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Implications of Concurrent Vestibular Dysfunction in Pediatric Hearing Loss

  • Hearing Loss in Children (D Horn and H Ou, Section Editors)
  • Published:
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Abstract

Purpose of the Review

It is known that the prevalence of vestibular impairment in children with sensorineural hearing loss (SNHL) is high and can lead to balance deficits. In this review, we look beyond balance and consider the impact of this multisensory deficit on neurocognitive function and navigation with the aim of explaining some of the variability in outcomes seen in cochlear implant populations, considering how to ameliorate these outcomes with targeted rehabilitative strategies.

Recent Findings

Congenital or early acquired vestibular impairment associated with SNHL impacts multiple cognitive domains including spatial memory. The attentional demands of maintaining postural stability are also significant and receive priority over other competing tasks, leading to a broader impact in everyday life.

Summary

Vestibular impairment is common in children with SNHL and impacts their daily function. Early recognition of vestibular deficits is key and several promising therapeutic approaches, including the restoration of bilateral and potentially binaural hearing, are currently under investigation.

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Authors and Affiliations

  1. Department of Communication Disorders, Hospital for Sick Children, Toronto, Canada

    Melissa Hazen

  2. Department of Otolaryngology, Head & Neck Surgery, Hospital for Sick Children, Toronto, Canada

    Sharon L. Cushing

  3. Archie’s Cochlear Implant Laboratory, Hospital for Sick Children, Toronto, Canada

    Sharon L. Cushing

  4. Department of Otolaryngology, Head & Neck Surgery, University of Toronto, Toronto, Canada

    Sharon L. Cushing

  5. Institute of Medical Sciences, University of Toronto, Toronto, Canada

    Sharon L. Cushing

  6. Hospital for Sick Children, 6103C Burton Wing, 555 University of Toronto, Toronto, Ontario, M5G1X8, Canada

    Sharon L. Cushing

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Correspondence to Sharon L. Cushing.

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Hazen, M., Cushing, S.L. Implications of Concurrent Vestibular Dysfunction in Pediatric Hearing Loss. Curr Otorhinolaryngol Rep 8, 267–275 (2020). https://doi.org/10.1007/s40136-020-00298-3

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