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Pediatric Otolaryngology

Pediatric Single-Sided Deafness: Optimizing Outcomes

Monday, October 2, 2023
9:15 AM - 10:15 AM East Coast USA Time
Location: 208AB

    Moderator(s)

  • Jacqueline E. Weinstein, MD

    Associate Professor
    University of California San Francisco
    San Francisco, CA, United States

    • Panelist(s)

  • DZ

    Daniel M. Zeitler, MD

    Co-Director, Listen for Life Center
    Virginia Mason
    Seattle, Washington, United States

  • Kevin D. Brown, MD, PhD

    Vice Chair and Joseph P. Riddle Professor of Otolaryngology Head and Neck Surgery and Neurosurgery
    UNC Hospital Otolaryngology
    Chapel Hill, NC, United States

  • MC

    Michael S. Cohen, MD

    Assistant Professor
    Harvard/MEEI
    Boston, MA, United States

Disclosure(s):
Jacqueline E. Weinstein, MD: No relevant relationships to disclose.
PROGRAM DESCRIPTION: Unilateral sensorineural hearing loss afflicts approximately 3-6% of children aged 6-19 years in the United States. Children with severe to profound unilateral sensorineural hearing loss or single-sided deafness (SSD), the most severely affected subset of these patients, experience significant difficulties in hearing in noise and sound localization. While the impact of absent binaural hearing on social, cognitive and educational measures has been well established, there is dearth of data and/or consensus-driven guidance for successful management of this population.

This multidisciplinary session will focus on evaluation, management of congenital SSD in the pediatric setting. Discussion will center on diagnostic criteria for congenital SSD, essential aspects of evaluation including imaging recommendations, role of CMV testing, and expanding genetic testing options. As there exists significant heterogeneity in management of these children, our program will seek to highlight appropriate audiologic candidacy for cochlear implantation, predictors of success following implantation, and disparities in access to hearing care in this community.

OUTCOME OBJECTIVE 1: Define single-sided deafness and identify appropriate elements of workup (including radiologic, laboratory, genetic components) for these patients
Demonstrate knowledge of audiologic criteria for cochlear implant candidacy in children >5 years of age with SSD

OUTCOME OBJECTIVE 2: Analyze prognostic factors with regard to audiologic, speech-language, QOL outcomes in children with SSD following cochlear implantation

OUTCOME OBJECTIVE 3: Identify sources of disparities in access to hearing care in children with SSD

BACKGROUND STATEMENT: Address critical educational gap, diversity of practice in the management of children with SSD.
Stimulate inquiry, awareness of this understudied, frequently overlooked population
ID factors which would direct management toward amplification vs cochlear implantation and prevent harm