Unilateral hearing loss in children: speech-language and school performance
J. E. C. Lieu
Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St. Louis, Missouri, USA
Unilateral hearing loss; children; speech language delay
107 - 115
Unilateral hearing loss in children: speech-language and school performance. Problem/Objectives: Unilateral hearingloss(UHL)inchildrenisarelativelycommonproblemoftenidentifiedbynewbornscreeningorschoolscreening. This review summarizes the outcomes of a large study of children with UHL which identified risk factors for educational problems, describes the results of pilot studies of intervention , and proposes guidelines for interventions and future studies. Methods: Cohort of children age 6-12 years with UHL was compared to their siblings with normal hearing on the primary outcomes of cognition, achievement, and language. Secondary outcomes examined included behavioral, speech, and educational problems. A subgroup of children with UHL was followed longitudinally to examine change over time. Results: Children with UHL had lower language and verbal IQ scores than their siblings with normal hearing. They required individualized education plans (a measure of educational difficulty) at three times the rate and speech therapy at twice the rate of their siblings. The additional educational concerns did not ameliorate over time. Low maternal education levels and lower baseline cognitive skills were independent risk factors for school problems. Pilot studies suggest that children with UHL might benefit from amplification, but may need attention to cognitive or executive function skills as well. Conclusions:ChildrenwithUHLareatriskfordelaysinspeech-languagedevelopment,cognition,andbehaviora plroblems that can affect functioning at school. Controlled studies are urgently needed to determine whether amplification, auditory rehabilitation, school-provided educational assistance, or other interventions are able to reduce or eliminate this risk.
Suppl. 21, 2013

Unilateral hearing loss in children: speech-language and school performance