Comprehensive Audiological Management of Hearing Loss in Children, Including Mild and Unilateral Hearing Loss.
Comprehensive Audiological Management of Hearing Loss in Children, Including Mild and Unilateral Hearing Loss.
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DOI：
10.1016/j.otc.2021.08.006
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发表时间：
2021-12
影响因子：
1.7
通讯作者：
McCreery R
中科院分区：
文献类型：
--
作者：
Wiseman K;Sapp C;Walker E;McCreery R
一旦确诊HL，应立即转诊进行医疗和语言干预。一个完整的医疗检查，由儿科耳鼻喉科医生表示任何时候听力损失的诊断。这种评估有助于排除瞬态传导问题，确保孩子的耳朵足够健康，可以使用助听器，并可以揭示相关的情况。医学检查的结果补充听力测试结果，并可能影响技术建议。听力学干预的具体建议将取决于HL的类型、程度和结构。如果HL是永久性的或不太可能通过医疗管理解决，则应考虑将放大作为干预的一部分，无论损失是感觉神经性、传导性还是混合性。任何程度的HL都可能对口语发展产生负面影响（5，6），因此，如果儿童的阈值高于正常水平，则应考虑放大任何对理解语音很重要的频率。单侧听力损失会影响双耳线索的获取，这些线索对于声音的定位和噪音中的听力非常重要，因此轻度至重度单侧听力损失的儿童也应该被考虑作为放大的候选人。以dB HL为单位的常规听力测试可以产生阈值，这些阈值会因儿童耳道较小而增强，特别是对于插入式耳机（7）。在耳道较小的婴儿或儿童出现轻度HL的情况下，通讯作者Ryan McCreery。作者没有与这项工作有关的财务或非财务利益冲突。
Once HL is confirmed, referrals for medical and language intervention should be made immediately. A full medical workup by a pediatric otolaryngologist is indicated anytime hearing loss is diagnosed. This evaluation helps rule out transient conductive issues, ensures that a child’s ears are healthy enough for hearing aids, and could reveal related conditions. The findings of a medical exam complement audiometric findings and may influence the technology recommendations. Specific recommendations for audiological intervention will depend on the type, degree, and configuration of HL. If a HL is permanent or unlikely to be resolved through medical management, amplification should be considered as part of the intervention whether the loss is sensorineural, conductive, or mixed. Any degree of HL can negatively impact spoken language development (5, 6), so amplification should be considered if a child has thresholds that are elevated above normal levels for any frequencies that are important for understanding speech. Unilateral hearing loss can impact access to binaural cues that are important for localization of sound and listening in noise, so children with mild to severe unilateral hearing loss should also be considered candidates for amplification. Conventional audiometric testing in dB HL can produce threshold values that are enhanced by a child’s small ear canal size, particularly for insert earphones (7). In cases where infants or children with small ear canals present with mild degrees of HL, Corresponding author Ryan McCreery. The authors have no financial or non-financial conflicts of interest related to this work.
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影响因子：
3.7
作者：
Tomblin JB;Harrison M;Ambrose SE;Walker EA;Oleson JJ;Moeller MP
通讯作者：
Moeller MP
影响因子：
--
作者：
Tharpe, Anne Marie
通讯作者：
Tharpe, Anne Marie
DOI：
10.1044/jshd.5101.53
发表时间：
1986-02-01
期刊：
JOURNAL OF SPEECH AND HEARING DISORDERS
影响因子：
--
作者：
DAVIS, JM;ELFENBEIN, J;BENTLER, RA
通讯作者：
BENTLER, RA
影响因子：
8
作者：
McManus, Margaret A.;Levtov, Ruti;Thompson, Maureen
通讯作者：
Thompson, Maureen
DOI：
10.1044/1092-4388(2011/10-0264
发表时间：
2012-06-01
影响因子：
2.6
作者：
Stiles, Derek J.;Bentler, Ruth A.;McGregor, Karla K.
通讯作者：
McGregor, Karla K.