, Germiller J A. Etiology of unilateral neural hearing loss in children.  Int J Pediatr Otorhinolaryngol. 2009;  73(3) 417-427
    CrossrefPubMedGoogle Scholar
  • 23 McClay J E, Booth T N, Parry D A, Johnson R, Roland P. Evaluation of pediatric sensorineural hearing loss with magnetic resonance imaging.  Arch Otolaryngol Head Neck Surg. 2008;  134(9) 945-952
    CrossrefPubMedGoogle Scholar
  • 24 Simons J P, Mandell D L, Arjmand E M. Computed tomography and magnetic resonance imaging in pediatric unilateral and asymmetric sensorineural hearing loss.  Arch Otolaryngol Head Neck Surg. 2006;  132(2) 186-192
    CrossrefPubMedGoogle Scholar
  • 25 Song J J, Choi H G, Oh S H, Chang S O, Kim C S, Lee J H. Unilateral sensorineural hearing loss in children: the importance of temporal bone computed tomography and audiometric follow-up.  Otol Neurotol. 2009;  30(5) 604-608
    CrossrefPubMedGoogle Scholar
  • 26 Simons J P, Ruscetta M N, Chi D H. Sensorineural hearing impairment in children with Chiari I malformation.  Ann Otol Rhinol Laryngol. 2008;  117(6) 443-447
    PubMedGoogle Scholar
  • 27 Tharpe A M, Sladen D P. Causation of permanent unilateral and mild bilateral hearing loss in children.  Trends Amplif. 2008;  12(1) 17-25
    CrossrefPubMedGoogle Scholar
  • 28 Gedlicka C, Formanek M, Ehrenberger K. Analysis of 60 patients after tympanotomy and sealing of the round window membrane after acute unilateral sensorineural hearing loss.  Am J Otolaryngol. 2009;  30(3) 157-161
    CrossrefPubMedGoogle Scholar
  • 29 Hashimoto H, Fujioka M, Kinumaki H. Kinki Ambulatory Pediatrics Study Group . An office-based prospective study of deafness in mumps.  Pediatr Infect Dis J. 2009;  28(3) 173-175
    PubMedGoogle Scholar
  • 30 Vartiainen E, Karjalainen S. Prevalence and etiology of unilateral sensorineural hearing impairment in a Finnish childhood population.  Int J Pediatr Otorhinolaryngol. 1998;  43(3) 253-259
    CrossrefPubMedGoogle Scholar
  • 31 Lieu J E, Tye-Murray N, Karzon R K, Piccirillo J F. Speech-language scores in children with unilateral hearing loss.  Pediatrics. 2010;  125 e1348-e1355
    CrossrefPubMedGoogle Scholar
  • 32 Uwiera T C, DeAlarcon A, Meinzen-Derr J et al. Hearing loss progression and contralateral involvement in children with unilateral sensorineural hearing loss.  Ann Otol Rhinol Laryngol. 2009;  118(11) 781-785
    PubMedGoogle Scholar
  • 33 Kakigi A, Nakatani H, Takeda T. Hearing changes in the contralateral ear with juvenile unilateral profound hearing loss of unknown origin.  Int J Pediatr Otorhinolaryngol Extra. 2006;  1(3) 192-195
    PubMedGoogle Scholar
  • 34 Fowler K B, Boppana S B. Congenital cytomegalovirus (CMV) infection and hearing deficit.  J Clin Virol. 2006;  35(2) 226-231
    CrossrefPubMedGoogle Scholar
  • 35 Morzaria S, Westerberg B D, Kozak F K. Evidence-based algorithm for the evaluation of a child with bilateral sensorineural hearing loss.  J Otolaryngol. 2005;  34(5) 297-303
    CrossrefPubMedGoogle Scholar
  • 36 Preciado D A, Lawson L, Madden C et al. Improved diagnostic effectiveness with a sequential diagnostic paradigm in idiopathic pediatric sensorineural hearing loss.  Otol Neurotol. 2005;  26(4) 610-615
    CrossrefPubMedGoogle Scholar
  • 37 Bess F H, Tharpe A M. An introduction to unilateral sensorineural hearing loss in children.  Ear Hear. 1986;  7(1) 3-13
    CrossrefPubMedGoogle Scholar
  • 38 Humes L E, Allen S K, Bess F H. Horizontal sound localization skills of unilaterally hearing-impaired children.  Audiology. 1980;  19(6) 508-518
    CrossrefPubMedGoogle Scholar
  • 39 Bess F H, Tharpe A M. Unilateral hearing impairment in children.  Pediatrics. 1984;  74(2) 206-216
    PubMedGoogle Scholar
  • 40 Bovo R, Martini A, Agnoletto M et al. Auditory and academic performance of children with unilateral hearing loss.  Scand Audiol Suppl. 1988;  30 71-74
    Google Scholar
  • 41 Bess F H, Tharpe A M, Gibler A M. Auditory performance of children with unilateral sensorineural hearing loss.  Ear Hear. 1986;  7(1) 20-26
    CrossrefPubMedGoogle Scholar
  • 42 Hartvig Jensen J, Johansen P A, Børre S. Unilateral sensorineural hearing loss in children and auditory performance with respect to right/left ear differences.  Br J Audiol. 1989;  23(3) 207-213
    CrossrefPubMedGoogle Scholar
  • 43 Kiese-Himmel C. Unilateral sensorineural hearing impairment in childhood: analysis of 31 consecutive cases.  Int J Audiol. 2002;  41(1) 57-63
    CrossrefPubMedGoogle Scholar
  • 44 Sedey A L, Carpenter K, Stredler-Brown A. Unilateral hearing loss: what do we know, what should we do?. Paper presented at: National Symposium on Hearing in Infants Conference August 1, 2002 Breckenridge, CO;
    Google Scholar
  • 45 Peckham C S, Sheridan M D. Follow-up? at II years of 46 children with severe unilateral hearing loss at 7 years.  Child Care Health Dev. 1976;  2(2) 107-111
    CrossrefPubMedGoogle Scholar
  • 46 Klee T M, Davis-Dansky E. A comparison of unilaterally hearing-impaired children and normal-hearing children on a battery of standardized language tests.  Ear Hear. 1986;  7(1) 27-37
    CrossrefPubMedGoogle Scholar
  • 47 Borg E, Risberg A, McAllister B et al. Language development in hearing-impaired children. Establishment of a reference material for a “Language test for hearing-impaired children,” LATHIC.  Int J Pediatr Otorhinolaryngol. 2002;  65(1) 15-26
    CrossrefPubMedGoogle Scholar
  • 48 Cozad R L. Speechreading skill and communication difficulty of children and young adults with unilateral hearing loss.  J Aud Res. 1977;  17(1) 25-29
    PubMedGoogle Scholar
  • 49 Lieu J E, Tye-Murray N, Karzon R K, Piccirillo J F. Unilateral hearing loss is associated with worse speech-language scores in children.  Pediatrics. 2010;  125(6) e1348-e1355
    CrossrefPubMedGoogle Scholar
  • 50 Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Hillsdale, NJ; Erlbaum 1988
    Google Scholar
  • 51 Christakis D A, Gilkerson J, Richards J A et al. Audible television and decreased adult words, infant vocalizations, and conversational turns: a population-based study.  Arch Pediatr Adolesc Med. 2009;  163(6) 554-558
    CrossrefPubMedGoogle Scholar
  • 52 Geers A E. Predictors of reading skill development in children with early cochlear implantation.  Ear Hear. 2003;  24(1, Suppl) 59S-68S
    CrossrefPubMedGoogle Scholar
  • 53 Moeller M P, Tomblin J B, Yoshinaga-Itano C, Connor C M, Jerger S. Current state of knowledge: language and literacy of children with hearing impairment.  Ear Hear. 2007;  28(6) 740-753
    CrossrefPubMedGoogle Scholar
  • 54 Zimmerman F J, Gilkerson J, Richards J A et al. Teaching by listening: the importance of adult-child conversations to language development.  Pediatrics. 2009;  124(1) 342-349
    CrossrefPubMedGoogle Scholar
  • 55 Hayiou-Thomas M E. Genetic and environmental influences on early speech, language and literacy development.  J Commun Disord. 2008;  41(5) 397-408
    CrossrefPubMedGoogle Scholar
  • 56 Prathanee B, Thinkhamrop B, Dechongkit S. Factors associated with specific language impairment and later language development during early life: a literature review.  Clin Pediatr (Phila). 2007;  46(1) 22-29
    CrossrefPubMedGoogle Scholar
  • 57 Oyler R F, Oyler A L, Matkin N D. Unilateral hearing loss: demographics and educational impact.  Lang Speech Hear Serv Sch. 1988;  19 201-210
    PubMedGoogle Scholar
  • 58 Dancer J, Burl N T, Waters S. Effects of unilateral hearing loss on teacher responses to the SIFTER. Screening Instrument for Targeting Educational Risk.  Am Ann Deaf. 1995;  140(3) 291-294
    PubMedGoogle Scholar
  • 59 Most T. The effects of degree and type of hearing loss on children's performance in class.  Deaf Educ Int. 2004;  6(3) 154-166
    PubMedGoogle Scholar
  • 60 Most T. Assessment of school functioning among Israeli Arab children with hearing loss in the primary grades.  Am Ann Deaf. 2006;  151(3) 327-335
    CrossrefPubMedGoogle Scholar
  • 61 Niedzielski A, Humeniuk E, Błaziak P, Gwizda G. Intellectual efficiency of children with unilateral hearing loss.  Int J Pediatr Otorhinolaryngol. 2006;  70(9) 1529-1532
    CrossrefPubMedGoogle Scholar
  • 62 Lieu J E. Speech-language and educational consequences of unilateral hearing loss in children.  Arch Otolaryngol Head Neck Surg. 2004;  130(5) 524-530
    CrossrefPubMedGoogle Scholar
  • 63 Widen J E, Folsom R C, Cone-Wesson B et al. Identification of neonatal hearing impairment: hearing status at 8 to 12 months corrected age using a visual reinforcement audiometry protocol.  Ear Hear. 2000;  21(5) 471-487
    CrossrefPubMedGoogle Scholar
  • 64 Hoffarth K, Lieu J E. Unilateral hearing loss in children: academic implications and recommendations.  Bull Am Aud Soc. 2010;  35(1) 32
    PubMedGoogle Scholar
  • 65 Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion .Health-related quality of life. Available at: http://www.cdc.gov/hrqol/ Accessed: December 22, 2009
    Google Scholar
  • 66 Wake M, Hughes E K, Collins C M, Poulakis Z. Parent-reported health-related quality of life in children with congenital hearing loss: a population study.  Ambul Pediatr. 2004;  4(5) 411-417
    CrossrefPubMedGoogle Scholar
  • 67 Petrou S, McCann D, Law C M, Watkin P M, Worsfold S, Kennedy C R. Health status and health-related quality of life preference-based outcomes of children who are aged 7 to 9 years and have bilateral permanent childhood hearing impairment.  Pediatrics. 2007;  120(5) 1044-1052
    CrossrefPubMedGoogle Scholar
  • 68 Giolas T G, Wark D J. Communication problems associated with unilateral hearing loss.  J Speech Hear Disord. 1967;  32(4) 336-343
    CrossrefPubMedGoogle Scholar
  • 69 Newman C W, Jacobson G P, Hug G A, Sandridge S A. Perceived hearing handicap of patients with unilateral or mild hearing loss.  Ann Otol Rhinol Laryngol. 1997;  106(3) 210-214
    PubMedGoogle Scholar
  • 70 Borton S A, Mauze E, Lieu J E. Quality of life in children with unilateral hearing loss: a pilot study.  Am J Audiol. 2010;  19(1) 61-72
    CrossrefPubMedGoogle Scholar
  • 71 Fortnum H M, Summerfield A Q, Marshall D H, Davis A C, Bamford J M. Prevalence of permanent childhood hearing impairment in the United Kingdom and implications for universal neonatal hearing screening: questionnaire based ascertainment study.  BMJ. 2001;  323(7312) 536-540
    CrossrefPubMedGoogle Scholar
  • 72 Kennedy C, McCann D, Campbell M J, Kimm L, Thornton R. Universal newborn screening for permanent childhood hearing impairment: an 8-year follow-up of a controlled trial.  Lancet. 2005;  366(9486) 660-662
    CrossrefPubMedGoogle Scholar
  • 73 National Center for Hearing Assessment and Management (NCHAM) .State EHDI/UNHS Mandates. Summary Table. 1998. Available at: http://www.infanthearing.org/legislative/summary/index.html Accessed: May 24, 2009
    Google Scholar
  • 74 Holstrum W J, Gaffney M, Gravel J S, Oyler R F, Ross D S. Early intervention for children with unilateral and mild bilateral degrees of hearing loss.  Trends Amplif. 2008;  12(1) 35-41
    CrossrefPubMedGoogle Scholar
  • 75 American Academy of Audiology. Pediatric amplification protocol .2003 Available at: http://www.audiology.org/resources/documentlibrary/Documents/pedamp.pdf Accessed: September 15, 2009
  • 76 McKay S. Management of young children with unilateral hearing loss.  Volta Review. 2007;  106(3) 299-319
    PubMedGoogle Scholar

Judith E.C LieuM.D. 

660 S. Euclid Avenue, Campus Box 8115

St. Louis, MO 63110

Email: lieuj@wustl.edu

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