Cochlear Implants as Treatment of Single-Sided Deafness in Children

  • David R. Friedmann
  • J. Thomas RolandJr.
  • Susan B. Waltzman
Chapter
First Online:

Abstract

The paradigm for treatment of unilateral hearing loss has undergone significant changes. While minor asymmetries may be observed, studies reveal that unilateral hearing impairment may negatively impact language development, social interactions, and academic performance. Most rehabilitative options for single-sided deafness (SSD) route sound to the contralateral cochlea resulting in only unilateral auditory stimulation. The benefits of true binaural hearing including improved hearing in difficult listening situations and the ability to localize sound remain elusive to patients with SSD. Cochlear implants may habilitate some of these abilities, but widespread use of this modality in children will depend on further outcome studies.

Keywords

Single-sided deafness Unilateral hearing loss Children Speech language delay 
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References

  1. Arndt S, Aschendorff A, Laszig R, Beck R, Schild C, Kroeger S, et al. Comparison of pseudobinaural hearing to real binaural hearing rehabilitation after cochlear implantation in patients with unilateral deafness and tinnitus. Otol Neurotol. 2011;32(1):39–47. doi: 10.1097/MAO.0b013e3181fcf271.CrossRefPubMedGoogle Scholar
  2. Battista RA, Mullins K, Wiet RM, Sabin A, Kim J, Rauch V. Sound localization in unilateral deafness with the Baha or TransEar device. JAMA Otolaryngol Head Neck Surg. 2013;139(1):64–70. doi: 10.1001/jamaoto.2013.1101.CrossRefPubMedGoogle Scholar
  3. Bess FH, Tharpe AM. Performance and management of children with unilateral sensorineural hearing loss. Scand Audiol Suppl. 1988;30:75–9.PubMedGoogle Scholar
  4. Bess FH, Dodd-Murphy J, Parker RA. Children with minimal sensorineural hearing loss: prevalence, educational performance, and functional status. Ear Hear. 1998;19(5):339–54.CrossRefPubMedGoogle Scholar
  5. Bovo R, Martini A, Agnoletto M, Beghi A, Carmignoto D, Milani M, Zangaglia AM. Auditory and academic performance of children with unilateral hearing loss. Scand Audiol Suppl. 1988;30:71–4.PubMedGoogle Scholar
  6. Cadieux JH, Firszt JB, Reeder RM. Cochlear implantation in nontraditional candidates: preliminary results in adolescents with asymmetric hearing loss. Otol Neurotol. 2013;34(3):408–15. doi: 10.1097/MAO.0b013e31827850b8.CrossRefPubMedPubMedCentralGoogle Scholar
  7. Christensen L, Richter GT, Dornhoffer JL. Update on bone-anchored hearing aids in pediatric patients with profound unilateral sensorineural hearing loss. Arch Otolaryngol Head Neck Surg. 2010;136(2):175–7. doi: 10.1001/archoto.2009.203.CrossRefPubMedGoogle Scholar
  8. Doshi J, Banga R, Child A, Lawrence R, Reid A, Proops D, McDermott AL. Quality-of-life outcomes after bone-anchored hearing device surgery in children with single-sided sensorineural deafness. Otol Neurotol. 2013;34(1):100–3. doi: 10.1097/MAO.0b013e318277a3dd.CrossRefPubMedGoogle Scholar
  9. Gordon KA, Jiwani S, Papsin BC. Benefits and detriments of unilateral cochlear implant use on bilateral auditory development in children who are deaf. Front Psychol. 2013;4:719. doi: 10.3389/fpsyg.2013.00719.CrossRefPubMedPubMedCentralGoogle Scholar
  10. Hansen MR, Gantz BJ, Dunn C. Outcomes after cochlear implantation for patients with single-sided deafness, including those with recalcitrant Meniere’s disease. Otol Neurotol. 2013;34(9):1681–7. doi: 10.1097/MAO.0000000000000102.CrossRefPubMedGoogle Scholar
  11. Hassepass F, Aschendorff A, Wesarg T, Kroger S, Laszig R, Beck RL, et al. Unilateral deafness in children: audiologic and subjective assessment of hearing ability after cochlear implantation. Otol Neurotol. 2013;34(1):53–60. doi: 10.1097/MAO.0b013e31827850f0.CrossRefPubMedGoogle Scholar
  12. Laury AM, Casey S, McKay S, Germiller JA. Etiology of unilateral neural hearing loss in children. Int J Pediatr Otorhinolaryngol. 2009;73(3):417–27. doi: 10.1016/j.ijporl.2008.11.012.CrossRefPubMedGoogle Scholar
  13. Lieu JE, Tye-Murray N, Karzon RK, Piccirillo JF. Unilateral hearing loss is associated with worse speech-language scores in children. Pediatrics. 2010;125(6):e1348–55. doi: 10.1542/peds.2009-2448.CrossRefPubMedPubMedCentralGoogle Scholar
  14. Lieu JE, Tye-Murray N, Fu Q. Longitudinal study of children with unilateral hearing loss. Laryngoscope. 2012;122(9):2088–95. doi: 10.1002/lary.23454.CrossRefPubMedPubMedCentralGoogle Scholar
  15. Masuda S, Usui S, Matsunaga T. High prevalence of inner-ear and/or internal auditory canal malformations in children with unilateral sensorineural hearing loss. Int J Pediatr Otorhinolaryngol. 2013;77(2):228–32. doi: 10.1016/j.ijporl.2012.11.001.CrossRefPubMedGoogle Scholar
  16. McClay JE, Booth TN, Parry DA, Johnson R, Roland P. Evaluation of pediatric sensorineural hearing loss with magnetic resonance imaging. Arch Otolaryngol Head Neck Surg. 2008;134(9):945–52. doi: 10.1001/archotol.134.9.945.CrossRefPubMedGoogle Scholar
  17. Niskar AS, Kieszak SM, Holmes A, Esteban E, Rubin C, Brody DJ. Prevalence of hearing loss among children 6 to 19 years of age: the Third National Health and Nutrition Examination Survey. JAMA. 1998;279(14):1071–5.CrossRefPubMedGoogle Scholar
  18. Plontke SK, Heider C, Koesling S, Hess S, Bieseke L, Goetze G, Rahne T. Cochlear implantation in a child with posttraumatic single-sided deafness. Eur Arch Otorhinolaryngol. 2013;270(5):1757–61. doi: 10.1007/s00405-013-2350-2.CrossRefPubMedGoogle Scholar
  19. Rouger J, Lagleyre S, Demonet JF, Fraysse B, Deguine O, Barone P. Evolution of crossmodal reorganization of the voice area in cochlear-implanted deaf patients. Hum Brain Mapp. 2012;33(8):1929–40. doi: 10.1002/hbm.21331.CrossRefPubMedGoogle Scholar
  20. Sharma A, Dorman MF, Kral A. The influence of a sensitive period on central auditory development in children with unilateral and bilateral cochlear implants. Hear Res. 2005;203(1-2):134–43. doi: 10.1016/j.heares.2004.12.010.CrossRefPubMedGoogle Scholar
  21. Simons JP, Mandell DL, Arjmand EM. Computed tomography and magnetic resonance imaging in pediatric unilateral and asymmetric sensorineural hearing loss. Arch Otolaryngol Head Neck Surg. 2006;132(2):186–92. doi: 10.1001/archotol.132.2.186.CrossRefPubMedGoogle Scholar
  22. Song JJ, Choi HG, Oh SH, Chang SO, Kim CS, Lee JH. Unilateral sensorineural hearing loss in children: the importance of temporal bone computed tomography and audiometric follow-up. Otol Neurotol. 2009;30(5):604–8. doi: 10.1097/MAO.0b013e3181ab9185.CrossRefPubMedGoogle Scholar
  23. Van de Heyning P, Vermeire K, Diebl M, Nopp P, Anderson I, De Ridder D. Incapacitating unilateral tinnitus in single-sided deafness treated by cochlear implantation. Ann Otol Rhinol Laryngol. 2008;117(9):645–52.CrossRefPubMedGoogle Scholar
  24. Vermeire K, Van de Heyning P. Binaural hearing after cochlear implantation in subjects with unilateral sensorineural deafness and tinnitus. Audiol Neurootol. 2009;14(3):163–71. doi: 10.1159/000171478.CrossRefPubMedGoogle Scholar
  25. Wazen JJ, Ghossaini SN, Spitzer JB, Kuller M. Localization by unilateral BAHA users. Otolaryngol Head Neck Surg. 2005;132(6):928–32. doi: 10.1016/j.otohns.2005.03.014.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media LLC 2016

Authors and Affiliations

  • David R. Friedmann
    • 1
  • J. Thomas RolandJr.
    • 1
  • Susan B. Waltzman
    • 1
  1. 1.Department of Otolaryngology—Head and Neck SurgeryNew York University School of MedicineNew YorkUSA

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