The Role of Bone-Anchored Hearing Devices and Remote Microphones in Children with Congenital Unilateral Hearing Loss

Congenital unilateral hearing loss (UHL) represents a contemporary audiologic challenge. Children with UHL can struggle with understanding speech in noise, localizing sounds, developing language, and maintaining academic performance, leading to low self-esteem, anxiety, and decreased social support....

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Bibliographic Details
Published in:Brain sciences 2023-09, Vol.13 (10), p.1379
Main Authors: Lazzerini, Francesco, Bruschini, Luca, Fiacchini, Giacomo, Canzi, Pietro, Berrettini, Stefano, Forli, Francesca
Format: Article
Language:English
Subjects:
Academic achievement
Anxiety
Audiometry
aural atresia
bone conduction device
Children
Cognition & reasoning
Cognitive ability
Deafness
Ears & hearing
Genetic disorders
Hearing loss
Listening
Medicin och hälsovetenskap
Patients
Pediatrics
remote microphone
Social interactions
Sound
Speech
Speech perception
SSD
unilateral hearing loss
Voice recognition
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Description
Summary:Congenital unilateral hearing loss (UHL) represents a contemporary audiologic challenge. Children with UHL can struggle with understanding speech in noise, localizing sounds, developing language, and maintaining academic performance, leading to low self-esteem, anxiety, and decreased social support. Two specific conditions related to UHL in children are single-sided deafness (SSD) and unilateral auris atresia (UAA). This was a retrospective observational study on a group of children with UHL. The Simplified Italian Matrix Sentence Test was used for the assessment of speech reception threshold (SRT) in different conditions: speech and noise from the front (S0N0), speech at 45° from the side of the better ear and noise at 45° from the opposite side (SbNw), and vice versa (SwNb). Each test was conducted unaided, with a bone-anchored hearing device (BAHD), and with a remote microphone (RM) system. The use of a BAHD and RM led to an improvement in SRT in S0N0 and SwNb conditions. The SSD subgroup demonstrated significant benefits with both devices in SwNb, and the UAA subgroup from the use of BAHD in S0N0. In conclusion, the study underscores the potential benefits of both devices in enhancing speech perception for UHL children, providing insights into effective intervention strategies for these challenging cases.
ISSN:2076-3425
2076-3425
DOI:10.3390/brainsci13101379