Effects of aural atresia on speech development and learning: retrospective analysis from a multidisciplinary craniofacial clinic.
IMPORTANCE Aural atresia (AA) is associated with maximal conductive hearing loss in affected ears, and children with bilateral AA require amplification. Some recent research has suggested an increased risk for speech and learning problems among children with unilateral sensorineural hearing loss. OB...
| Publicado en: | JAMA Otolaryngology-Head & Neck Surgery Vol. 139; no. 8; pp. 797 - 803 |
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| Autores principales: | , , |
| Formato: | Journal Article |
| Publicado: |
American Medical Association
Aug2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=109616113&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 109616113 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 21686181 FTFV jtl: JAMA Otolaryngology-Head & Neck Surgery issn: 21686181 maglogo: N pubinfo: dt: Aug2013 vid: 139 iid: 8 pid: 30 pub: American Medical Association place: Chicago, Illinois artinfo: ui: 109616113 NLM23868202 2013115974 NLM23868202 109616113 ppf: 797 ppct: 6 formats: tig: atl: Effects of aural atresia on speech development and learning: retrospective analysis from a multidisciplinary craniofacial clinic. aug: au: Jensen, Daniel R Grames, Lynn M Lieu, Judith E C sug: ab: IMPORTANCE Aural atresia (AA) is associated with maximal conductive hearing loss in affected ears, and children with bilateral AA require amplification. Some recent research has suggested an increased risk for speech and learning problems among children with unilateral sensorineural hearing loss. OBJECTIVE To investigate whether increased risk for speech and learning problems exists among children with AA. DESIGN Retrospective medical record review. SETTING Multidisciplinary craniofacial clinic. PARTICIPANTS Children with unilateral or bilateral AA. INTERVENTIONS Records review, including evaluations by audiologists, speech pathologists, and psychologists. MAIN OUTCOME MEASURES Rates of speech and/or language delay, prevalence of speech therapy and educational interventions, and parental report of psychosocial problems. RESULTS A total of 74 patients were identified who met inclusion and exclusion criteria: 48 with right-sided AA, 19 with left-sided AA, and 7 with bilateral AA. Children with AA demonstrated high rates of speech therapy (86% among bilateral, 43% among unilateral). Reports of school problems were more common among children with right-sided AA (31%) than those with left-sided AA (11%) or bilateral AA (0%) (P = .06). Educational interventions were common in all groups (33% right, 21% left, 43% bilateral). In the case of bilateral AA, all children who received additional interventions were enrolled in schools for the hearing impaired, without any identified learning deficiencies. CONCLUSIONS AND RELEVANCE Children with unilateral AA may be at greater risk of speech and learning difficulties than previously appreciated, similar to children with unilateral sensorineural hearing loss. Whether amplification may alleviate this risk is unclear and warrants further study. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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