Posted by: Indonesian Children | August 7, 2010

Unilateral Hearing Loss Is Associated With Worse Speech-Language Scores in Children


Unilateral Hearing Loss Is Associated With Worse SpeechLanguage Scores in Children

Judith E. C. Lieu, MDa, Nancy Tye-Murray, PhDa, Roanne K. Karzon, PhDa,b, Jay F. Piccirillo, MDa

a Department of Otolaryngology—Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri; and
b Center for Communication Disorders, St Louis Children’s Hospital, St Louis, Missouri

 PEDIATRICS Vol. 125 No. 6 June 2010, pp. e1348-e1355 (doi:10.1542/peds.2009-2448)


OBJECTIVE To determine whether children with unilateral hearing loss (UHL) demonstrate worse language skills than their siblings with normal hearing, and whether children with UHL are more likely to receive extra assistance at school.

PATIENTS AND METHODS We conducted a case-control study of 6- to 12-year-old children with UHL compared with sibling controls (74 pairs, n = 148). Scores on the oral portion of the Oral and Written Language Scales (OWLS) were the primary outcome measure. Multivariable analysis was used to determine whether UHL independently predicted OWLS scores after we controlled for potential confounding variables. RESULTS Children with UHL had worse scores than their siblings on language comprehension (91 vs 98; P = .003), oral expression (94 vs 101; P = .007), and oral composite (90 vs 99; P < .001). UHL independently predicted these OWLS scores when multivariable regression was used with moderate effect sizes of 0.3 to 0.7. Family income and maternal education were also independent predictors of oral expression and oral composite scores. No differences were found between children with right- or left-ear UHL or with varying severity of hearing loss. Children with UHL were more likely to have an individualized education plan (odds ratio: 4.4 [95% confidence interval: 2.0–9.5]) and to have received speechlanguage therapy (odds ratio: 2.6 [95% confidence interval: 1.3–5.4]). CONCLUSIONS School-aged children with UHL demonstrated worse oral language scores than did their siblings with normal hearing. These findings suggest that the common practice of withholding hearing-related accommodations from children with UHL should be reconsidered and studied, and that parents and educators should be informed about the deleterious effects of UHL on oral language skills.

Key Words: unilateral hearing loss • children • speech or language delay • health status disparitiesAbbreviations: UHL = unilateral hearing loss • BHL = bilateral hearing loss • NH = normal hearing • HL = hearing level • PTA = pure tone average • FPL = federal poverty level • OWLS = Oral and Written Language Scales • LC = listening comprehension • OE = oral expression • OC = oral composite • WR = word recognition • WRS = world recognition score • IEP = individualized educational plan • OR = odds ratio • CI = confidence interval • BAHA = bone-anchored hearing system 


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Supported By

 CHILDREN SPEECH CLINIC Yudhasmara Foundation

Office ; JL Taman Bendungan Asahan 5 Jakarta Indonesia 10210  phone : 62(021) 70081995 – 5703646 email :, 

Clinic and Editor in Chief : Dr WIDODO JUDARWANTO

 phone : 62(021) 70081995 – 62(021) 5703646, mobile : 0817171764 email :  curriculum vitae


Copyright © 2010, Children Speech Clinic  Information Education Network. All rights reserved


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