Permanent Unilateral Hearing Loss (UHL) and Childhood Development

Judith E C Lieu, Judith E C Lieu

Abstract

Purpose of review: The aim of this study is to summarize the consequences of permanent unilateral hearing loss (UHL) on the development of children as documented in the recent literature.

Recent findings: Congenital and early-identified UHL places young children at risk for delays in speech-language development. School-aged children with UHL score lower on standardized tests of language and cognition and need increased assistance in school for educational and behavioral issues than siblings with normal hearing, and report lower hearing-related quality of life, similar to children with bilateral hearing loss (HL). Early intervention, including use of hearing amplification devices, might ameliorate some of those affects. For a child with mild to severe UHL at presentation, the risk of progression of HL in the worse-hearing ear may be as high as 40%, and the risk of progression to bilateral HL approaches 20%.

Summary: Although UHL can adversely affect the development of children, how to mitigate those effects requires investigation.

Keywords: Children; Cognition; Executive functions; Quality of life; Speech and language; Unilateral hearing loss.

Conflict of interest statement

Compliance with Ethical StandardsDr. Lieu has nothing to disclose.This article does not contain any studies with human or animal subjects performed by any of the authors.

Figures

Fig. 1
Fig. 1
Differences in standardized language scores from childhood to adolescence. Children with unilateral hearing loss (UHL) are compared to their siblings with normal hearing (NH). The effect sizes of the difference in scores appear to enlarge, from 0.5–0.6 SD in elementary school (moderate effect) to 1.0 SD in adolescence (large effect)
Fig. 2
Fig. 2
Differences in standardized intelligence quotient scores from childhood to adolescents. Children with UHL are compared to their siblings with NH. The effect sizes of the differences in scores appear to enlarge from 0.2–0.3 SD in elementary school (small effect) to 0.8–0.9 SD in adolescents (large effect)

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Source: PubMed

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