Comparison of treatment modalities for single-sided deafness in paediatric patients

J Laryngol Otol. 2023 Jul;137(7):725-731. doi: 10.1017/S0022215122002407. Epub 2022 Nov 16.

Abstract

Objective: Children with single-sided deafness often receive inconsistent clinical recommendations because there is currently no clear best practice in paediatric single-sided deafness. This systematic review of the literature aimed to compare commonly used treatments and attempted to support the use of a particular treatment modality.

Method: This was a comprehensive literature review from 1 January 2000 to 22 February 2022; the study compared the outcomes of bone conduction devices and cochlear implantation in paediatric patients with single-sided deafness.

Results: Fifteen studies consisting of 202 patients were examined. Variables including speech reception in quiet and noise, as well as quality of life measures were compared. Both cochlear implantation and bone-anchored hearing aids demonstrated benefits in sound perception. Quality of life measures improved with both modalities.

Conclusion: Although both bone-anchored hearing aids and cochlear implantation appear to provide significant improvements, additional research with more direct comparisons is needed to provide more decisive results.

Keywords: BAHA; Cochlear Implants; Hearing Aids; Hearing Loss; Hearing Loss, Sensorineural.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Child
  • Cochlear Implantation* / methods
  • Cochlear Implants*
  • Deafness* / surgery
  • Hearing Aids*
  • Hearing Loss, Unilateral* / surgery
  • Humans
  • Quality of Life
  • Speech Perception*
  • Treatment Outcome