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Management of unilateral hearing loss
Affiliation:1. Department of Otolaryngology – Head and Neck Surgery, Washington University School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110-1010, USA;2. Department of Anatomy and Neurobiology, Department of Radiology, Washington University School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110, USA;1. Department of Pediatric Plastic Surgery, Wilhelmina Children''s Hospital, University Medical Center Utrecht, Lundlaan, 6, 3584, EA, Utrecht, The Netherlands;2. Department of Otorhinolaryngology, University Medical Center Utrecht, Heidelberglaan, 100, 3584, CX, Utrecht, The Netherlands;3. Cochrane Netherlands, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands;1. Department of Clinical Medicine, Faculty of Medicine and Dentistry, University of Bergen, Jonas Lies Vei 87, 5021 Bergen, Norway;2. Department of Otolaryngology/Head and Neck Surgery, Haukeland University Hospital, PB 1400, 5021 Bergen, Norway;3. Department of Biological and Medical Psychology, University of Bergen, PB 7807, 5020 Bergen, Norway;4. Department of Clinical Engineering, Haukeland University Hospital, PB 1400, 5021 Bergen, Norway;5. Department of Clinical Science, Section of Logopedics, Phoniatrics and Audiology, Lund University, Box 117, 221 00 Lund, Sweden;1. Department of Otolaryngology-Head and Neck Surgery, St. Vincent''s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea;2. Clinical Research Coordinating Center, Catholic Medical Center, The Catholic University of Korea, Seoul, Republic of Korea
Abstract:ObjectiveA representative sample of literature regarding unilateral hearing loss (UHL) was reviewed to provide evidence of the effects of UHL and the intervention options available for children with UHL. Considerations during the assessment and management of children with UHL are illustrated using case illustrations.MethodResearch articles published from 2013 to 2015 were searched in the PubMed database using the keywords “unilateral hearing loss”. Articles from 1950 to 2013 were included from a previous literature review on minimal hearing loss [1]. A retrospective review of charts of 14 children with UHL was also conducted.ResultsThe evidence indicates that children with UHL are more likely to have structural anomalies of the inner ear; may face challenges in six different domains, and have six intervention options available. Evidence also indicates that although some children appear to exhibit no delays or difficulties, others have significant challenges, some of which continue into adulthood.ConclusionsChildren with UHL have to be treated on a case-by-case basis. Parent education regarding UHL, its effects, and all available management options is critical so they can make informed decisions. Close monitoring and good communication between professionals in different domains is crucial in order to minimize the potential negative effects of UHL.
Keywords:Unilateral hearing loss  Assessment  Intervention
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